Neuropsychiatric Symptoms of Multiple Sclerosis
Behavioral Type
Cognitive Type
20-30%
30-40%
Decline General Intelligence
Memory Impairment
Euphoria (25%)
Depression (25-50%)
Personality Changes
Psycotic features
Suicidal
Irritability, Apathy (20-40%)
Agitation,
Anxiety
BMD & Psychosis are twice in person with MS
Slowdown the speed of Information processing
Decrease Attention, Concentration
Management
Depression
Assess for any manic/hypomanic state
Cognitive impairment
Multimodal
Medication
Lifestyle
Occupational Therapy
Psychosis
Antipsychotics, Mood Stabilizers
Prevent Suicide
Antidepressant, CBT