Table of ContentsView AllTable of ContentsEmotionalPhysicalSocialPracticalFrequently Asked QuestionsNext in Multiple Sclerosis GuideWhat Is Multiple Sclerosis (MS)?
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View All
Table of Contents
Emotional
Physical
Social
Practical
Frequently Asked Questions
Next in Multiple Sclerosis Guide
There is no getting around the fact that living withmultiple sclerosis (MS)can be rife with difficulties. Most people often think of the physical ones, like pain, fatigue, and mobility issues. But you may also confront emotional challenges like anger, changes in your social interactions, and practical issues that may make simply getting through the day hard.
Verywell / Brooke Pelczynski
If you have MS, there may be times when you feel pretty terrible and have a hard time finding anything to be happy about. That’s natural. You are allowed to have these feelings. The key is to not get stuck in them.
Acknowledge When Things Are Tough
Sometimes the best thing to do is to allow yourself to feel sad or angry. Trying to force yourself to be happy can lead to frustration or evendespair.
Tips for Dealing With Bad Days With MS
Recognize When You Are Happy
Constantly battlingMS symptomscan eat up so much time that when youdoget a break, you may forget about the positive things in your life. Even worse, when your symptoms are less severe, you might spend much of the time worrying about when they’ll return.
Check in with yourself a couple of times a day and see if you can find times when you are happy. Spend some time thinking about the best parts of your life. You may also find it helpful to start a gratitude journal.
3:383 MS Patients Share Their Tips for Managing Stress
3:38
3 MS Patients Share Their Tips for Managing Stress
Don’t Compare Yourself to Others
People may think they are being helpful when they say things like, “Other people have it so much worse than you. Think about them and you’ll realize your life isn’t so bad.” Of course, that’s often not helpful at all.
It also might make you feel worse to think about how hard others' lives must be—or make you feel guilty for complaining.
Do your best to avoid going down the comparison path. Remember that someone else’s pain doesn’t invalidate your own.
Build Your Resiliency
An ability to cope with and adapt to problems in a healthy way is called resiliency, and it’s an important thing to have when you’re living with a chronic condition.
The good news is that you can learn or improve this ability to “bounce back” from adversity. Some methods for this involve specific types of treatment and therapy, such as getting treatment for depression and anxiety, if they’re problems for you.
If you believe you need help improving your resiliency, consider seeking the assistance of a psychologist.
Cope in a Healthy Way
Anger is a common issue in MS. Not only is it a natural consequence of having a chronic condition, the brain lesions MS causes may trigger anger just as they can blur your vision or make you clumsy.
A study published in the journalMultiple Sclerosissuggests that keeping anger bottled up can worsen the quality of life for people with this disease.
Whether you’re struggling with anger or other emotions, it’s imperative that you find healthy ways to cope. What will be most helpful for you will be very personal, but it’s a good idea to speak with a therapist who can help put a name to what you’re feeling and provide you with strategies that work best for you.
A Special Note About AlcoholUsing alcohol to “numb” feelings is never a good solution for anyone. And while alcohol dependency can be damaging enough on its own, drinking can also make MS symptoms temporarily worse. Some MS medications can have dangerous interactions with alcohol as well.Furthermore, people with MS because are more prone to abusing alcohol due to depression that can result living with a chronic, often limiting health issue.Pay careful attention to how much alcohol you consume, how often, and how it affects you. And if you find that it’s your feelings that have you reaching for a drink, speak with a therapist about ways you can cope without alcohol.
A Special Note About Alcohol
Using alcohol to “numb” feelings is never a good solution for anyone. And while alcohol dependency can be damaging enough on its own, drinking can also make MS symptoms temporarily worse. Some MS medications can have dangerous interactions with alcohol as well.Furthermore, people with MS because are more prone to abusing alcohol due to depression that can result living with a chronic, often limiting health issue.Pay careful attention to how much alcohol you consume, how often, and how it affects you. And if you find that it’s your feelings that have you reaching for a drink, speak with a therapist about ways you can cope without alcohol.
Using alcohol to “numb” feelings is never a good solution for anyone. And while alcohol dependency can be damaging enough on its own, drinking can also make MS symptoms temporarily worse. Some MS medications can have dangerous interactions with alcohol as well.
Furthermore, people with MS because are more prone to abusing alcohol due to depression that can result living with a chronic, often limiting health issue.
Pay careful attention to how much alcohol you consume, how often, and how it affects you. And if you find that it’s your feelings that have you reaching for a drink, speak with a therapist about ways you can cope without alcohol.
