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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