Observe and Accept: A Pathways Approach to Multiple Sclerosis

Multiple sclerosis (MS) is a chronic disease, marked by demyelination of the central nervous system and a wide variety of symptoms, including blurred vision, muscle weakness, and impaired motor control, most of which occur in a remitting and relapsing pattern. In many cases the illness is progressive with severe disability. Current treatments combine interventions to manage the current episode and disease-modifying agents to reduce the risk of further episodes. The treatments for MS are only partially effective, and patients often face a confusing and frightening progression of their illness, despite treatment. Many patients utilize complementary therapies, especially dietary changes, nutritional supplements, and relaxation skills. This article presents the case narrative of a 36-year-old woman who was referred for depression and anxiety accompanying a 3-year period of recurring MS episodes. She combined many complementary therapies along with the medical management of her illness, and benefitted especially from mindfulness skills and biofeedback training.