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MS – Psychological Interventions — SCE Neurology MCQ

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EasyNeuropsychiatryMS – Psychological InterventionsSCE Neurology

A 60-year-old man with MS has chronic pain, fatigue, low mood, spasticity, and mobility limitations. He asks his neurologist about psychological support. What psychological interventions are recommended in MS?

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Correct answer: E — CBT for mood disorders and fatigue, acceptance and commitment therapy (ACT), mindfulness-based approaches, neuropsychological rehabilitation for cognitive impairment, and clinical psychology input for adjustment, identity, and self-management — NICE NG100 recommends access to specialist psychology for MS

NICE NG100 recommends access to clinical psychology and neuropsychology for MS patients. Evidence-based psychological interventions include: (1) CBT for depression, anxiety, and fatigue management, (2) ACT for chronic pain and adjustment to disability, (3) mindfulness-based stress reduction for wellbeing, (4) neuropsychological rehabilitation for cognitive impairment, (5) psychological support for identity/adjustment to diagnosis and progression. These can be delivered individually, in groups, or remotely. A: Multiple interventions are evidence-based. C: Psychology is complementary to medication. D: Multiple modalities beyond counselling. E: Multiple interventions beyond groups.

Reference: NICE NG100 MS; ABN MS Guidelines