These persons have a comparatively Benign form of the disease. This does not preclude fatigue, anxiety, and family adjustment problems, but it does mean that these people can continue with a normal or near normal schedule and little interruption in activities of daily life. These persons can look forward to long periods of stability, but they are often laced with mild disability. Mild to moderate adjustments in lifestyle and work habits may be advisable during periods of exacerbations. This type is often punctuated by episodic increments.
Remissions do occur, but they are less often and with less completeness.
These individuals may ultimately most experience moderate disabilities in the long run. For these people, work and dailyactivities should be planned well in advance. Without the benefit of remission, an insistent and dramatic worsening of old symptoms, along with the introduction of new ones leads to increasing loss of functional skills. This group may require assistance in daily living and may have limited opportunities for employment, except by creative planning and strong personal initiative. Adjusting to MS is particularly challenging because of the peculiar nature of this chronic disease.