Improving Mental Health and Wellness

MS Awareness Month

Dr. Adam Kaplin, Dr. Annette Okai, Dr. Amy Sullivan, Dr. Mitzi Williams

For this year’s MS Awareness Month campaign, MSAA provided a number of digital resources focusing on Improving Mental Health and Wellness. This campaign featured webinars, a podcast episode, and insights from MS experts covering topics, such as:

  • Purpose in Life (PIL) – This research area focuses on the interactions between mind and body in powerful ways. PIL has been shown to significantly support the central nervous system, cardiovascular health, and even the immune system. Explore the concept and learn how to develop and foster your own Purpose in Life in the archived webinar, “Finding Purpose in Life.”
  • Depression and Anxiety in MS – Depression is a common and often overlooked symptom of MS, while anxiety is perhaps the most taxing and under-treated psychological effect of living with multiple sclerosis. Discover helpful strategies to manage these significant mental health issues in the archived webinar, “Managing Depression and Anxiety in MS.”
  • Care Partnering – Learn about the often overlooked physical and emotional needs of care partners and how to avoid care partner burnout in the podcast episode, “Caring for the Care Partner.”
  • Wellness Strategies – Find helpful strategies to better manage four key areas that impact mental and emotional health – sleep, staying connected, diet and exercise, and self-care – on My MSAA Community.

Learn more about Improving Mental Health and Wellness through these resources at: mymsaa.org/ms-awareness-month

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Yes, it’s common with MS, and you are not alone

On the MSAA helpline we are often asked the question if depression and anxiety are common with MS. Those diagnosed and/or their loved ones reach out wondering about these symptoms and if others experience them too. The answer is yes. These symptoms can be very common with MS and are experienced by many with the disease. Questions about why and how, are ones still being researched to this day. And in a year like we’ve had, will probably be highlighted even more so moving forward.

There are many factors that connect these symptoms to MS and the disease course. MS can affect parts of the brain that help to control and regulate emotions and behaviors. Side effects of medications, other symptoms, and changes in the body due to MS can also contribute to depression and anxiety. And let’s not forget the general life stressors and daily changes encountered all the time.

Learning that depression and anxiety are common with MS and happens to others can help to alleviate some of the stress and burden felt when questioning the symptoms. And though that doesn’t always necessarily make it easier to cope with or manage, finding validation and support are definitely helpful keys. The first step is talking about it. Finding someone trusted to confide in and disclose what you’re feeling is an action you owe yourself to take. There may be things that are out of your control when it comes to MS. But your ability and strength to share what you’re feeling is not lost.

If you’re experiencing symptoms of depression or anxiety, or even if you’re really not sure what it is that you’re feeling, talk to your doctor. Be open and honest about what’s going on. If you or others around you have concerns or questions, bring them up. And if you feel embarrassed or ashamed to talk about symptoms with certain people in your life, then choose that one person you know will listen without judgment and that you would trust. Whether that’s a medical professional or starting the conversation with someone close to you. Do yourself that justice and reach out for support. There are many ways that depression and anxiety can be treated and managed, and you deserve to have it be so.

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What the MS?

By Scott Cremeans

One of the most significant issues with multiple sclerosis is the many hidden symptoms that lead to accusatory statements. The invisibility of these MS issues means that many times others do not see, perceive, or believe that they even exist. The two primarily posed comments are you do not look sick; you must be fine or, I know someone with MS, and they do not complain like that. These statements drive MSers insane and can cause us to stand our ground in defense vociferously.

I have been a member of several local MS support groups and currently Continue reading

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How Winter Can Affect MS

For most of you, there is one certainty when it comes to winter and MS: the colder weather and gray days have an effect on you. But how the weather affects you is a toss-up.

We reached out on the MultipleSclerosis.net Facebook page to ask: “Do the darker, gray days of late fall and winter impact your emotional symptoms?”

