6 Practical Ways to Prioritize Mental Health When You Have MS

Living with multiple sclerosis (MS) brings a range of physical challenges, from fatigue to vision problems. But MS also deeply impacts mental health, increasing the risk of depression, anxiety, and other mood disorders. These effects stem not just from the emotional toll of a chronic illness but also from how MS affects the brain and nervous system.

Fortunately, there are ways to support your mental health while navigating life with MS. Here are six strategies to help you maintain emotional balance and improve your quality of life.

Ask for Help

MS often leads to social isolation, which can worsen mental health symptoms. Breaking this cycle starts with asking for support.

“Having people in your corner is vital,” says Jim Jackson, PsyD, a psychologist at Vanderbilt University School of Medicine. He encourages reaching out to friends, family, or healthcare providers who can offer emotional or practical help.

Doctors can also connect you with patient advocacy organizations or support groups that provide opportunities to share experiences with others who understand the journey of living with MS.

Connect With Others Living With MS

Support groups and MS-specific organizations offer unique opportunities for connection.

“Talking to others who have MS can be transformative,” Dr. Jackson explains. Support groups provide a safe space to share insights, gain encouragement, and feel validated. These connections can ease feelings of isolation and provide hope through shared experiences.

Be Open With Your Care Team

Your mental and emotional state is a vital part of your overall care plan.

“Doctors need a complete picture of your health, including mental health,” says James Stark, MD, a neurologist with the International Multiple Sclerosis Management Practice.

Your healthcare team can adjust treatments or suggest interventions like therapy or medications to address mental health concerns. Mental health changes might even result from a prescribed treatment, so keeping your doctor informed is key.

Consider Therapy and Medication

Professional help is often a crucial part of managing mental health with MS.

Therapy, particularly cognitive behavioral therapy (CBT), can teach coping strategies and help reframe negative thoughts. A December 2016 study in BMC Psychiatry found CBT to be highly effective for managing symptoms like depression, anxiety, fatigue, and pain in people newly diagnosed with MS.

While therapy can be transformative, combining it with medication often yields the best results, notes Luis Manrique-Trujillo, MD, an MS and immunology specialist. Discuss options with your doctor to find the right balance for your needs.

Embrace Lifestyle Changes

Simple adjustments to your daily habits can have a powerful impact on your mental health.

• Exercise regularly: Physical activity can reduce fatigue and depression symptoms. A March 2020 study in Contemporary Clinical Trials Communications found that six months of regular exercise significantly improved mood and energy levels in people with MS.

• Maintain a nutritious diet: A balanced diet supports both physical and mental well-being.

• Prioritize good sleep hygiene: Adequate rest helps regulate mood and reduce stress.

• Stay socially connected: Regular interactions with others can ease feelings of isolation.

Avoid Alcohol and Smoking

Drinking alcohol can temporarily worsen MS symptoms, and smoking has been linked to increased disease activity and reduced medication effectiveness.

Some people with MS may turn to alcohol to cope with anxiety or depression, but Johns Hopkins Medicine warns that this can exacerbate emotional challenges. Speak with your doctor about strategies to manage these habits if they’re impacting your health.

Quitting smoking not only improves overall health but also enhances the effectiveness of MS treatments.

The Bottom Line

Managing multiple sclerosis is undeniably challenging, but a combination of medical care, social support, therapy, and healthy lifestyle choices can make a significant difference.

Remember, it’s normal to feel discouraged at times. Be patient with yourself, reach out for help when needed, and know that support is available to help you navigate the mental health challenges of MS.

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