Psychosocial Well-Being Across the MS Lifespan: From Adolescence to Older Adulthood Symposium

Part 1: The Psychosocial Impact of MS in Adolescents: Providing Supportive Care
Pediatric-onset MS patients are more likely to have higher disease activity and experience two to three times as many clinical attacks as adults. The onset of MS during a developmental period in which myelination is ongoing in the CNS, while the child is acquiring cognitive competencies, has remarkable consequences for neuropsychological functioning and psychosocial development. Teens are at high risk for maladaptation and mental health issues related to their MS diagnosis. This symposium reviews developmental considerations when working with adolescents, explores challenges related to acceptance of an MS diagnosis, and examines the cognitive effects of MS during adolescent brain development. It highlights therapeutic communication strategies and psychosocial supports that promote adjustment and coping in adolescents with MS. The presentation also discusses successes and challenges in creating patient and family education events and teen support groups. This session is useful for nurses, social workers, counselors, and physicians and is delivered at an enthusiastic, basic level of information.

Part 2: Mental Health and Aging with MS: Every Provider Plays a Role
As people with MS age, they face unique challenges including physical decline, cognitive changes, and an increased risk of depression, anxiety, and social isolation. These changes are compounded by comorbidities, polypharmacy, and socioeconomic and cultural factors. Mental health concerns significantly impact quality of life and treatment adherence, making it essential for all providers—including neurologists, psychologists, nurses, social workers, and rehabilitation specialists—to share responsibility for screening, delivering multifaceted interventions, and providing integrated care. This presentation discusses practical strategies such as using validated screening tools, establishing referral pathways, leveraging telehealth, and initiating mental health conversations during routine visits. It emphasizes holistic approaches that center on each patient’s unique identities and needs, as well as strategies to address barriers to care. A collaborative, team-based approach promotes comprehensive care that addresses both the physical and psychological needs of older adults with MS. The session is interactive and engaging, incorporating live polling and discussion.