There’s a fine line between depression and cognitive fatigue. I have suffered from fatigue for a while; recently this changed from purely physical fatigue to also cognitive fatigue. I have difficulty following a conversation at times to the point where I sometimes give up in the conversation for fear of embarrassing myself by saying “what do you mean?” repeatedly. Furthermore I don’t go out as much as what I used to due to the MS. All of this has impacted on my social life and affected my confidence. The net result is that I don’t have as much to talk about.
If asked “what you been up to?” by a friend and I said that I cycled a personal best distance at the gym- They’ll just say “well done” in a condescending manner in 2 seconds, and I’ll be scratching my head trying to think what else I’ve been up to lol.
I am normally too exhausted to do many activities. I go to the gym (which is a big part of my routine) and then I’m ready for a nap lol. I feel lazy as most of the time I am exhausted and can’t be bothered to even have a conversation.
My neuro has told me that depression is very common in MS. He has explained that there are many effective medications to treat depression nowadays. I have been taking meds for my fatigue (i take modafinil which greatly helps). I feel that I may be depressed and will benefit from being treated for it. Has anyone had experience using these depression medications? In particular my neuro spoke about prozac. My major worry is becoming over-reliant on the depression meds to function in the future.
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