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.

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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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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Singing for Wellness

By Stacie Prada

Last year, my naturopath suggested I take deep breaths each day, and I agreed it would be good for me. I approached it like a prescription and made sure to do it. I followed guided meditations, and they were fine. I’d set a timer and count deep breaths in and out to meet the goal. It seemed good for me, but I didn’t love it or look forward to it.

Then I had an “aha moment.” I’ve long wanted to improve my singing, and I realized I could make progress with singing AND practice breathwork in a way I’d enjoy.

My inspiration was a music app. It would allow me to do breathwork and improve my musical knowledge and skills. Most importantly, it could be fun. I’ve now been doing singing lessons for a few minutes each day for 22 weeks. Because I want to keep my streak, I make sure I do it every day. I love that it’s a bite-sized daily commitment, and it’s doable.

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Taking Ownership: My Journey Toward Better Mental and Physical Wellness

By Samuel Fitch

There comes a point where continuing the same patterns will only lead you further away from the life you actually want to live. For me, that moment wasn’t dramatic. It was quiet, but undeniable. Between living with multiple sclerosis, navigating the sudden loss of my mom, and recognizing that my overall health was trending in the wrong direction, something had to change.

Not eventually. Not when it was convenient. Now.

For a long time, I operated the way many people do—focused on responsibilities, pushing through fatigue, and accepting certain limitations as “just the way things are.” Over time, the signs became harder to ignore. Low energy. Brain fog. Poor cardiovascular health. A general sense that I wasn’t operating at the level I knew I was capable of.

Then a simple but heavy realization settled in. I still have a lot of life left to live. That thought forced a question I couldn’t avoid—am I doing what’s necessary to be here for it?

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Empowering Myself

I have realized that every time I go to a doctor’s appointment, I walk in already feeling guilty — mentally preparing to defend myself, almost expecting judgment. Before the doctor starts asking about my exercise routines and eating habits, I am literally saying in my mind, “Guilty as charged”. But guilt doesn’t move us forward. Conscious choices do.

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La vida se disfruta más fuera del piloto automático

Me considero una persona rutinaria. Tengo la tendencia natural de apegarme a las rutinas que funcionan, y me resulta difícil modificarlas una vez que se vuelven cómodas. Si bien las rutinas pueden ser útiles, en ocasiones hacen que la vida se sienta automática, como si se viviera en piloto automático, cumpliendo responsabilidades sin prestar verdadera atención a lo que ocurre. Una forma de salir del piloto automático y de esa sensación de estancamiento es a través de microaventuras.

Las microaventuras son acciones pequeñas, sencillas y sorprendentemente efectivas para salir de la rutina. Invitan a la curiosidad, estimulan la creatividad y aportan una perspectiva renovada al día. Una de las mejores formas de salir del piloto automático y de esa sensación de estancamiento es atreverse a hacer algo diferente.

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Life is Better Off Autopilot

I am a creature of habit. I naturally stick to routines that work, and it is hard for me to change them once they feel comfortable. Routines can be helpful, but sometimes they make life feel automatic, like you are on autopilot, going through the motions without really noticing what is happening. One way I shake up that feeling is with micro-adventures.

Micro-adventures are small, simple, and surprisingly powerful ways to break out of habits. They invite curiosity, spark creativity, and give your day a fresh perspective. The best way to escape autopilot and that stuck feeling is by trying something different.

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Well Well Wellness 

By Angel Blair

When it comes to wellness and how we take care of our minds and bodies, there’s definitely some leeway as to what works for each person and what type of wellness is being referred to. If we’re being honest, I was never a big fan of physical exercise and fitness for myself. Not that I don’t think it’s important, because it truly is. I just never had enough drive or motivation to stick to a particular exercise regimen. I don’t take physical wellness for granted or disregard it in any way. It just took me some time to realize that physical wellness is merely one cog that makes up the wellness machine. 

Mental and emotional wellness are two other vital pieces in the realm, and I found that these are the ones I can get on board with. Without knowledge of it, I was fostering these facets of wellness with things that I do in my day-to-day. And they’re things that I enjoy, go figure! They may not be obvious examples of wellness but that’s the great part about this theory. It can look so different and represent various things to people. There’s no “right” way to achieve wellness goals. What matters is that they support your body’s needs and promote good health. 

I’ve always enjoyed writing, ever since I was young. It helps me to process things and allows me a space to be creative and honest. I also love to read. This activity provides a quiet restfulness and a chance to slow things down. The other surprising endeavor that I found nurtures my personal wellness is cleaning. I know, it sounds odd and a bit atypical compared to other wellness activities. But there’s something familiar and relaxing about it. I like the feeling of accomplishment it provides, and it also lets me jam out to my favorite music. 

Maybe these activities wouldn’t work for you, or maybe they would. You may already have certain routines or tasks that bring you joy, positive physical effects, or a sense of purpose and accomplishment. But you may not have realized that these satisfying ventures are concurrently supporting your personal wellness too. Perhaps because you thought wellness had to look a certain way. What a pleasant surprise! 

About Angel:

My name is Angel Blair, I am a mom to beautiful twin girls and hold degrees in counseling from schools outside of the Philadelphia area. I’ve worked with the MS community in the past, and am grateful for the opportunities I’ve had in helping others. I enjoy spending time with my family, writing, reading, and traveling.