MS causes a lot of physical symptoms that can get in the way of your functionality and quality of life. It is important that you keep working with your healthcare provider to findtreatmentsthateffectivelymanage your physical symptoms.
The invisible symptoms of MS are often the hardest to deal with. For many people, the major ones are pain, fatigue, and cognitive dysfunction.
Pain
Pain is a reality for about 50 percent of people with MS.It happens because demyelination causes nerve signals to get misdirected to pain receptors, which in turn send pain signals to your brain. When your brain receives a pain signal, you feel pain, even if it seems there’s no reason for you to hurt.
Pain that’s related to nerve damage is called neuropathy or neuropathic pain. In MS, types of neuropathic pain can include burning, tingling, ornumbness;trigeminal neuralgia,MS hug, andoptic neuritis.
MS also involves something calledparoxysmal pain—often intensely painful sensations that come on suddenly and go away quickly. Thespasticityand gait problems of MS can lead to joint andmusclepain.
A complex set of pain symptoms requires a complex approach. Your practitioner can help you find medications that lessen your pain. You may also benefit from massage, physical therapy, or home treatments like heat or topical pain relievers.
MS: Painless?Healthcare providers used to be so certain that MS was a “painless disease” that complaints of pain caused them to move it down the list of possible diagnoses. Fortunately, that’s no longer the case.
MS: Painless?
Healthcare providers used to be so certain that MS was a “painless disease” that complaints of pain caused them to move it down the list of possible diagnoses. Fortunately, that’s no longer the case.
Fatigue
Fatigue is among the most debilitating symptoms of MS.It can result from the disease itself, as well as MS medications, related depression, stress, and overlapping sleep disorders.
It’s important to work with your healthcare provider to uncover the cause(s) in your case and find treatments that work. This might involve changing medications, changing the time of day you take certain drugs, treating sleep disorders, and improving your sleep hygiene. Cognitive-behavioral therapy may help you manage stress, as well.
Additionally, you can try daily naps, meditation, yoga, or other gentle exercise.
Cognitive Dysfunction
Cognitive problemsimpact at least 50 percent of people with MS.Commonly, this involves issues like not remembering names, difficulty processing new information or solving problems, and inability to concentrate, among other things. Depression, poor sleep, and some medications may only make these issues worse.
These symptoms can be frustrating and even embarrassing. When they’re severe, they may become a major reason for leaving a job or opting for isolation over social events.
You may have success with finding ways to compensate, such as keeping a highly organized calendar or setting up alerts on your phone to remind you of appointments.
But if cognitive issues are significantly impacting your life, talk to your healthcare provider aboutcognitive rehabilitation, which can help you improve your memory and ability to cope with these problems. You may also want to consider medications such as Ritalin (methylphenidate), which can improve concentration and attention.
Telling People
What to tell people about your health, and when, is unique for just about every situation. The conversations you have with your family and close friends, for example, will likely be very different from those you have with, say, your boss or someone you’re newly dating.
In some cases, it can be a real benefit to have a conversation early. For example, if your manager doesn’t know you have a chronic illness, she may not be understanding about problems like missing work or making a mistake. Disclosing your health status at work entitles you to reasonable accommodation as well, which may make it easier to keep working.
On the flip side, just because it’s illegal to discriminate against an employee because of their disability doesn’t mean it never happens. Some people are justifiably afraid that they’ll be passed over for promotions or otherwise penalized at work because of their MS.
In the end, you’re the only one who can decide when to tell people about your condition and how much to share.
Talking With Others About MSWhen deciding to disclose the fact that you have MS, consider things such as:Your comfort level with the personThe level of emotional closeness in the relationshipHow comfortable you are talking about your condition altogetherHow much they need to know in order to understand things that may happen, such as canceling plans, calling in sick to work, or your reaction to sudden, intense painPotential negative consequences of telling them now versus later
Talking With Others About MS
When deciding to disclose the fact that you have MS, consider things such as:Your comfort level with the personThe level of emotional closeness in the relationshipHow comfortable you are talking about your condition altogetherHow much they need to know in order to understand things that may happen, such as canceling plans, calling in sick to work, or your reaction to sudden, intense painPotential negative consequences of telling them now versus later
When deciding to disclose the fact that you have MS, consider things such as:
Living With Multiple Sclerosis
Parenting
MS can be a challenge for everyone in the family, and it can make you worried about the kind of parent you can be.
A key thing to remember is that a lot of people with MS and other debilitating diseases have raised healthy, happy, well-balanced children. Love and support can go a long way.
Experts believe it’s best to be open with your child from the start. Kids often know something is wrong even when they’re not told, and that can cause them a lot of worry and stress. Research suggests that children who have an age-appropriate understanding of MS can deal with it better.
