The 6 C’s of Mental Toughness and Resilience

By Dr. Eva Jackson

One of the most meaningful quotes I have read this year is, “Nothing amazing happens inside our comfort zone.” When you first hear that tests confirm a diagnosis of multiple sclerosis, your reaction may be shock, confusion, or disbelief. These are normal responses to news that can change the course of your life.

Over the past few years, I have spoken with many other MS warriors about the day they were diagnosed. Those diagnosed early often describe the experience differently from those diagnosed in later stages. I am among those who received a late diagnosis. Looking back, I realize my emotions followed a pattern similar to Elisabeth Kübler-Ross’s 1969 theory, the “Five Stages of Grief.” While the experience of living with MS is distinct, it often echoes a comparable emotional journey. I describe that journey as the 6 C’s of Mental Toughness and Resilience.

The 6 C’s are Coping, Courage, Care, Connection, Community, and Compassion. Here is a brief look at each stage.

The Stages of Mental Toughness and Resilience

Coping – This stage often carries you through the emotions commonly associated with grief, from denial and anger to eventual acceptance. For some, this process may be brief; for others, it may take much longer. I spent much of this stage feeling angry after investing significant time, money, and energy searching for answers. Even so, I remain grateful for the care team that helped guide me through the process and supported me along the way.

Courage – For many people, asking for help requires real courage. Using an assistive device or relying on others for support can also be difficult steps to take. Courage means weighing the risks and choosing what best protects your health and safety. As difficult as it may feel, using a walker, cane, or scooter can be a powerful act of strength rather than a sign of weakness.

Care – MS requires ongoing care and consistent attention. Keeping a health journal can help you prepare for appointments and communicate more effectively with your care team. Because many people with MS experience cognitive and memory challenges, having written notes can be especially valuable.

Connection – Connection reflects the relationships you maintain with family and friends. Strong, genuine bonds can make a meaningful difference throughout this journey. Support from the people closest to you can provide both stability and encouragement when you need it most.

Community – If you have not joined a support group, I strongly encourage you to consider it. Your MS community can offer meaningful relationships, practical resources, and a sense of belonging. No one should have to navigate this journey alone.

Compassion – The final stage of mental toughness and resilience is developing the compassion, knowledge, and clarity to support someone else living with MS. At this stage, your experience can become a source of strength and encouragement for others.

As an MS warrior, I hope everyone can move through these stages of mental toughness and resilience with strength, confidence, and hope.

About Dr. Eva Jackon:

Hello. My name is Dr. Eva Jackson, and I am currently a guest blogger for MSAA. I completed a Doctorate in Management, Organizational Development and Change at Colorado Technical University in Denver, Colorado. My academic background also includes a Master of Science in Leadership and a Bachelor of Art in Social Services from Belhaven College in Jackson, Mississippi. I have previously co-owned an event planning, catering, and decorating business called NikLiz Designs with my husband of 31 years Tim Jackson. After being diagnosed with MS, my career path changed, but I continue to provide management consulting services. In addition, I participate in crafting activities and volunteer as a Peer Connections Leader and an MS activist for the National MS Society.

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Memorial Day Side Dishes

Keep your kitchen cool this Memorial Day weekend with some simple side dish options requiring zero cooking or grilling. These fresh, colorful side dishes take less than 10 minutes to whip up and bring a bright crunch to your holiday celebration.

recipe of the month from MSAA
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Grounded In Faith & Truth

By Samuel Fitch

When people hear the phrase “mental health,” they often think of major life changes, complicated routines, or dramatic breakthroughs. My experience has been much simpler.

For me, strong mental health is often built through small habits repeated consistently; habits that help me stay grounded before the demands of the day begin competing for my attention.

Living with multiple sclerosis has taught me how quickly your mind can drift if you’re not intentional. Some days bring fatigue. Other days bring stiffness or frustration. And if I’m not careful, my mind can start running toward questions about the future that don’t have answers yet.

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Say No to Stress

Whether it is related to work, relationships, health, circumstances, or lifestyle changes, stress has become a normal part of life for people of all ages. Stress is the body’s natural response to external pressure. While it is normal for stress to come and go, problems begin to arise when it becomes constant and lingering. 

