Your MS Concerns: Insights from a Psychiatrist - Psychiatry

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Regarding the previous question?


Hello, doctor.
I am the person asking about multiple sclerosis.
I have pondered your response for a long time, and I am not quite sure if you meant to say: "You might have MS!" The psychiatrists who told you that no further examination is needed might have done so because your symptoms are not typical enough, so they suggested you come back later when a diagnosis can be confirmed.
They advised you to see a psychosomatic specialist first, and then you can face whatever comes next.
Initially, I thought you might not mean that, but the more I think about it, the more it seems like it.
Now I keep reflecting on my condition and reconsidering what each doctor has said.
I don't want to trouble you, but I just want to clarify your meaning one more time.
I apologize for being so anxious; I can imagine it must be frustrating to deal with someone like me, but I really don't know what to do.

Dàxuéshēng, 20~29 year old female. Ask Date: 2020/09/23

Dr. Huang Xiaoxian reply Psychiatry


Hello, I understand that it can be very difficult in such an anxious situation.
What I mean is that it is unlikely you have multiple sclerosis (MS).
I recommend that you visit a mental health specialist for an evaluation to address your anxiety issues.
Wishing you all the best.

Reply Date: 2020/09/23

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the emotional turmoil and confusion you are experiencing. Your concerns about multiple sclerosis (MS) and the feedback you've received from various healthcare professionals can understandably lead to anxiety and uncertainty. Let’s break down your situation and address your questions.

Firstly, multiple sclerosis is a chronic disease that affects the central nervous system, leading to a range of symptoms that can vary widely from person to person. These symptoms may include fatigue, difficulty walking, numbness or tingling, and cognitive changes. Diagnosing MS typically involves a combination of clinical evaluation, neurological examinations, MRI scans, and sometimes lumbar punctures to analyze cerebrospinal fluid. It’s crucial to consult with a neurologist who specializes in MS for a comprehensive assessment.

From your description, it seems that you have been advised by some psychiatrists that your symptoms may not be typical for MS, which is why they suggested waiting before pursuing further testing. This can be frustrating, especially when you are feeling unwell and seeking answers. It’s important to understand that mental health professionals may focus on psychological aspects, while neurologists will look at the physical symptoms and neurological function.

Your feelings of being "neurotic" or overly anxious about your health are valid. Many people experience heightened anxiety when faced with potential health issues, especially when the symptoms are vague or inconsistent. It’s essential to find a balance between being proactive about your health and managing anxiety. Here are some steps you can take:
1. Seek a Neurologist's Opinion: If you haven’t already, make an appointment with a neurologist who specializes in MS. They can provide a thorough evaluation and determine if further testing is necessary.

2. Document Your Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in making an accurate diagnosis.

3. Mental Health Support: Given the emotional strain you are under, consider seeking support from a mental health professional. Therapy can help you process your feelings, manage anxiety, and develop coping strategies.

4. Educate Yourself: Understanding MS and its symptoms can empower you. However, be cautious about self-diagnosing based on information found online. Stick to reputable sources and consult with your healthcare provider for clarification.

5. Communicate Openly: When you meet with your healthcare providers, express your concerns clearly. Don’t hesitate to ask questions about their recommendations and the reasoning behind them. It’s your health, and you deserve to understand the process.

6. Practice Self-Care: Engage in activities that promote your well-being, such as exercise, mindfulness, and hobbies that bring you joy. Taking care of your mental and physical health can help alleviate some anxiety.

7. Support Network: Reach out to friends, family, or support groups. Sharing your experiences with others who understand can provide comfort and reduce feelings of isolation.

In conclusion, while it’s understandable to feel overwhelmed by your health concerns, taking proactive steps can help you gain clarity and peace of mind. Remember, you are not alone in this journey, and there are professionals who can guide you through the process. It’s essential to prioritize both your physical and mental health as you navigate these challenges.

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