Children can have different reactions to your illness, both at first and even years after your diagnosis. If they react with anger or frustration, remember that they’re young and grappling with something difficult. Try not to take it personally, even if the way they express it feels personal.
If your child is having a lot of trouble, you may want to look into counseling or family therapy. Talk to your pediatrician as well as your own healthcare team for guidance.
Having a parent with a chronic illness can even have an upside. Many children of parents with MS say they have more empathy and a better perspective on what’s important in life. It may also help strengthen their ability to cope.
Intimate Relationships
While sex is a physical act, it’s one that plays an important role in a marriage or other intimate relationship. It’s important that you and your partner talk openly about how MS may be impacting this part of your life. Couples' counseling can help you both articulate your feelings and find ways to restore intimacy.
These can be difficult conversations to have. When you do:
Understand that your partner may be hesitant about or avoiding sex because they’re afraid they could hurt you. Teach them what does and doesn’t cause you pain so they can be more confident and comfortable.
You Might Also Consider…Experimenting with new sex positions, if some are painful.Using a water-basedvaginal lubricantto ease discomfort during intercourse.Exploring the use of vibrators, especially if you are experiencing numbness or impaired sensation.
You Might Also Consider…
Experimenting with new sex positions, if some are painful.Using a water-basedvaginal lubricantto ease discomfort during intercourse.Exploring the use of vibrators, especially if you are experiencing numbness or impaired sensation.
It can also be very helpful to expand your idea of what sex is. Just because you don’t have the energy for intercourse doesn’t mean you can’t have a satisfying intimate experience. Hugging, kissing, touching,mutual masturbation, and even talking can help you connect and be every bit as arousing.
It’s worth talking to your healthcare provider about how your MS may be impacting your sex life, too. Physical factors, such as sexual dysfunction, loss of libido, and reduced genital sensitivity, can certainly compound psychological factors that interfere with sex, and there may be simple solutions that can help.
Here are some examples of how meds can be managed:
A key to living well with your illness is to acknowledge and accept your limitations. Fighting them takes too much of your limited energy, and, as you’ve likely already discovered, it doesn’t help your situation.
2:163 Women Share Their Experiences Managing MS in the Cold
2:16
3 Women Share Their Experiences Managing MS in the Cold
Taking Care of Yourself
A crucial step to practical management of your symptoms is learning to listen to your body. Pay attention to the signals that you’re overtaxing yourself. Learn what can trigger relapses and what helps you achieve and sustain being in remission.
Something that’s especially important is learning to say “no.” While you technicallycouldattend a dinner you committed to, for example, you’ll be better able to manage your illness if you back out and get the rest you need on a day you feel particularly exhausted.
This can be difficult and might take some time on your part. And as you adjust, those around you must too. While you may not be living up to their expectations with the decisions that you make, you will be doing what’s best for you—and that is something that most people who care about you will come to value, even if they might not seem to at first.
Prioritize your needs. Say “no” and be firm about it, with yourself and others. And put your energy into commitments when you have it to give.
Travel
Travel can be stressful and physically challenging when you have MS. If you prepare well for your trip, though, you can avoid some common pitfalls:
Special Occasions
Special events can really de-rail your efforts at managing your symptoms. Remember that you don’t need to keep up with everyone and that you can (and should) pick and choose what you will do, contribute, and participate in. Attending and staying for just a short time is a good strategy if you feel that’s all you can handle.
To navigate some of the challenges that can come with MS and socializing, consider:
The holidays can be particularly stressful and difficult on your symptom management. It can help to:
Frequently Asked QuestionsMS-relatedneuropathic pain, which usually involves sharp, stinging, or burning sensations, requires a multidisciplinary approach.Anticonvulsant medications are often prescribed, but physical and occupational therapies are also recommended. Counseling and alternative therapies such as massage and meditation may also help relieve and manage pain.Engage in activities that regularly stimulate your mind and increase your cognitive reserve.These include taking classes, reading, learning a musical instrument, and solving puzzles. Interacting with others in a social orsupport groupis also a good way to build cognitive and overall well-being.It shouldn’t impact your ability to conceive, and pregnancy won’t worsen your MS. However, some MS-related symptoms may make pregnancy more difficult, such as muscle weakness, fatigue, and coordination problems.You may also have complications during delivery. Discuss a plan with your healthcare provider in case a cesarean delivery is needed.
