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An Ocean of Emotion: Mood Swings, Anger, and Uncontrollable Laughing and Crying.



Some people call these MS symptoms "emotional incontinence". Joella Vreeland calls them embarrassing:

"At lunch hour a colleague was telling us that he was very disappointed as he had applied to the reserves and had been rejected because of a heart condition. I laughed.

"`It's not funny!' he said--and I apologized. But why had I laughed? I was as puzzled as he was.

"I do a lot of speaking--often from the podium--at my church. I was telling a story about a pine tree that had died. And I started crying--could not control it--and sat down.

"`Well,' said my friend later. `It was a sad story.'

"`Not that sad!' I replied. I have MS, and I was experiencing a problem. I could no longer speak about my mother, my son, or even myself, without getting so choked up that I couldn't continue. Though this was new for me, I had read about it in an MS publication. Someone had referred to it as `emotional incontinence'. I remembered that it meant overreaction o·ver·re·act  
intr.v. o·ver·re·act·ed, o·ver·re·act·ing, o·ver·re·acts
To react with unnecessary or inappropriate force, emotional display, or violence.
: laughing when it wasn't that funny and crying when it wasn't that sad."

"`Emotional incontinence' is not a great term, even though it captures the issue," said Dr. Sarah Minden, assistant professor of psychiatry at Harvard Medical School Harvard Medical School (HMS) is one of the graduate schools of Harvard University. It is a prestigious American medical school located in the Longwood Medical Area of the Mission Hill neighborhood of Boston, Massachusetts. , who sees people with MS at Brigham and Women's Hospital Brigham and Women's Hospital (BWH) is a hospital in the Longwood Area of the Boston, Massachusetts neighborhood of Mission Hill. With Massachusetts General Hospital, it is one of the two founding members of Partners HealthCare.  in Boston. "It's embarrassing, distressing, and stressful for people with MS to lack control over their emotions."

For best treatment, determine the cause

According to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 Dr. Minden, it's difficult to know what causes these emotional symptoms--uncontrollable laughing and crying, angry outbursts, or rapid mood swings. They could be the result of lesions in the brain and abnormalities in the brain chemicals directly caused by MS. They could just as easily be due to emotional disorders or situational problems. Dr. Minden believes it is very important that the cause of an emotional problem be clarified, because a diagnosis will determine which treatment approach should be most effective. A correct diagnosis can be made by a neurologist or psychiatrist who is familiar with these kinds of MS symptoms. Only then can the right combination of medications, counseling, and, possibly, behavioral therapy behavioral therapy
n.
See behavior therapy.
 be prescribed.

Dr. David Mohr is assistant clinical professor and director of medical psychology at UC San Francisco's Mt. Zion MS Center. Dr. Mohr believes that some people may be predisposed pre·dis·pose  
v. pre·dis·posed, pre·dis·pos·ing, pre·dis·pos·es

v.tr.
1.
a. To make (someone) inclined to something in advance:
 to developing these kinds of problems because they have certain genes.

Blame and shame

Dr. Randolph Schiffer has a lifelong professional interest in the behavioral aspects of MS. He is chair of the department of Neuropsychiatry neuropsychiatry /neu·ro·psy·chi·a·try/ (noor?o-si-ki´ah-tre) the combined specialties of neurology and psychiatry.

neu·ro·psy·chi·a·try
n.
 at Texas Tech University. "Any cognitive loss is anxiety-producing," he said. "People may not understand why they're having trouble functioning at work or at home. The pattern can be subtle. It's easy to blame yourself for not doing things as well as you formerly did.

"Our culture is more tolerant of physical disability than of mental impairment, in many situations," Dr. Schiffer added. Both the person with mental or emotional symptoms and the people around her or him may be struggling with a sense of shame Noun 1. sense of shame - a motivating awareness of ethical responsibility
sense of duty

conscience, moral sense, scruples, sense of right and wrong - motivation deriving logically from ethical or moral principles that govern a person's thoughts and actions
.

"We tend to see emotions as separate from our bodies, but they are not. It's important to acknowledge that emotions are biological processes," Dr. Mohr said. "How you think about things influences neurotransmitters Neurotransmitters
Chemicals within the nervous system that transmit information from or between nerve cells.

Mentioned in: Bulimia Nervosa, Impotence, Pain, Withdrawal Syndromes
 in the brain. There is increasing evidence that how people feel may affect their MS directly. The good news is that people can learn to cope with emotions. You may need a mental health counselor A mental health counselor is a professional who provides counseling to individuals, couples, families, groups, or larger systems. A mental health counselor may also have training in educational and vocational counseling (MacCluskie & Ingersoll 2001).  to help you identify the pattern of your thoughts and behaviors and learn how to change the ones that contribute to stress or depression."

Cynthia Arnold, who herself has MS, is a freelance writer and an English professor at a college in Western Massachusetts.
COPYRIGHT 2000 National Multiple Sclerosis Society
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2000, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:multiple sclerosis
Author:ARNOLD, CYNTHIA
Publication:Inside MS
Date:Mar 22, 2000
Words:622
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