You are so right about this subject, and there is a clear distinction between depression and anxiety. The causes, affects and treatments for each of these are vastly different, as well as the specialists who treat them. Not having the right help, from the right place, for the right amount of time can lead down a wrong path that could be dangerous, costly and time consuming.
I also agree that a good start is to journal the specific experiences—both internal feelings (sad, lethargic, hyper...) and external factors that could be going on (new meds, sensory overload, stressful situations, life changes...). This helps determine a possible/ probable correlation between the two. The timeline is important as well. Taking all these notes in a summarized fashion to the doctor will streamline the course of action.
For example, a person taking steroids for a flareup may be hyper and euphoric during the treatment, but become depressed and weepy for several weeks afterwards. Reassurance from the neuro that this truly is common eliminates distress and validates the emotions. A different example is depression. Depression continuing for a month with feelings of hopelessness and sadness could be a direct cause of the MS itself, requiring a ‘script for an antidepressant from the neurologist. However, if depression is caused by say, post pregnancy--your doctor can refer you to someone specialized in that particular area of therapy.
Thank you, Kathy, for bringing this subject to the forefront. Best, Debbie (team member)