You’re happy one minute and angry the next. A
television commercial might bring you to tears, or you're suddenly snapping at
others for no reason. These are all examples of mood swings, which are common
in people with multiple sclerosis (MS).
In MS, the immune system attacks the protective
covering (myelin) that coats the nerves of the central nervous system (CNS),
creating lesions or scars. The brain, spinal cord, and optic nerve all make up
the CNS. Depending on what part is involved, a wide range of symptoms can
result. Mood swings are one of the many symptoms common to MS, but the
connection between the disease and emotions often goes unrecognized.
While it’s easy to see the physical effects of
MS, such as balance, trouble walking, or tremors, the emotional impact of the
disease is not so apparent. MS can involve various types of emotional
instability, including uncontrollable laughing and crying or even euphoria. However,
you can manage your mood swings with treatment, therapy, and frank
Pinning Down the Cause
MS mood swings can strike without warning and
leave a person with MS feeling frustrated and overcome by their seeming lack of
emotional control. It’s important to understand what you’re feeling and try to understand
the reasons for emotional swings. You might benefit from talking about your
feelings with others. Being as honest and observant as possible will help in
determining the cause.
Some common reasons for MS-related mood swings
- pent-up frustration
- inability to cope
Besides external factors, the disease itself may play a role
in mood swings. Many patients report a worsening of their emotional symptoms
during an MS attack.
There are two parts of the brain involved in emotion. One
part forms emotional responses, while the other allows you to control them. MS
lesions can form in the part of the brain that allows you to control emotions. This
might lead to difficulties with self-control. It can also cause unbalanced expressions
of sadness or happiness.
Emotional responses can even be scrambled, causing you to
laugh at sad news or cry at something funny.
Dealing with Cognition Changes
The first step in taming MS mood swings is to communicate
with your neurologist. A neurologist or mental health expert can give you tools
to conquer your emotional rollercoaster. Some people find counseling helpful,
while others manage their emotions with mood-stabilizing drugs, anti-anxiety
medication, or antidepressants.
In addition to therapies, you can take these proactive steps
to control your moods:
- Delegate. If
you’re overwhelmed by your daily routine, reduce stress by delegating some
tasks. Free yourself from burdens in order to relax and focus.
to a friend. Find a friend to confide in about
frustrations or fears. Just talking can help release pent-up feelings. This
can keep your emotions from boiling over in the form of a mood swing.
support. Join an MS support group. Talking things out
with others who are going through a similar experience can help. The group
leader can also provide resources to find experts who can help.
peace. Practice yoga or mindful meditation. The
calming effects of yoga and meditation can help your brain settle down and
Tell others about your mood swings before they happen. Sometimes the worry
of what others might think can cause enough stress to bring on an event.
Letting others know it’s part of your disease will ease your mind.
Deep breathing can calm you down and give you an extra moment to take back
control when you find yourself in a stressful situation.
it through. If you pause and examine your feelings
objectively, you may be able to reclaim control. Realizing what is
triggering your emotions can also help.
Physical exercise has been shown to have a positive effect on mental
wellbeing. Besides being good for your body, the time you spend engaged in
exercise can be a great time for personal reflection.
There Is Help
Remember that mood swings are common in MS. They shouldn’t
be reason for shame or embarrassment, but they shouldn’t be ignored either.
Reach out to your neurologist or primary care doctor and let them know that
you’re experiencing anxiety, depression, sadness, or even inappropriate bursts
of laughter. They can refer you to a mental health specialist who is trained to
identify and help you manage the emotional mood swings of MS.
Therapists or counselors are trained to recognize and help
you see what flips your emotional “switch.” A mental health professional can
give you tools to take emotional control. If your relatives are affected by
your mood swings, family counseling can also be beneficial.
If medication is in order, you can work together with your
doctor to weigh the risks and benefits of each and find the one that’s right
With all the help available to treat the emotional symptoms
of MS, there is no reason for you to suffer in silence. The right combination
of counseling and medication will help you feel like yourself.