Cognition and mental health

  • Medical gaslighting – what is it, and how to avoid it?
    Doctors have a long history of ignoring patients’ symptoms and complaints. In MS, this phenomenon tends to affect the so-called ‘hidden’ symptoms and related problems that are difficult to treat. 
  • Mental ill-health in MS: prevalence and causes
    It is now well established that the burden of MS extends far beyond the purely neurological problems to include mental health.
  • Management of mental health disorders in people with MS
    Emotional problems in people with MS must be recognised, addressed and treated, rather than dismissed as an inevitable consequence of living with this chronic condition.
  • MS and bipolar disorder: understanding the link
    The association between multiple sclerosis (MS) and depression is well-established. Are people with MS also at risk of developing bipolar disorder?
  • Dissociative states and MS
    This MS-related group of symptoms is probably neglected in routine MS neurological practice and may fall through the cracks.
  • How common is post-traumatic stress disorder in people with MS?
    Many people with MS are traumatised by how their MS was diagnosed. It doesn’t have to be this way, and there are things you can do to relieve the symptoms.
  • MS and obsessive–compulsive disorder
    Comorbid obsessive–compulsive disorder and obsessive–compulsive behaviour are more common than one might realise in people with MS. This section describes in detail how these conditions develop and manifest in MS, with links at the end to download rating scales for self-assessment.
  • Suicidal ideation and suicide in MS
    Mental health problems and suicide are the underbelly of MS, the elephant in the consulting room. I have attempted to discuss these topics in a way that is not too dark, based on data from a 2026 systematic review. Please be aware, however, that the content may still be upsetting.

The links below take you out of the MS-Selfie website to Prof G’s MS-Selfie newsletter and research archive. Edited posts, consistent with the other site content, will replace them as the website develops.