It's Not All in Your Head: Anxiety, Depression, Mood Swings, and MS

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Overview

One of the greatest challenges people face when dealing with an unpredictable disease such as Multiple Sclerosis is learning to overcome the psychological burden of not knowing what each day will bring. MS is a true roller coaster of emotions and dealing with these feelings is a critical issue for people living with the disease. According to WebMD, symptoms of depression severe enough to warrant medical intervention affect up to half of all people living with MS.

It's Not All in...

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It's Not All in Your Head: Anxiety, Depression, Mood Swings, and MS

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Overview

One of the greatest challenges people face when dealing with an unpredictable disease such as Multiple Sclerosis is learning to overcome the psychological burden of not knowing what each day will bring. MS is a true roller coaster of emotions and dealing with these feelings is a critical issue for people living with the disease. According to WebMD, symptoms of depression severe enough to warrant medical intervention affect up to half of all people living with MS.

It's Not All in Your Head is a cognitive-behavioral approach to overcoming the depression, anxiety,and stress that goes hand-in-hand with MS. Dr. Farrell helps individuals and their families develop a better understanding of the effects that MS has on mood levels and anxiety and offers a plan of simple remediation in a self-help format.

It's Not All in Your Head shows that:

  • MS patients' depression and anxiety can be related to their medical condition
  • Exercise can promote growth in brain connections and help alleviate depression
  • Pain severity in MS can be lessenedthrough stemming anxiety
  • Social involvement is key to maintaining mental and physical health
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Product Details

  • ISBN-13: 9781932603958
  • Publisher: Demos Medical Publishing, LLC
  • Publication date: 11/15/2010
  • Edition number: 1
  • Pages: 240
  • Sales rank: 321,584
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.70 (d)

Meet the Author

Dr. Patricia Farrell is a practicing clinician, medical writer, researcher, educator, and disability consultant. Formerly, the National Clinical Monitor for Mt. Sinai Medical Center in NYC, Dr. Farrell was the monitor on clinical trials for the first medication for Alzheimer's disease (Cognex). Dr. Farrell is also the WebMD Moderator for Anxiety/Panic; has regularly appeared on national TV shows including The Today Show, Good Morning America, Anderson Cooper 360, The View, Inside Edition, E! Entertainment, The O'Reilly Factor, CNN, National Geographic, Court TV, Fox & Friends, VH1, ABS World News and more. She has been interviewed by national publications including the NY Times, Chicago Tribune, Atlanta Constitution, The Washington Post, Wall Street Journal, Working Women, Self, Real Simple, Men's Health, and Life and Style where she comments weekly on current topics in the news. Dr. Farrell has contributed chapters to professional medical books and preparation materials for the USMLE, continuing education materials for healthcare professionals and she is the of How to Be Your Own Therapist. Her website is a resource for consumers, students, and healthcare professionals seeking information on health, education, and related issues.

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Table of Contents

Preface ix

Acknowledgments xiii

1 Multiple Sclerosis Made Simple 1

The Symptoms 2

What Is Multiple Sclerosis? 5

The Three Major Components 6

Anger and Multiple Sclerosis 10

Depression, Anxiety, and Mood Swings 11

Initial Screening for Depression 13

Memory Impairment 13

The Social Side of Multiple Sclerosis 14

Further Reading 15

2 The Mind-Body Connection 17

Psychoneuroimmunology 18

The Immune System 20

Helplessness 22

The Immune System and Depression 24

A Century of Discovery 25

Stress and the Immune System 26

Exercise and Brain Function 28

Lifestyle Changes 30

Depression and Multiple Sclerosis 31

Depression Prior to Diagnosis 32

Further Reading 34

3 Riding the Rollercoaster of Multiple Sclerosis 35

Resilience and Illness 36

Resilience-Building Behaviors 42

The Four Phases of Acceptance 43

Sarah, a Young Career Woman 46

Anna, a Homemaker/Senior Citizen 50

William, a Mid-career Professional 53

Stephanie, a College Student 56

Barbara, Wife and Mother 61

Maintaining a Positive Attitude 68

Spouse, Family, Friends, and Caregivers 69

Further Reading 70

4 The "Ugly Wins" of Depression and Anxiety 71

Depression: The Biological Connection 74

Depression and "Moral Failure" 76

Handling the Depression and Diagnosis 77

A Missed Diagnosis 78

Depression Self-Test 80

Stress and Depression 85

Fighting Depression 87

The Psychological Component 90

Anxiety's Role 94

Further Reading 97

5 Learning to Help Yourself 99

The 11 Most Effective Self-Help Techniques 100

Further Reading 131

6 Handling Guilt and Maintaining Resilience 135

Seeking Psychotherapy 137

The Initial Diagnosis 138

The Road to Resilience 139

Further Reading 143

7 Maximizing Memory to Combat Depression 145

The Five Factors Involved in Memory 146

Sleep Hygiene 149

Anxiety, Pain, Sleep, and Medication 150

Everyday Memory Problems 155

10 Tips for Improving Memory 158

Self-Generated Memories 164

Avoid Repetition as a Memory Aid 166

A Partner's Role 168

Remoralization 169

Further Reading 170

8 Coping Strategies for Everyday 173

The Social Readjustment Rating Scale 173

Stress/Resolution List 176

The Gentle Art of Persuasion 180

Quality of Life 181

Learning "Interviewing" Skills 184

The Four Accusations 185

Your Role as Your Medical Advocate 187

Regaining Self-Esteem and Pride 190

Retirement and Purpose 191

Positive Relationships 193

Discussing Your Diagnosis 194

Retrieving Good From Bad 195

Attitude Is Everything 197

Maintaining Hope 198

Further Reading 199

9 The Future Is Bright 201

Following the Research 203

Joining the Fight 204

Further Reading 205

Appendix A The Social Readjustment Rating Scale 207

Appendix B Quality of Life Scale 209

Appendix C Daily Exercise Chart 211

Resources 213

Index 215

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Customer Reviews

Average Rating 4.5
( 6 )
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Sort by: Showing all of 6 Customer Reviews
  • Posted August 16, 2011

    Highly Recommended for People With MS

    As a person with primary-progressive MS for twenty-two years, hence I identify with Dr. Farrell's book. Obviously, hearing an MS diagnosis is like being hit with a sledge hammer. The first thing I learned was how to spell sclerosis. Then I learned there is no treatment nor is the cause known. Yes, there are FDA approved drugs for relapsing-remitting MS but not primary-progressive MS. I decided I need to come up with a plan that includes attitude (easier said than done), exercise and diet. I spent years developing the plan since resources are scant for reliable data on the Internet. I wish Dr. Farrell's book was available when I was diagnosed since It would have saved me a considerable amount of effort. But the best part is that my plan and Dr. Farrell's are in essential agreement, especially on attitude. in addition, Dr. Farrell's book has a font size, including contrast, that makes it easier for MS people to read. And the bibliography is also excellent. In summary, I highly endorse and recommend that people with MS and their spouses, partners, caregivers read Dr. Farrell's book. And I'm still vertical.

    2 out of 2 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted August 15, 2011

    Definitely Recommend for Anyone with Chronic Illness

    I do not have MS, but I picked up this book because I found "How to be Your Own Therpaist" by Dr. Farrell to be so helpful. I was not disappointed.

    As a person with fibromylagia and chronic pain issues, this book had a lot to offer. I especially recommend reading the chapters "The Mind-Body Connection" and "The 'Ugly Twins' of Depression and Anxiety." Dr. Farrel also offers suggestions for resilience, tips to improve memory, and an entire chapter on coping strategies.

    If I had multiple sclerosis, I think it would be that much more helpful. It is a nice size to handle and the font is larger and darker than normal, which many people with visual challenges may find helpful. I would not hesitate to purchase this as a gift for a friend or family member struggling with MS or another chronic illness.

    2 out of 2 people found this review helpful.

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  • Posted August 17, 2011

    Must read for MS folks

    Whether you are newly diagnosed or an MS veteran - better understand yourself from this glimpse into your MS mind. In this well-researched book, Farrell provides a clear view of what MS may do to your emotions and cognitive functions. Her use of real-life examples from people with MS will lead you to recognize your own resilience. [Jeffrey N. Gingold, author of the award-winning book, Facing the Cognitive Challenges of Multiple Sclerosis 2nd Edition and Mental Sharpening Stones: Manage the Cognitive Challenges of Multiple Sclerosis.]

    1 out of 1 people found this review helpful.

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    Posted June 9, 2011

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    Posted March 26, 2012

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    Posted August 7, 2013

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