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Behavioral Health | Brigham Multiple Sclerosis Center

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Symptoms</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/b63277ecb18a491a97c63ae847788385" href="/for-patients/about-ms#about-ms" title="MS Diagnosis &amp; Symptoms | About MS" data-anchor="#about-ms">About MS</a></li> <li><a data-udi="umb://document/b63277ecb18a491a97c63ae847788385" href="/for-patients/about-ms#ms-world-distribution" title="MS Diagnosis &amp; Symptoms | Distribution" data-anchor="#ms-world-distribution">Distribution</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#clinical-signs-and-symptoms" title="MS Diagnosis &amp; Symptoms | Signs" data-anchor="#clinical-signs-and-symptoms">Signs</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#clinical-signs-and-symptoms" title="MS Diagnosis &amp; Symptoms | Symptoms" data-anchor="#clinical-signs-and-symptoms">Symptoms</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#diagnosis" title="MS Diagnosis &amp; Symptoms | Diagnosis" data-anchor="#diagnosis">Diagnosis</a></li> </ul> </div> </div> <div class="col-md-2 bg- pt-0 pb-0" style="" > <h5>Treatment</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#treatment-overview" title="Treatment | Treatment Overview" data-anchor="#treatment-overview">Treatment Overview</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#disease-modifying-treatments" title="Treatment | Disease Modifying Treatments" data-anchor="#disease-modifying-treatments">Disease Modifying Treatments</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#symptoms-treatment" title="Treatment | Symptomatic Treatment" data-anchor="#symptoms-treatment">Symptomatic Treatment</a></li> </ul> </div> </div> <div class="col-md-2 bg- pt-0 pb-0" style="" > <h5>Living with MS</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms#flu-shots" title="Living with MS | Flu Shots" data-anchor="#flu-shots">Flu Shots</a></li> <li><a data-udi="umb://document/08b1fe2aadeb4472a49ee295100c56fc" href="/for-patients/quality-of-life#support-groups" title="Living with MS | Support Groups" data-anchor="#support-groups">Support Groups</a></li> <li><a data-udi="umb://document/b63277ecb18a491a97c63ae847788385" href="/for-patients/about-ms#patient-resources" title="Living with MS | Patient Resources" data-anchor="#patient-resources">Patient Resources</a></li> <li><a data-udi="umb://document/08b1fe2aadeb4472a49ee295100c56fc" href="/for-patients/quality-of-life#diet" title="Living with MS | Nutrition" data-anchor="#diet">Nutrition</a></li> <li><a data-udi="umb://document/08b1fe2aadeb4472a49ee295100c56fc" href="/for-patients/quality-of-life#exercise" title="Living with MS | Exercise" data-anchor="#exercise">Exercise</a></li> <li><a data-udi="umb://document/08b1fe2aadeb4472a49ee295100c56fc" href="/for-patients/quality-of-life#positive-psychology" title="Living with MS | Positive Psychology for Individuals with MS" data-anchor="#positive-psychology">Positive Psychology for Individuals with MS</a></li> </ul> </div> </div> <div class="col-md-2 bg- pt-0 pb-0" style="" > <h5>Other Neuroinflammatory Diseases</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/b63277ecb18a491a97c63ae847788385" href="/for-patients/about-ms#neuromyelitis-optica" title="Other Neuroinflammatory Diseases | NMO, MOGAD" data-anchor="#neuromyelitis-optica">NMO, MOGAD</a></li> </ul> </div> </div> <div class="col-md-2 bg- pt-0 pb-0" style="" > <h5>COVID-19</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/e9db02dc492d488580298602faf5463a" href="/for-patients/covid-19" title="COVID-19 | COVID-19 &amp; MS" data-anchor="#">COVID-19 &amp; MS</a></li> <li><a data-udi="umb://document/15aba49ddf0643af84d22d385da8d53d" href="/for-patients/covid-19/covid-19-vaccines" title="COVID-19 | COVID-19 Vaccines" data-anchor="#">COVID-19 Vaccines</a></li> </ul> </div> </div> <div class="col-md-2 bg- pt-0 pb-0" style="" > <h5>Frequently Asked Questions</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/c29ff0e760204f8682438fcae61f2d77" href="/for-patients/faq" title="FAQ" data-anchor="#">FAQ</a></li> </ul> </div> </div> </div> </div> </div> <div class="drop-menu for-providers" aria="hidden" data-cdrop="for-providers" style="" data-mwidth="0"> <div class="container-fluid p-0"> <div class="row row-eq-height"> <div class="col-md-3 bg- pt-0 pb-0" style="" > <h5>Resources</h5> <div class="listNodesWidget"> <ul> <li><a data-udi="umb://document/52a840096bc14525a20d53f59cf8547a" href="/for-providers/ms-scales" title="MS Scales" data-anchor="#">MS Scales</a></li> </ul> </div> </div> </div> </div> </div> </div> </div> <script src="/_assets/js/custom-nav-drop.js" async type="text/javascript"></script> <div class="allbutnav"> <header class="outermost stripheaderimage stripHeaderGridManual gradient-header stellarprops bg- text- vh-60" style="background-repeat: no-repeat; background-size: cover; " data-stellar-background-ratio="0.8" data-stellar-horizontal-offset="0"> <div class="container-fluid mt-0 mb-0 pt-0 pb-0 vh-60 "> <div class="row align-items-center "> <div class="col-md-12 bg- align-items-center col-lg-10 col-xl-7 mr-xl-9 text-white mt-auto pt-0 pb-0" style=""> <div class="header-content"> <h1 class="display-2">Behavioral Health</h1> </div> </div> </div> </div> </header> <style type="text/css"> .stripHeaderGridManual { background-image: url(https://cdn.asdfinc.io/media/25045/adobestock_271211175-flipped.jpg?center=0.51369863013698636,0.502283105022831&mode=crop&width=1600&height=1200&rnd=133292423670000000&quality=80); background-position: center center; } @media (min-width: 480px) { .stripHeaderGridManual { background-image: url(https://cdn.asdfinc.io/media/25045/adobestock_271211175-flipped.jpg?center=0.51369863013698636,0.502283105022831&mode=crop&width=1600&height=900&rnd=133292423670000000&quality=80); background-position: center center; } } @media (min-width: 992px) { .stripHeaderGridManual { background-image: url(https://cdn.asdfinc.io/media/25045/adobestock_271211175-flipped.jpg?center=0.51369863013698636,0.502283105022831&mode=crop&width=1920&height=1080&rnd=133292423670000000&quality=80); background-position: center center; } } </style> <div class="main-content Content parent-Content"> <section id="intro"> <div class="outermost astrip stripGridManual stripGrid2Cell bg-white text- " style="" > <div class="container mt-0 mb-0 pt-7 pb-7 " > <div class="row justify-content-center "> <div class="col-md-10 bg- d-flex pt-0 pb-0" style="" > <div class="my-auto"> <div> <h2>Team and Services</h2> <p>Emotional, behavioral, and cognitive symptoms are common in individuals with MS and can affect their quality of life and functioning. The most frequent psychiatric difficulties in MS are depression, anxiety, and cognitive dysfunction. Other bothersome manifestations may include irritability and pathological affect. It is important to evaluate and treat those symptoms. In addition, it is equally important to focus on positive adaptation: to help individuals and families cope well with MS and learn to manage stress. The goal of our MS behavioral health team is to help individuals with MS lead fulfilling lives and stay as healthy as possible in all spheres.</p> <p class="h2">Evaluation by the Behavioral Team</p> <p>With some variations depending on the situation and the individual's needs, our typical first step is to conduct a comprehensive assessment. This includes the understanding of both, the clinical presentation and the potential factors behind those symptoms. For instance, factors that can contribute to emotional or cognitive symptoms in MS include central nervous system inflammation, MS brain lesions, and side effects of medications. From the psychological perspective, high level of stress, limited family or social support, and the individual’s coping style may influence the psychiatric symptoms.