How to Manage the Biggest Mental Health Impacts of Living With ITP

Staff
By Staff
4 Min Read

Because anxiety and depression appear to be inextricably linked to ITP, managing some of the challenges of living with the condition may be one way to help reduce its impact on your mental health.

Here are some of the main issues that can crop up when living with ITP — and what you can do to minimize them.

Keeping Platelet Numbers Up Anxiety around maintaining a stable platelet count (a measure of your blood levels of platelets — particles in your blood that help blood clot) affected more than a third of participants in a multinational survey. The survey showed that platelet control was very important, and poor control had a negative effect on the participants’ emotional well-being.
Talk to your doctor about treatment options, such as corticosteroids, immune globulin, and drugs that increase platelets, to find out what might be right for you.
Reacting to Medication In some cases, the medication you take for treatment can affect your mental health, says Alexandra Wolanskyj-Spinner, MD, a hematologist at Mayo Clinic in Rochester, Minnesota. Corticosteroids, the first line of treatment, are linked to depression, insomnia, and mood swings. If you notice a change in your mental health after starting a medication, ask your doctor about changing treatments.

Facing the Reality of a Chronic Condition Persistent or chronic ITP is a lifelong condition, which means you may always need medications and other treatments to manage your symptoms. And you’ll always need to stay vigilant about avoiding injury to reduce your risk of uncontrolled bleeding. “Having any chronic disorder is difficult and impacts daily living,” says Dr. Wolanskyj-Spinner.

“Having a chronic condition in itself is a brain shift for people. Maybe they were completely healthy before, and now they have to change the way they think about things,” Martin says. “The quality-of-life scores for people with ITP are similar to those of people with cancer.”

If you’re experiencing anxiety, depression, or stress, talk to your hematologist about getting a referral to a mental health professional — preferably one who has experience working with people who have a chronic condition.

Limiting Your Activities If you were active and enjoyed certain activities, such as high-contact sports, before you were diagnosed with ITP, you may have been advised to limit or stop engaging in them, because they’re considered risky for people with ITP. Having to avoid or modify your normal activities may lead you to experience depression and other negative emotions.

But it’s important to remember that physical activity can be beneficial for your mental health, which is especially crucial for people living with ITP. Ask your doctor to recommend activities that may be safe for you to engage in, so you can continue to stay active.
Modifying Your Life Goals If you’re thinking about starting a family, you may need to take extra measures to stay healthy and safe. ITP affects more women than men. That includes women of childbearing age, so this is an issue for many women with ITP. Talk to your hematologist and obstetrician-gynecologist about precautions you may need to take.

While these challenges can be significant, preparing yourself for the emotional burden of ITP can help you reframe those challenges so you can live your life to the fullest.

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