title: Episodic Mood Changes Preceding an Exacerbation of Multiple Sclerosis.
abstract: Multiple sclerosis is a neurologic inflammatory disease that can manifest with psychiatric symptoms. Although depression is the most common psychiatric diagnosis in patients with multiple sclerosis, how depression develops is not fully understood. We present the case of an individual who displayed episodic mood changes preceding an exacerbation of multiple sclerosis symptoms. The clinical and research implications of this association are discussed.
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Priya
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Morrow
authors.affiliation: Department of Psychiatry, Western University, London, Ontario, Canada.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Owen
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