Following an assault, ache can worsen issues like melancholy. “Like all continual well being situation, NMOSD can influence how an individual is ready to work, go to high school, and lift a household, and this may be very traumatic,” says Dr. Bernard. And sadly, this piece of the puzzle is commonly ignored in NMOSD rehabilitation and therapy plans. Actually, a examine in Neurology, Neuroimmunology, & Neuroinflammation decided that reasonable and extreme melancholy in folks with NMOSD was undertreated, with solely 40% of these studied receiving antidepressant therapy (and of these, 50% nonetheless skilled reasonable to extreme signs).