How can I help my fiancee with the insomnia, depression and memory loss she is experiencing?

Here is My Question:
My fiancee has RRMS. She is currently experiencing chronic insomnia, depression and memory loss. I love her and I am doing my best to be patient and supportive. The mood swings are constant and I need help because it is seriously affecting our relationship. I am seeking advice and assistance. Thank you in advance.

Answer:
The symptoms of depression, insomnia and forgetfulness are very common in people with Multiple sclerosis (MS), even during early stages when individuals are not showing many visible manifestations of the disease. The symptoms are often interrelated and primarily a result of underlying depression or anxiety disorder. Depression itself is often considered a primary symptom of MS by many MS specialists.

These symptoms affect both those afflicted by the disease and those close to them, as you've aptly described in your message. Both of you would benefit from further education and couples counseling to support your efforts to effectively manage these symptoms. Your fiancé needs to address these symptoms with her MS specialist, and seek an evaluation by a psychologist or psychiatrist knowledgeable about the psychiatric manifestations of MS. Good luck and try to be patient.

Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego