MS: dealing with emotions

When somebody is diagnosed with a long-term condition they, and people close to them, can experience strong emotional reactions. People need to adjust to a new way of seeing their lives and their relationships, which can be hard. As the condition develops over time people go through a range of emotions and there may be good days and bad days. Relatives and friends spoke to us about their own emotional reactions, and those of the person with MS. They also told us about problems with memory and thought processes that they were seeing in their relative, and how they dealt with their own reactions to this.

Relatives may feel they want to hide their own feelings of being upset or distressed and to ‘be strong’, both at the time of diagnosis and as the condition progresses. Several people talked about putting their own needs and emotions second because they thought it was much worse for the person with MS.

Emma says she has always been emotionally strong. When her husband was going through tests she pretended to him that she thought everything would be ok, and only cried when she was alone or talking to her mother and sister.

Age at interview 37

Gender Female

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Anthony bottles up his feelings of frustration at the effects of his wifes MS, reminding himself that it is she who has the condition, not him.

Age at interview 43

Gender Male

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Even though she could be breaking inside when she was looking after her mum, Anita put on a brave face and tried to be strong. Sometimes she felt guilty for wishing she didn’t have to take responsibility.

Age at interview 37

Gender Female

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Louise Z’s husband was distressed and kept crying, in disbelief, when they heard about their son’s diagnosis. Louise herself initially felt numb but, partly as a result of other family and work pressures, became ill with anxiety and depression. Carole cried every night as a teenager because she had no one to talk to about her ‘frightening’ experiences of living with her mum’s MS. She felt relieved when her mum eventually went into long-term care. Morris finds it ‘heart wrenching’ to see his dad’s progressive disability. ‘I don’t cry when I’m there,’ he says, ‘but I cry when I leave.’

People also felt angry and resentful on occasion, both for themselves and for the person with MS. Dave talked about ‘frustration with the situation, the disease, with yourself’. Feelings of fear for the future and helplessness were also described. When her husband was diagnosed, Sarah Z felt an ’emotional rollercoaster of fear, anger and concern.’ Years later she felt outraged when her husband died, from what she saw as preventable and treatable complications of bowel surgery. Alice also feels angry sometimes but she tries not to dwell on it.

Betty feels angry at having been forced by circumstances into being a carer against her will. And she is angry with politicians and society because of their expectations of what a carer will do.

Age at interview 58

Gender Female

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As a teenage carer Anita felt angry that her mum’s MS seemed to be so much worse than other peoples.

Age at interview 37

Gender Female

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Alice tries not to be angry about the situation she is in because, she says, anger eats you up.

Age at interview 35

Gender Female

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Some people talked about feeling guilty that they didn’t do enough to help their relative with MS even when, like Anita, they were actually doing a lot. Carole felt guilty that she was relieved when her mum died.

Kay visits her brother several times a week but sometimes feels she doesn’t go often enough.

Age at interview 38

Gender Female

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Experiencing low mood or depression at times is quite common both for people with MS and family members.

Sometimes mood changes may be comparatively mild: Anthony said that MS ‘can really get both of us down;’ Eric also said that ‘it gets you down sometimes’ because ‘the demands are a bit heavy.’ Morris said, ‘It’s very emotional, but you just keep going’. But depressive moods may go deeper – Anita talked about being in some ‘dark places’-and sometimes people may need medication or other psychiatric help. Dealing with anger towards the person can be hard, as Dave describes. Sometimes he has to leave the room for a few minutes to calm down.

Chez thinks that depression is more likely to happen in the carer than the person with MS. She has had depression for the last seven years.

Age at interview 42

Gender Female

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Dave talks about having to try to cheer up his wife when she is depressed, while being on anti-depressant medication himself.

Age at interview 73

Gender Male

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Other people talked about not feeling depressed. Emma said she definitely wasn’t depressed, though she would like some psychological support, and Paul Y also said he doesn’t ‘easily get depressed,’ partly because he tries not to ‘reflect too deeply on things.’

People also talked about how they were affected by their relative’s emotions. Alice said her friend was ‘strangely content,’ in a very advanced stage of MS, whereas before he had MS he was more ‘troubled.’ John Z is comforted that his wife, also in an advanced stage of the disease, doesn’t appear to be in distress. However, Anita said she felt ‘MS paralysed me, in a way’, and that she had to absorb or ‘buffer’ all her mother’s own emotions. Episodes of anger, frustration and depression are common experiences, as Tony and Betty described:

Tony was depressed at one point but now he has got a routine, and a support network, he says he has got past that stage.

Age at interview 72

Gender Male

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Betty was frightened when her partner took his anger and depression out on physical objects in the house.

Age at interview 58

Gender Female

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Some people had noticed problems with memory and thinking in their relative. Not everyone who has MS will experience this but mild difficulties are common. For example, many people with MS can find it harder to remember information, follow conversations or think things through.

John X, Jeff, Kate, Alice, Kay Z and Chez all talked about their partner or other relative having short-term memory problems. Sometimes the person themselves didn’t think they had a problem. Relatives thought it was important not to blame the person when they forgot things, but to realise it was part of their illness and so keep their frustrations to themselves. Kate said, ‘I’m no saint, and I do think, ‘For goodness sake, can’t you remember that?’ But it’s really not fair to say that to him.’

John’s wife sometimes forgets things. She makes sure to write down what she needs to remember, as one way of fighting the disease.

Age at interview 63

Gender Male

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Other changes included loss of concentration and being less able to cope with information. Eric’s wife finds it difficult to follow conversation if she is with a group of people. In advanced stages of MS some people sometimes behave in ways that can cause embarrassment or discomfort to people around them.

Kay’s brother used to phone and email celebrities to ask them to pay for his treatment. She says this was difficult to manage.

Age at interview 38

Gender Female

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Patience tells people they should try to help her husband, rather than judging him, when his behaviour is ‘challenging.’

(Also see ‘Reactions to an MS diagnosis‘).

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