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Multiple Sclerosis (MS) is a chronic, often disabling disease that affects more than 400,000 people in the United States. In addition to the physical challenges it poses, MS can have negative emotional effects. Depression, anxiety and stress are common among patients with MS. This therapist guide provides instruction for delivering treatment to individuals with MS who are experiencing stress and depressed mood. The stress and mood management program described has been developed over more than ten years of research and clinical trials. The treatment is based on cognitive-behavioral therapy (CBT) and is divided into two parts. Part I incorporates standard behavioral activation and cognitive restructuring techniques while Part II consists of optional modules designed to address specific problems that are common among MS patients. These include problems in social functioning and management of symptoms like fatigue, pain and cognitive impairment. A module on self-injection anxiety is a unique feature of the program that has proven to help patients overcome their fear of self-administering prescribed injectable medications.Step-by-step instructions for administering therapy are provided in this book in a user-friendly format, along with information on assessment. Complete with sample dialogues, at-home assignments, and lists of materials needed, this comprehensive guide includes all the tools necessary for facilitating effective treatment.

Multiple Sclerosis presents not only physical challenges, but emotional challenges as well. Many people with MS suffer from depression, anxiety and stress. Problems with mood and stress can interfere with your relationships with others, reduce your ability to meet your obligations at work and at home, and substantially worsen your overall quality of life. If you have MS and are experiencing problems with mood and stress, this workbook can help. The stress and mood management program described in this book is backed by research and has proven effective in clinical trials. Based on the principles of cognitive-behavioral therapy (CBT), one of the most effective therapeutic techniques available for combating depression and anxiety, this program can help you manage stress and improve your well-being. In Part I of the program, you will learn skills for identifying and challenging your unhelpful thoughts, as well as how to motivate yourself to reengage in pleasant activities. In Part II, you will choose those treatment modules that apply to you and your specific MS-related problems.Choices include modules on managing symptoms like fatigue, pain, and cognitive problems, and improving communication and assertiveness skills, among others. If you take injectable medications and have a fear of injecting yourself, the module on self-injection anxiety will also prove useful. Complete with user-friendly forms and worksheets, this workbook provides all the materials you need to supplement treatment with a qualified mental health professional. If you are a highly motivated individual, you may have success using this book on your own. Whatever the setting, the stress and mood management program will give you the tools to handle the stresses of your disease and improve the overall quality of your life.