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Is anxiety a symptom of coming relapse?

Had my first flare/diagnosis 9 months ago. The couple of days before it I had anxiety and almost paranoia. Here I am in hospital again being investigated for if it’s a relapse or new lesions however the same intense anxiety and paranoia was happening in the weeks leading to this. I know that ms can increase anxiety and depression but can these intense feelings of anxiety be a warning sign that a relapse is coming? I’m under less stress in the last couple of weeks not more so I don’t think it’s stress CAUSING the relapse as such 🤷🏻‍♀️ Which came first, the anxiety or the relapse lol