</p> <p class="h2">Treatments</p> <p>We offer a menu of possible treatments and recommend specific tools to our patients depending on their needs. The treatment plan is designed in partnership with the patient, involving caregivers when appropriate. Our treatment approach is interdisciplinary – we coordinate care with MS neurologists, rehabilitation therapists, and other specialists, as necessary. We offer psychotherapy and psychopharmacological treatment. We actively collaborate with our Brigham and Women's colleagues, and our patients have access to the different treatment modalities offered in our Brigham and Women's Department of Psychiatry and our Brigham and Women's Center for Brain/Mind Medicine including cognitive behavioral Therapy, cognitive rehabilitation, group psychotherapy, transcranial magnetic stimulation, and others. Please see the links below, for more information about those resources.</p> <p class="h2">Our Team</p> <p><strong>Lorraine Pedro, LICSW</strong><br />Lorraine conducts psychosocial assessments and provides psychotherapy. She also educates our patients about helpful community resources and assists them in connecting to those resources.</p> <p>Brigham and Women's Department of Psychiatry<br /><a rel="noopener" href="https://www.brighamandwomens.org/psychiatry" target="_blank" title="Brigham and Women's | Psychiatry">https://www.brighamandwomens.org/psychiatry</a></p> <p>Brigham and Women's Center for Brain/Mind Medicine:<br /><a rel="noopener" href="https://www.brighamandwomens.org/neurology/cognitive-and-behavioral-neurology/about-us" target="_blank" title="Brigham and Women's | Cognitive and Behavioral Neurology">https://www.brighamandwomens.org/neurology/cognitive-and-behavioral-neurology/about-us</a></p> </div> </div> </div> </div> </div> </div> </section> </div> <footer class=""> <div > <div class="outermost astrip stripGridManual text-light bg-tertiary-darker text-center text-md-left stripGrid2Cell bg- text- " style="" > <div class="container-fluid mt-0 mb-0 pt-5 pb-5 " > <div class="row "> <div class="col-md bg- pt-0 pb-0" style="" > <a href="/" class="widget imageBasicWidget footer-logo text-center text-md- no-content" title=""> <img src="https://cdn.asdfinc.io/media/23471/brigham-ms-center-logo-light.svg?mode=crop&amp;width=330px&amp;quality=30" alt="Brigham Multiple Sclerosis Center" class="desktop d-none d-xl-block " /> <!--desktop/default--> <img src="https://cdn.asdfinc.io/media/23471/brigham-ms-center-logo-light.svg?mode=crop&amp;width=330px&amp;quality=30" alt="Brigham Multiple Sclerosis Center" class="tablet d-none d-sm-block d-xl-none " /> <img src="https://cdn.asdfinc.io/media/23471/brigham-ms-center-logo-light.svg?mode=crop&amp;width=330px&amp;quality=30" alt="Brigham Multiple Sclerosis Center" class="mobile d-none d-block d-sm-none " /> <div class="extra1"></div> </a> </div> </div> </div> </div> </div> <div > <div class="outermost astrip stripGridManual text-light bg-tertiary-darker text-center text-md-left stripGrid2Cell bg-primary text- " style="" > <div class="container-fluid mt-0 mb-0 pt-0 pb-4 " > <div class="row "> <div class="col-md-4 bg- col-xl-2 pt-0 pb-0" style="" > <h5 class="mb-3"><a href="#">For Patients</a></h5> <ul class="footer-list"> <li><a data-udi="umb://document/b63277ecb18a491a97c63ae847788385" href="/for-patients/about-ms" title="About MS" data-anchor="#">About MS</a></li> <li><a data-udi="umb://document/f62b2e0d4c72482a902f32a030ee15a4" href="/for-patients/diagnosing-treating-ms" title="Diagnosing &amp; 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