In the community, 925 members voted. An overwhelming majority Continue reading

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It’s in the Contract

By Doug Ankerman

Mental wellness? Wait. When given my MS diagnosis years ago, all talk centered around the physical side. No one mentioned anything about the mental challenges of MS.

For this reason, I renege my contract with multiple sclerosis! (Wish it was that easy, right?)

Mental wellness with MSFact is, in my experience, mental wellness is WAY harder to manage. I have AFO’s to help with foot drop. A rollator to Continue reading

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Booting the Mental Devil

By Scott Cremeans

I went through many years of a deep dark depression that enticed me to see just how close I could get to the edge. This game of chicken between the darkness and the light stole my thirties from me and cannot return the years that were taken. This onslaught occurred as the angel and devil on either shoulder taunted me with a ruthless game of truth or dare. Although this atrocity would not stop, the bold brutal battle did not come to the desired conclusion of the dark side. The following is what helped me, and hopefully, others can Continue reading

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Mental Illness Awareness Week

Mental health awareness

Each year Mental Illness Awareness Week occurs during the first full week of October. Every year there is a recurring theme that spreads across the country. This year, the theme revolves around building a movement through the Stigma Free initiative.

“Being Stigma Free means learning about and educating others on mental illness, focusing on connecting with people to see each other as individuals and not a diagnosis, and most importantly, taking action on mental health issues and taking the Stigma Free pledge.”

The hashtag for the theme is #IAmStigmaFree

According to the National Alliance on Mental Illness 1 in 5 adults experience mental illness in America. Mental health stigma affects each and every one of us as well as the people we love. Stopping Mental Health Stigma is an imperative first step which provides those who silently struggle with mental illness, the opportunity to reach out for help.

Did you know that the risk of suicide was 7.5 times higher among persons with MS than the general population? In a study of individuals with MS who experienced thoughts of suicide, one-third had not received any psychological help. If you have concerns regarding mental illness, or thoughts of suicide, please reach out for help. Depression is a treatable condition and needs to be discussed with the doctor.

For more information regarding Depression and MS, please visit the MSAA website at https://mymsaa.org/about-ms/symptoms/depression/.

References:
National Alliance on Mental Illness: https://www.nami.org/miaw

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My Life with MS

by Shannon Loftus

I am a stay at home, work at home, home-schooling mom to the world’s most awesome child – my son Nathaniel. Yes, I have multiple sclerosis, and it does rule my life. But, every day that I wake up and can see my son and husband, can move my limbs, even if in pain, is another day I am thankful for.

I was officially diagnosed with multiple sclerosis in the fall of 2009, although the symptoms had been ongoing since I was a freshman in high school. With this diagnosis, I also found out I had a brain tumor that, of course, during all the diagnostic testing was the only other option for the symptoms I was experiencing. Fortunately, the tumor is on the pituitary gland, benign, and not growing. I recall that on the day I was diagnosed I had a laugh-attack right there in my neurologist’s office. Multiple sclerosis is not funny by any stretch, but I found the double diagnosis to be downright morbidly hysterical at that moment. What luck! Shortly thereafter came the diagnosis of epilepsy, followed by spinal stenosis. Despite all of these diagnoses, I struggle through it all with my head held high (sometimes), staying at home, working at home, and home-schooling my most precious gift that keeps me going – my son. I am also a co-leader of a multiple sclerosis support group here in my hometown. It is a pretty fun bunch of folks, MS aside!

MS has thrown a lot at me. I have been blind in one eye and half blind in the other, at the same time. I have been nearly unable to walk, hobbled and I use a cane more often than not. I have been hospitalized, and I can no longer function as the field archaeologist that I once was. I am losing the use of my left arm, and have left side weakness. The stenosis of my spine has made walking for more than a hundred yards nearly impossible. Standing, sitting, laying down are all painful.

