When living with a serious and progressive disease, it’s normal to experience sadness, uncertainty and fear about what the future may hold. These are normal emotions to process after receiving a life altering diagnosis — it requires a lot of emotional and physical energy to continually adapt to physical and mental changes! Like all feelings, these emotions are often temporary. However, when these normal emotions regularly interrupt your daily life and prevent you from participating in activities that you previously enjoyed, this could be a sign of a mental health issue.
The most common mood symptoms in MSA are apathy and depression. Some people with MSA may experience some anxiety, as well. While these symptoms and be isolating and scary, there are some treatment options to consider.
Possible medications for apathy, depression and anxiety for people with MSA:
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin and norepinephrine reuptake inhibitors (SNRIs)
- Gabapentin
Tricyclic Antidepressants (TCAs) Warning:
These are often used to treat insomnia, headaches and pain in the general population. However, for people with MSA, TCAs can impact cognitive function and should be avoided. For headache, topiramate can be considered instead.
Low Blood Pressure Warning:
A main symptom of MSA is low blood pressure, which can cause dizziness and even fainting. Because of this, people with MSA should monitor their symptoms and work closely with their doctor when being prescribed these medications.
If you have low blood pressure, it’s suggested that you drink up to 60-80 ounces (or around 1.5 to 2 liters) of water a day, if you don’t have any contraindication, such as heart and kidney diseases. You may also want to discuss with your physician or neurologist to see if you should increase your salt intake.
Many medications could reduce blood pressure. Medications that could do so include antipsychotics, antidepressants, prostate enlargement medication or diuretics. Speak with your physician and neurologist to see if any of these medications could be removed before taking any blood pressure-enhancing medication.
Always speak with your neurologist before starting a mood medication.
Non-drug methods for improving mood:
- Mental health therapy
- Cognitive behavioral therapy (CBT)
- Exercise
- A balanced diet
- Socialization
- Good sleeping habits
- Music
- Meditation
Urgent mental health support options:
- National Suicide Prevention Lifeline: 1-800-273-8255
- Now: 988 Suicide & Crisis Lifeline, dial/text 988.
- The Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline: 1-800-662-4357
- Crisis Text Line: Text HOME to 741741