Deciding whether to tell others

When someone is diagnosed with a condition such as Multiple Sclerosis (MS), there are decisions to be made about if and when to let other people, including friends, family members, employers or work colleagues, know about the diagnosis. Some people we talked to told others immediately, before thinking through who they might tell, and how. For others there was a delay as they considered who they might tell and what would be the benefits and drawbacks of telling. Almost all decisions about who to tell, and how, were based on thinking about what people needed to know. Deciding that somebody needed to know was generally the trigger to tell them. Sometimes the person with MS didn’t want anybody to know and friends and family talked about the need to respect their wishes, even if they found this difficult. Commonly, people did not want to be labelled or pitied and wanted to be treated as normal. Stella’s partner, for instance, was keen not to be ‘branded as a sick person’.

Stella told one of her students and a couple of friends about her partner’s diagnosis, before discovering he didn’t want anybody to know. This was hard for Stella. Later, he changed his mind, which made things easier.

Age at interview 45

Gender Female

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Stella remembers that her student confused MS with ME (myalgic encephalopathy, or chronic fatigue) and others remembered getting a similar reaction.

Even if people do decide to share the diagnosis with family members and friends, they may be selective about how they do it, and this was something the person with MS and their nearest relative might discuss together.

Ann and her daughter discussed which friends and family to tell and when. They decided that it wouldn’t be helpful to tell some family members in case it upset them.

Age at interview 55

Gender Female

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Christine noticed that her boyfriend was struggling to run for a bus when they went out for a meal. He told her that he had been diagnosed with MS some time before.

Age at interview 50

Gender Female

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Another big decision for people with MS is whether to tell their employer. Close family were often consulted about this decision.

David’s wife Sandra has relapsing remitting MS. He explains that she has had periods of remission and relapse. Her symptoms come and go but they never seem to go back to how they were before.

Age at interview 49

Gender Male

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Kay’s husband did not want to tell his employers about his MS at first, because he didn’t want it to affect his career. Once he told them he received a lot of support from them up to the point of early retirement.

Age at interview 49

Gender Female

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Ann’s daughter, at the beginning of her working life, has decided not to declare her condition yet.

Age at interview 55

Gender Female

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Close relatives also have to consider whether to tell their own employer or work colleagues. Sarah Z didn’t have to think too much about this: she went straight back to work, after being with her husband to receive the diagnosis, and told the head teacher at the school where she worked. Others have chosen not to tell people they work with for the moment, for a variety of reasons, but say they might do so in the future.

Stella is self-employed and only tells people she works for if she can’t avoid it.

Age at interview 45

Gender Female

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Louise has told friends about the diagnosis but she thinks there is no need for her employer to know.

Age at interview 49

Gender Female

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Ray and his wife jointly decided not to tell anybody about her diagnosis at first, mainly because they knew so little about MS that they didn’t know what to say about it. After some years they decided to be open about it. Ray thinks this helps to inform and educate people about the condition.

Ray and his wife decided that keeping the diagnosis to themselves was, living a lie. Telling others felt like a positive step.

Age at interview 17

Gender Female

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Sometimes the person with MS had a different approach to telling from their partner. Stella felt it was ‘a real big relief’ when her partner decided to share information about his diagnosis. Anthony has ‘never fought shy’ of telling people that his wife has MS. But he thinks that, at first, she didn’t want to admit it to herself and so didn’t want to talk about it. As she has grown to accept her condition she now has no problem telling people about it and this, Anthony says, has made things easier.

Anthony and his wife now find it easier to be open and say, She has MS,’ rather than trying to explain away her symptoms as they used to do.

Age at interview 43

Gender Male

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The experience of young people and teenagers living with a parent with MS can be somewhat different. Carole and Anita both felt very isolated. Nobody around them talked about the diagnosis or about life with MS and neither did they. Carole’s friends knew, but they didn’t discuss it. Her school only found out when they called her father to try and find out why she was so distressed one day by a simple wasp sting. Even then no-one from school came to see her to talk about it, but she thinks that would be different these days. Anita’s teachers never found out about her mum’s diagnosis and she didn’t talk to her friends about it.

Carole felt as though she wasn’t allowed to talk about her mum’s MS and had to keep it all bottled up inside.

Age at interview 53

Gender Female

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The last thing’ Anita wanted to do was talk to any teachers’ about her mother’s MS, and she kept it hidden.

Age at interview 37

Gender Female

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