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Besides the effects on your body, primary progressive multiple sclerosis (PPMS) can take a toll on how you feel about yourself and the world around you.

Given all that you're going to deal with, it's not surprising that half of people with PPMS in one study had major depression at some point after their diagnosis. Sometimes it's caused by the disease itself, or it might be the result of what's been going on in your life.

A counselor or other mental health professional can help you work through the emotional struggles of living with multiple sclerosis (MS), like navigating shifting relationships, coming to terms with grief, anger, guilt, worry, and loss, and finding the upside of challenging circumstances.

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