Psychosocial
counseling is mandatory
People with MS are more
prone to stress than other people. With everyday stresses of modern life, MS
patients are still threatened by the diagnosis, which only falls into acute
stress. As MS is an unpredictable disease, the uncertainty and anticipation of
the next aggravation is a particular source of stress. Multiple sclerosis
brings with it a change of image about oneself, relationships with family,
friends, colleagues. In addressing these problems, the role of psychosocial
support and assistance is invaluable.
In people living with MS,
the problems of psychological nature are more often related to the personality
of the diseased, the reaction to illness, and the way of adjusting and
reorganizing oneself according to the change that has occurred and which the
disease inevitably carries with it, rather than being associated with the
illness itself cause of the problem.
MS sufferers face loss of
health and this loss causes a very strong emotional reaction. This knowledge
and state are accompanied by fear, anxiety, worry, depression. Knowledge of the
disease is the ideal ground for the development of psychic crises. Then the
help of a psychologist, sometimes a psychiatrist, is also welcome. Their
illness can be addressed when it recognizes sorrow, tiredness, depression,
constant fatigue, tension, insomnia, sexual intercourse, confusion,
difficulties in communicating with the environment.
The severity of the disease
has no direct connection with the severity of psychological reactions. This
means that some patients with lesser symptoms of MS can have severe mental
problems. The way a person will react and the problems that will depend on the
personality, from her previous development and the dynamics of family
relationships, and from the strength of the defense mechanisms that a person
has developed.
The person seeking help
primarily develops an empathy (understanding and accepting) relationship with
an advisor or a psychotherapist, which leads to the strengthening of the mainly
subliminal self-confidence of a person with a psychological problem and with
MS.
An advisory conversation
helps a person to build a different lifestyle adapted to change and limited
opportunities. It is important psychological support whose goal is first and
foremost acceptance and understanding of the disease and its phases in order to
act on the activation of internal forces that are in a diseased person.
Psychotherapy is a complex,
professionally guided process that takes place in special conditions in which
the therapist and client knowingly, but also unconsciously, create and interact
with psychological space in which they freely exchange feelings, fantasms,
thoughts. Psychotherapy uses both verbal and non-verbal aspects of
communication. The most important therapeutic factor in the psychotherapeutic
process is the relationship of mutual trust and positive expectation that
develops between the therapist and the client. A good therapeutic relationship
is essentially a friendly relationship between mutually equal persons, whereby
the therapist as a helper tries to improve the client's personality and improve
his functioning in real life situations.
During the psychotherapeutic
session, the patient presents his own free will and the therapist does not
enter deeper into his past and intimacy, unless this is necessary for
understanding his current psychological difficulties, or if the patient does
not want it.
Through mutual cooperation,
both the therapist and the patient are working to help the patient solve the
problem that disturbs him in the best way. In doing so, the therapist acts as a
helper, educator and friend, while the patient invests his or her own efforts
to achieve the changes that he / she decides. Everything the patient tells
during psychotherapeutic sessions is a professional secret and falls under the
principle of confidentiality. Without the patient's permission, any information
from the patient's talk can not be communicated to anyone else (spouse,
relatives, friend, employer, etc.). It is the ethical and legal obligation of
the therapist.
Psychotherapy helps in
addressing important life issues and in addressing a number of problems that the
person is limiting and makes it less functional and satisfied. It helps to
develop sensitivity for recognizing one's own and others' feelings, practicing
healthy and appropriate manifestation of all emotions, learning to make
important and less important life decisions, improving communication skills,
mastering appropriate ways to resolve conflicts of people, improving
self-confidence, accepting and expressing anger in an acceptable way, enables
grief in a healthy way, rejoicing in petty things, relieves fear of strong and
heavy feelings, increases tolerance, improves communication and life together
with Close people (parents, brothers and sisters, partners, etc.) provide a
quality life even in illness.
It is possible that after
several psychotherapeutic sessions, the patient will feel relieved or even
cleared away from mental disorders, but in order to achieve significant
improvements and the longevity of the changes you usually need more sessions.
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