I have adapted, not by choice, but out of necessity. MS sets the pace, so I shifted to private consulting from home, and while not my dream job, I am rewarded with a gift that I know I will be forever grateful for – as much time spent with my son as possible, the opportunity to watch him grow while my eyes still work, and the special time we get to spend snuggling up while he still thinks mom is cool, hanging out at the movies, and hitting the pool in the summer.

I have also experienced depression. I once laughed at the notion of MS and depression going hand in hand. I was so wrong and I was very humbled by my year and a half long journey through a tunnel of personal darkness. I now have immense compassion for those suffering depression, no matter the cause.

I am honored to be able to share with others my journey of life with MS. It is not always fun, but it is what it is. I try to find the humor in life, and frankly the trifecta of illnesses I live with provides a bottomless well of material in that regard. I would love to share the ups and downs, ins and outs, and the overall experience of what it is like to have MS. The disease affects each of us very differently, and I believe it is only through sharing our experiences that each of us finds comfort, solace, and the ability to keep fighting.

Be Thankful for the Day!

-Shann-

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Stopping Mental Health Stigma

rsz_woman_colsoling_young_woman_crying

When you have an infection, you call the doctor. When you have a toothache, you call the dentist. But why when you notice a change in your emotional wellbeing don’t you call a counselor? The mental health stigma (or the view of individuals who seek mental health counselling in a negative way) can have a strong enough effect to stop someone from picking up the phone for help. The idea that an individual is perceived in a negative manner just for the use of mental health services sometimes prevents an individual from seeking care.

In the same ways that the doctor helps cure your infection, or the dentist helps fill your cavity, a counselor or therapist can help guide you through the emotional challenge you may be experiencing. However, fear surrounding the thought of being judged or criticized holds strong enough in some individuals that they will not seek out care.

1 in 5 Americans live with a mental disorder such as depression, bipolar, or anxiety disorder according to the National Alliance on Mental Illness and two-thirds of those diagnosed do not seek treatment. Fears of disclosure or discrimination are some examples of why one would not receive care. Helping to stop mental health stigma opens the doors to mental health treatment and care for those who truly need the support.

Tips for Stopping Mental Health Stigma:

1. Educate those around you about mental health.
Example: With MS, the rate of depression is three times higher than the general population.

2. Use positive language surrounding mental health illnesses
Example: Use phrases such as “a person with depression”; correct people who use inappropriate terms to describe a person.

3. Speak up if you feel you have been discriminated against based on a mental health condition!
Example: People with mental illnesses can experience discrimination in the workplace, education, housing, and healthcare.

Please share your tips or suggestions on ways to stop mental health stigma. By sharing the voices of those in need, we move closer to a world where those who need help no longer fear reaching out.

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Feeling SAD: Seasonal Affective Disorder

rsz_young_woman_cryingIt is commonly known that MS can impact mood and can cause an increased risk for developing depression and anxiety which MSAA detailed in the Winter/Spring 2014 issue of The Motivator. However, you may be unfamiliar with another condition – Seasonal Affective Disorder (SAD) – which may be something to pay attention to as the seasons change.

SAD is a type of depression which is hallmarked by its “seasonality” generally beginning in the fall and lasting through the winter months. SAD typically tends to creep up as the daylight hours get shorter and the weather gets cooler and the impacts on mood may become more severe as the season goes on.  Like other forms of depression, individuals who experience SAD may experience low energy (fatigue), may lose enjoyment in activities they once enjoyed, may experience changes in eating or sleeping habits, may have persistent sad or depressed thoughts, and may even think of engaging in self-harm. As with other forms of depression, individuals with SAD may benefit from the use of medications and/or talk therapy to help address this issue. One major difference with teasing out SAD from other forms of depression is that individuals with SAD may also benefit from using “phototherapy” or specialized light therapy; a person may even be assigned a specific amount time in their day to sit under the specialized light or lamp to help improve their symptoms.

If you have noticed that the fall and winter seasons tend to impact your mood, or if you have noticed a lower overall mood, please discuss the issue with your treating physician…sometimes just shedding some “light” on a situation can make a world of difference.

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