Here are some ways to take care of your mental health by making subtle changes to your routine: 

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Aptitud mental: Fortalecer la mente como si fuera un músculo

Con frecuencia hablamos de la importancia de la salud física. Entendemos que es una parte importante de nuestro bienestar general y que existen muchas formas de apoyarla, por ejemplo: usar las escaleras en lugar del ascensor, salir a caminar a diario o estirarnos mientras vemos la televisión. La aptitud mental sigue el mismo concepto, pero se enfoca en nuestro bienestar mental y emocional. Es la práctica de ejercitar la mente como si fuera un músculo. La aptitud mental implica entrenar nuestros pensamientos y respuestas para promover la resiliencia, reducir la ansiedad, mejorar la regulación emocional y aumentar la tolerancia al estrés.

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Mental Fitness: Strengthening the Mind Like a Muscle

We often talk about the importance of physical fitness. We understand that it is an important part of our overall well-being, and there are many ways to support it, such as taking the stairs instead of the elevator, going for a daily walk, or stretching while watching television. Mental fitness follows the same concept but focuses on our mental and emotional well-being. It is the practice of exercising our mind as we would a muscle. Mental fitness involves training our thoughts and responses to promote resilience, reduce anxiety, improve emotional regulation, and increase tolerance to stress.

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Introducing MSAA’s President and CEO, Amanda Montague 

The Multiple Sclerosis Association of America (MSAA) is extremely proud to announce the appointment of Amanda Montague, EdM, to the position of President and CEO! For more than 20 years, Ms. Montague has been a dynamic leader at MSAA, playing a vital role within the organization’s senior management team for much of that time.

MSAA President and CEO, Amanda Montague, EdM 

Previously, Ms. Montague served as MSAA’s Interim President and CEO and prior to that role, was MSAA’s Chief Mission Officer for several years. In this key position, Ms. Montague spearheaded a number of innovative programs, developed countless educational initiatives, and provided crucial strategic direction for the organization. In addition, she has developed meaningful partnerships with leading healthcare professionals to better serve the MS community.

“After serving the Multiple Sclerosis Association of America for 21 years, it is an incredible honor to be named President and CEO of an organization that has shaped both my professional journey and my heart,” says MSAA President and CEO Amanda Montague. “MSAA’s mission is extraordinary because it is rooted in compassion, innovation, and an unwavering commitment to improving lives today. I am excited to lead MSAA into its next chapter of growth, collaboration, and meaningful change.” 

A dedicated and accomplished leader, Ms. Montague will continue to serve as a powerful advocate for the MS community and help lead the organization’s strategic priorities focusing on growth and impact. Ms. Montague has consistently provided vital direction for innovative programs and services that significantly enhance MS care and treatment protocols. Her profound commitment and clear vision will further advance MSAA’s mission of improving lives today for people living with MS and their loved ones.

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Maybe You’re Already Doing It… 

By Angel Blair

I think it goes without saying how important one’s overall health is. Though when we talk about health and wellness, we often just think of the physical aspects. But a crucial part of our well-being relies on mental health and wellness too, and these can unfortunately get overlooked at times. When thinking about wellness plans and regimens, mental health may not be considered a top priority or major piece of the puzzle. But it should, as mental wellness is just as important as other parts of our health system. 

Nurturing mental health needs can be challenging at times, but there are ways to help improve it that may already be done in your day-to-day. It doesn’t always have to be a grand act or monumental feat that’s accomplished, but rather small gestures or behaviors done daily to foster good mental health. If I find myself overwhelmed or stressed, there are a few go-to acts that I engage in to center myself and to help refocus. 

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Life Beyond the Relapse: Real Stories of Living with SPMS

If you are living with secondary progressive multiple sclerosis (SPMS), you know that life feels different from how it used to be. For years, you might have lived in the RRMS world, waiting for an attack, treating it, and mostly bouncing back. But SPMS changes the rules. It’s less about the sudden storms and more about a slow, steady tide.

We looked at stories and forum posts from people walking this same path. Here is what they say life with SPMS is really like, in their own words.

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Protecting My Peace: Small Habits That Help Me Navigate Life with MS

By Nicole Robinson

Living with multiple sclerosis has taught me a lot, especially when it comes to protecting my mental and emotional well-being. 

When I was first diagnosed, I didn’t have it all together. There were moments of confusion, frustration, and a lot of questions about what my life would look like moving forward. While I still don’t have all the answers, I’ve learned that small intentional habits can make a big difference in how I show up each day. 

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