Managing MS Symptoms
Depression
Depression is much more prevalent in people with MS than in the general population. Several studies support that the lifetime prevalence of major depression for people with MS is 25 to 50%. This number is nearly triple the rate for the general population. Depression may be of a reactive nature, not only at the time of diagnosis but throughout the course of the illness. Research has also suggested that depression may also be related to physiological tissue changes and linked to the disease process itself in MS.
Fatigue can complicate the picture of depression but a key indicator may be low mood. Depression does not have strong correlates with length of disease or extent of disability. Depression generally responds well to antidepressant medication, and counseling. Reports on the rate of suicide in MS vary greatly, but generally seem to agree that there is at least a slightly increased risk of suicide in the MS population. Other mood disorders are also more common in the MS population. Anxiety occurs in about 18.8% of the MS population as compared to 5.1% in general population. Panic disorder, Bi-polar disorder and Obsessive Compulsive Disorder are also increased in MS over general population. In summary, it is important to be sensitive to mood changes in MS and to report them to the physician. Some common indicators of depression in MS may include: difficult falling asleep, staying asleep, early morning waking, change in appetite, weigh gain, weight loss, loss of interest in things. Depression is treatable and treatment can greatly improve quality of life for people and their families living with MS.
Key Healthcare Professionals:
Family physician, MS nurse, psychologist, psychiatrist, neurologist, social worker.
Symptom Management:
Supportive and therapeutic psychotherapy.
Other Resources:
Living Well with MS: Mind Matters
Mind Matters: MS can bring changes to mood and memory
MS Society of Canada publications.
Living Well with MS: Mind Matters
Video education session offered on the MS Society of Canada website.
 An MS Society of Canada website that provides information on a variety of topics. Information is provided by a range of North American experts who respond to inquires from individuals affected by MS.
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