Depression, Suicide, and Neurological Conditions: Why We Need to Talk About It 

Depression is a common, often unspoken, companion to chronic illness. Yes, it's complex. But talking about it is the first step.

By: Mariska Breland ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎

The realities of depression.

The world was shaken when Robin Williams died by suicide in 2014. His loss brought a rare spotlight to the realities of depression — and its most devastating consequence — especially among those living with neurological conditions. We later learned he was also diagnosed with Parkinson’s disease, a fact he hadn’t yet shared publicly. 

That week, I cried more than once. I cried for Robin, for the loss of his light. I watched Good Will Hunting and cried again — not just for the story, but because it reminded me of my mom, who also died too young. I cried because neurological diseases like MS and Parkinson’s don’t have cures, and I’ve seen firsthand the fear and pain they bring. I cried because, despite trying new treatments, sometimes nothing helps — and that’s a frustrating, lonely place. 

Depression is a common, often unspoken, companion to chronic illness.

If you have a neurological condition, you know the stats: people with Multiple Sclerosis are over seven times more likely to die by suicide than the general population; for Parkinson’s, it’s about five times. That’s not just because of the disease — it’s the isolation, the pain, the uncertainty, and sometimes, the side effects of the very medications meant to help. 

When you’re diagnosed with a condition like MS or Parkinson’s, you’re told, “There is no cure.” It’s a hard truth to swallow. The grief that follows is real. The life you imagined may look very different from the one you’re living now. And that’s okay — you’re allowed to grieve. But if grief lingers, it can turn into depression. 

Depression in neurological conditions is complex.

It can be reactive — a natural response to loss and change. Or it can be biological — neurological diseases literally change your brain. On top of that, many medications for MS, Parkinson’s, and other neurological conditions list depression and even suicidal thoughts as possible side effects. For example, some injectable MS treatments (like Rebif and Avonex) have been linked to increased risk of depression and suicidal ideation. 

Exercise is a powerful ally.

I can’t overstate how much movement, especially brain-based exercise, has helped me and so many others manage depression. It’s not a cure, but it’s a lifeline. That’s why we’ve built The Neuro Studio around movement, community, and support — because sometimes, showing up is half the battle. 

If you’re struggling, please reach out.

You’re not alone. There are people who care — friends, family, therapists, and communities like ours. If you’re feeling depressed, or if you’ve had thoughts of suicide, talk to someone. You matter. Your story matters. 

For more information on depression and neurological conditions, check out this National Institute of Mental Health: Depression and Chronic Illness resource. 

Join our membership monthly chats to connect with others who understand what you’re going through. Or look for resources in our MS Master Plan or at your local MS organization.

You are not alone. We’re in this together.