I agree with Sally. Just the emotional ramifications of being dxd with an incurable disease could be depressing, but with MS you get the added "insult to injury" that the disease itself messes with your brain and can cause a biologically based depression. It's a good idea to have a psychiatrist that you can depend on and see regularly. This is not for counseling but for supervision of antidepressant meds and interactions with other drugs. I go to see mine tomorrow - yay! She's cool.