MS-relatedneuropathic pain, which usually involves sharp, stinging, or burning sensations, requires a multidisciplinary approach.Anticonvulsant medications are often prescribed, but physical and occupational therapies are also recommended. Counseling and alternative therapies such as massage and meditation may also help relieve and manage pain.
Engage in activities that regularly stimulate your mind and increase your cognitive reserve.These include taking classes, reading, learning a musical instrument, and solving puzzles. Interacting with others in a social orsupport groupis also a good way to build cognitive and overall well-being.
It shouldn’t impact your ability to conceive, and pregnancy won’t worsen your MS. However, some MS-related symptoms may make pregnancy more difficult, such as muscle weakness, fatigue, and coordination problems.You may also have complications during delivery. Discuss a plan with your healthcare provider in case a cesarean delivery is needed.
13 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Büssing A, Wirth AG, Reiser F, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014;12:63. doi:10.1186/1477-7525-12-63Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017;39(1):14-22. doi:10.3109/09638288.2016.1138556Labiano-fontcuberta A, Mitchell AJ, Moreno-garcía S, Puertas-martín V, Benito-león J.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015;21(5):630-41. doi:10.1177/1352458514549399National Multiple Sclerosis Society.Resources & SupportNational Multiple Sclerosis Society.MS Symptoms-More common symptomsNational Multiple Sclerosis Society.Whom Should I Tell?Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescents adjustment to parental multiple sclerosis: a systematic review. BMC Neurol. 2014;14:107. doi:10.1186/1471-2377-14-107National Multiple Sclerosis Society.Intimacy and Sexuality in MSTransportation.gov.Passengers with DisabilitiesNational Multiple Sclerosis Society.VaccinationsCleveland Clinic.Pain in multiple sclerosis.National Multiple Sclerosis Society.Cognitive health.Johns Hopkins Medicine.Multiple sclerosis and pregnancy.Additional ReadingBussing A, Wirth AG, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014. doi: 10.1186/1477-7525-12-63Foley, F. and Beier, M.Assessment and Treatment of Sexual Dysfunction in Multiple Sclerosis.Clinical Bulletin of the National Multiple Sclerosis Society.2015:1-11.Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Puertas-Martín V, Benito-León.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015 Apr;21(5):630-41. doi: 10.1177/1352458514549399McKay KA, Tremlett H, Fisk JD, et al.Adverse Health Behaviors Are Associated with Depression and Anxiety in Multiple Sclerosis: A Prospective Multisite Study.Multiple Sclerosis Journal. 2016 Apr;22(5):685-93. doi: 10.1177/1352458515599073Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescent adjustment to parental multiple sclerosis: a systematic review.BMC Neurol.2014 May 19;14:107. doi: 10.1186/1471-2377-14-107Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017 Jan;39(1):14-22. doi: 10.3109/09638288.2016.1138556
13 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Büssing A, Wirth AG, Reiser F, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014;12:63. doi:10.1186/1477-7525-12-63Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017;39(1):14-22. doi:10.3109/09638288.2016.1138556Labiano-fontcuberta A, Mitchell AJ, Moreno-garcía S, Puertas-martín V, Benito-león J.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015;21(5):630-41. doi:10.1177/1352458514549399National Multiple Sclerosis Society.Resources & SupportNational Multiple Sclerosis Society.MS Symptoms-More common symptomsNational Multiple Sclerosis Society.Whom Should I Tell?Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescents adjustment to parental multiple sclerosis: a systematic review. BMC Neurol. 2014;14:107. doi:10.1186/1471-2377-14-107National Multiple Sclerosis Society.Intimacy and Sexuality in MSTransportation.gov.Passengers with DisabilitiesNational Multiple Sclerosis Society.VaccinationsCleveland Clinic.Pain in multiple sclerosis.National Multiple Sclerosis Society.Cognitive health.Johns Hopkins Medicine.Multiple sclerosis and pregnancy.Additional ReadingBussing A, Wirth AG, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014. doi: 10.1186/1477-7525-12-63Foley, F. and Beier, M.Assessment and Treatment of Sexual Dysfunction in Multiple Sclerosis.Clinical Bulletin of the National Multiple Sclerosis Society.2015:1-11.Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Puertas-Martín V, Benito-León.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015 Apr;21(5):630-41. doi: 10.1177/1352458514549399McKay KA, Tremlett H, Fisk JD, et al.Adverse Health Behaviors Are Associated with Depression and Anxiety in Multiple Sclerosis: A Prospective Multisite Study.Multiple Sclerosis Journal. 2016 Apr;22(5):685-93. doi: 10.1177/1352458515599073Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescent adjustment to parental multiple sclerosis: a systematic review.BMC Neurol.2014 May 19;14:107. doi: 10.1186/1471-2377-14-107Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017 Jan;39(1):14-22. doi: 10.3109/09638288.2016.1138556
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Büssing A, Wirth AG, Reiser F, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014;12:63. doi:10.1186/1477-7525-12-63Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017;39(1):14-22. doi:10.3109/09638288.2016.1138556Labiano-fontcuberta A, Mitchell AJ, Moreno-garcía S, Puertas-martín V, Benito-león J.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015;21(5):630-41. doi:10.1177/1352458514549399National Multiple Sclerosis Society.Resources & SupportNational Multiple Sclerosis Society.MS Symptoms-More common symptomsNational Multiple Sclerosis Society.Whom Should I Tell?Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescents adjustment to parental multiple sclerosis: a systematic review. BMC Neurol. 2014;14:107. doi:10.1186/1471-2377-14-107National Multiple Sclerosis Society.Intimacy and Sexuality in MSTransportation.gov.Passengers with DisabilitiesNational Multiple Sclerosis Society.VaccinationsCleveland Clinic.Pain in multiple sclerosis.National Multiple Sclerosis Society.Cognitive health.Johns Hopkins Medicine.Multiple sclerosis and pregnancy.
