Because SPMS is such a complex condition, it can be hard to tell if what you’re experiencing is everyday stress or something that requires professional support. Talk to your doctor if anxiety, depression, or psychological distress is making it difficult to live your daily life. Signs you may benefit from professional help include:
- Struggling to get out of bed in the morning
- Missing appointments or skipping out on responsibilities
- Withdrawing from family and friends
- Losing interest in activities you used to enjoy
- Experiencing persistent sadness or hopelessness
- Having thoughts of self-harm
Ask your healthcare provider for a referral to a mental health professional who works with people who have MS or other chronic health conditions. “Working with a mental health professional, such as a therapist or counselor, will provide you with a safe space where you can discuss your true feelings. Often, they will guide you towards methods of mindfulness. This might include meditation or cognitive behavioral therapy (CBT),” says Vacca.
Some research shows that people with MS who participate in CBT may have less fatigue and a greater quality of life than those with the condition who undergo standard therapy.
Remember that seeking help for your mental health is a sign of strength, not weakness. “Think preventatively instead of reactively. Getting a referral from your doctor for a mental health provider is key to putting yourself first,” says Vacca. “Consider it the initial brick you can lay as the foundation of your lifelong journey with SPMS.”
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