Please note the questions have been anonymised to prevent individuals who asked the question from being identified and the advice is meant to be generic. The answers given are the speaker’s personal opinion at the time of recording. Due to the everchanging situation, advice given at the time of recording is subject to change. The answers to the questions are not meant to replace the advice of your own medical team, but are meant to help support the wider MS community in these extraordinary times. All session and slide content are the views of the speakers, not the MS Academy.

Useful links

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Q&A

Since we received a large number of questions from MSers around MS treatment and DMTs, we have recorded another webinar for you:
→ MSCovid19 Q&A for MSers

Jo Johnson:

Work out what values you want to have during this time? Work through the CCTV exercise in the webinar. Be mindful of your physical health during this time, decide what you want to put in your mouth, how much alcohol you want to use during this time. Do some exercise as best as you are able and most importantly practise Sensing gear as much as possible.

See also the next question about exercise.

This question was answered during the live webinar at 53:09

This question was answered during the live webinar at 56:16

Jo Johnson:

Several people have asked about anxiety and sleep. The two are obviously related. When we experience anxiety, frightening thoughts or difficult feelings in our body, most people try and push them away. After all, no one likes bad thoughts and feelings. The research makes it clear that this just increases anxiety. It’s almost like we put a switch on in our heads that makes a struggle, (watch a YouTube video called ‘The Struggle Switch’ by Dr Russ Harris, it’s only a few minutes long). The more we struggle with our thoughts and feelings and push them away in the daytime, the more will find it difficult to switch off at night. Work on the techniques suggested in the webinar to manage your thoughts. Allocate a time in the day to worry. Write down everything that’s in your head, everything your mind is saying to frighten you. Allow yourself to read this content and notice the feelings in your body. The more you do this, the better your sleep will be when you try and settle. There is a good book by Guy Meadows on the reading list at the end of my presentation. Practice good sleep hygiene, turn screens off an hour before you go to bed, have a bath, read an easy magazine or novel, go to bed at the same time and get up the same time even when you don’t have the usual routines will all help.

This question was answered during the live webinar at 58:30

This question was answered during the live webinar at 54:22

Jo Johnson:

It doesn’t really matter because the treatment would be the same. You need a combination of psychological strategies and medication if you fit the criteria for clinical depression. Practice the techniques I suggested in the webinar. Look up the symptoms of clinical depression and if you have reduced appetite, no pleasure, have been feeling very low and tearful for two weeks consistently, you’d be wise to speak to your GP about some antidepressant medication with an anxiety reducing component. If you’re already on medication and your symptoms are getting worse speak to your GP about a review.

Jo Johnson:

OCD is an anxiety related condition, for most people when they become more stressed and anxious, it’s normal for the symptoms to increase. You could see it as a helpful indicator that your husband is feeling high anxiety and needing OCD rituals to manage that. I would encourage you to read several books by Dr Russ Harris, and easy start is the illustrated ‘Happiness Trap’, ‘The Reality Slap’ is aimed at people who are hurting and there is a great relationship book by him called ‘ACT with Love’. They are all on Amazon. Watch the webinar that I did together and talk to him about how you can encourage each other to practice sensing mate and maybe even do some exercises together. There is a great little YouTube video by Dr Russ Harris called ‘The Struggle Switch’. The more we are able to switch into sensing here, the easier it will become and the more manageable our anxiety will feel. Try not to protect each other, talk openly about your fears at this time, this will help as well. Practice the thought exercise as often as you notice difficult thoughts. Notice what thoughts hijack you when you feel frustrated at your husband and see if at these times you can switch into sensing gear and reflect on your values that are relevant to your relationship.

This question was answered during the live webinar at 1:00:23

Be gatekeeper of your documentation and keep each of the HCPS you’re seen by updated with your current situation.

Slides

Johnson-slides-patient-mind-health-webinar-COVID-19-April-2020

Chairs

Jo Johnson, Consultant Neuropsychologist, Mind Your Head

Prof Jeremy Hobart, Consultant Neurologist, University Hospitals Plymouth

George Pepper, CEO, Shift.ms

Ruth Stross, MS Nurse Specialist, Epsom and St Helier University Hospitals NHS Trust

→ More webinars


This meeting has been sponsored by Roche Products Limited. Roche Products Limited has had no control over the educational content of this activity.

  

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