Büssing A, Wirth AG, Reiser F, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014;12:63. doi:10.1186/1477-7525-12-63
Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017;39(1):14-22. doi:10.3109/09638288.2016.1138556
Labiano-fontcuberta A, Mitchell AJ, Moreno-garcía S, Puertas-martín V, Benito-león J.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015;21(5):630-41. doi:10.1177/1352458514549399
National Multiple Sclerosis Society.Resources & Support
National Multiple Sclerosis Society.MS Symptoms-More common symptoms
National Multiple Sclerosis Society.Whom Should I Tell?
Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescents adjustment to parental multiple sclerosis: a systematic review. BMC Neurol. 2014;14:107. doi:10.1186/1471-2377-14-107
National Multiple Sclerosis Society.Intimacy and Sexuality in MS
Transportation.gov.Passengers with Disabilities
National Multiple Sclerosis Society.Vaccinations
Cleveland Clinic.Pain in multiple sclerosis.
National Multiple Sclerosis Society.Cognitive health.
Johns Hopkins Medicine.Multiple sclerosis and pregnancy.
Bussing A, Wirth AG, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014. doi: 10.1186/1477-7525-12-63Foley, F. and Beier, M.Assessment and Treatment of Sexual Dysfunction in Multiple Sclerosis.Clinical Bulletin of the National Multiple Sclerosis Society.2015:1-11.Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Puertas-Martín V, Benito-León.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015 Apr;21(5):630-41. doi: 10.1177/1352458514549399McKay KA, Tremlett H, Fisk JD, et al.Adverse Health Behaviors Are Associated with Depression and Anxiety in Multiple Sclerosis: A Prospective Multisite Study.Multiple Sclerosis Journal. 2016 Apr;22(5):685-93. doi: 10.1177/1352458515599073Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescent adjustment to parental multiple sclerosis: a systematic review.BMC Neurol.2014 May 19;14:107. doi: 10.1186/1471-2377-14-107Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017 Jan;39(1):14-22. doi: 10.3109/09638288.2016.1138556
Bussing A, Wirth AG, et al.Experience of gratitude, awe and beauty in life among patients with multiple sclerosis and psychiatric disorders. Health Qual Life Outcomes. 2014. doi: 10.1186/1477-7525-12-63
Foley, F. and Beier, M.Assessment and Treatment of Sexual Dysfunction in Multiple Sclerosis.Clinical Bulletin of the National Multiple Sclerosis Society.2015:1-11.
Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Puertas-Martín V, Benito-León.Impact of anger on the health-related quality of life of multiple sclerosis patients. Mult Scler. 2015 Apr;21(5):630-41. doi: 10.1177/1352458514549399
McKay KA, Tremlett H, Fisk JD, et al.Adverse Health Behaviors Are Associated with Depression and Anxiety in Multiple Sclerosis: A Prospective Multisite Study.Multiple Sclerosis Journal. 2016 Apr;22(5):685-93. doi: 10.1177/1352458515599073
Razaz N, Nourian R, Marrie RA, Boyce WT, Tremlett H.Children and adolescent adjustment to parental multiple sclerosis: a systematic review.BMC Neurol.2014 May 19;14:107. doi: 10.1186/1471-2377-14-107
Silverman AM, Verrall AM, Alschuler KN, Smith AE, Ehde DM.Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis. Disabil Rehabil. 2017 Jan;39(1):14-22. doi: 10.3109/09638288.2016.1138556
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