Citation

Schmidt R, Krauß B, Weis M. Neurol. Rehabil. 2006; 12(4): 214-223.

Copyright

(Copyright © 2006, Kagerer Kommunikation)

DOI

unavailable

PMID

unavailable

Abstract

Psychological disturbances are frequent in multiple sclerosis and require a specific treatment, which is all too often not or not adequately provided. Apart from depressive and psycho-organic disorders, attention needs to be put on the risk of suicide, which is markedly increased, on the various manifestations of anxiety, on pain syndromes and especially on somatoform syndromes, which are not always easily recognized. As the physical and the psychological aspects are closely linked in multiple sclerosis, it makes sense to approach this disease - diagnostically as well as therapeutically - with a direct combination of somatic and psychotherapeutic measures, including a differentiated (psycho-) pharmacotherapy and, if need be, a neuropsychological intervention. As regards content therapeutic interventions especially need to focus on the patients' coping and re-orientation, their existential questions, their feelings of guilt and shame, their vulnerable self-worth and endangered autonomy. Integrated psychotherapy of comorbid psychological problems in MS thus adapts to the specific needs at hand, is multimodal and includes information, education, standard psychotherapeutic treatment and complementary interventions. © Hippocampus Verlag 2006.

Language: de

Keywords

human; suicide; psychotherapy; depression; anxiety; Multiple sclerosis; stress; comorbidity; Psychiatric comorbidity; patient education; pain; review; shame; fatigue; mental disease; patient information; psychotropic agent; coping behavior; psychopharmacotherapy; guilt; psychosomatic disorder; neuropsychology; multiple sclerosis; somatoform disorder; Integrated psychotherapy; Somato-psycho-somatic