Losing my sense of safety after an MS relapse

With my body in collapse, silence engulfed me

Ahna Crum avatar

by Ahna Crum |

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During my hospital stay earlier this year, all I could think about was the relief that would come when I finally went home. I pictured sinking into my own bed, exhaling for the first time in weeks, catching up with all that had happened inside my body.

I needed time to process that I was in a relapse after nine years of remission from relapsing-remitting multiple sclerosis (MS). I was grateful not to be facing another diagnosis, but somehow this felt harder. A second reckoning felt cruel.

Still, I told myself, at least I wouldn’t have to face it alone. But when I returned home, I found my relationship in shambles. While my body was in collapse, so was the foundation beneath it.

It’s a strange thing when your body and your home stop feeling safe at the same time. You startle at small sounds. You flinch at stillness. The nervous system can’t tell where the threat ends: inside you or around you. Some losses are so total that they leave you speechless. I didn’t choose silence, but silence engulfed me.

For months, my body didn’t know where to land, and neither did my voice. When the ground isn’t steady, language scatters like glass. I used to write my way through pain. This time, pain wrote through me.

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When language disappears

I realized this wasn’t the first time I’d made safety an illusion. With MS, I learned young how to shrink myself, blend in, and make others comfortable with what they couldn’t understand. I learned to be an illusionist — the girl who made her pain disappear. But this time, the trick stopped working. Everything I’d hidden broke wide open, and I was left standing in the light of what was real and hemorrhaging.

It’s unsettling when language disappears from someone who has built a life on words. I tried to write, but every sentence fractured halfway through. The rhythm that once carried me through hard things just wasn’t there. It was as if my body refused to let words surface until it could decide whether I was safe.

From a physiological standpoint, that’s not far from the truth. When the body senses threat, physical or emotional, it shifts resources to survival. The heart rate climbs, the breath shortens, digestion slows, and language centers dim. You can’t narrate danger while you’re still living inside it.

The MS relapse was a physiological danger, making my own skin feel foreign. My silence wasn’t a sign of weakness. It was my body’s way of holding vigil until it could trust the world again.

Then, with the end of my relationship, it came time to move. There were boxes stacked against the same walls that once felt like home, and the rooms echoed with absence. I packed quietly, labeling not just contents but chapters: then and now. Each box was a small act of survival, a boundary drawn in cardboard. Friends showed up with tape, trucks, and tenderness. I started over one step at a time, one routine at a time, relearning what “home” means for me.

Creating my own safety

Eventually, safety has begun to whisper back — not in grand gestures, but in fragments. I hear it in the hum of my porch swing, the warmth of a mug cupped between shaky hands, the rhythmic purr of a cat pressed against my chest, reminding me what steady feels like. It’s in a meal with family, an embrace from a friend, and in choosing to keep showing up for a body I don’t fully trust yet. I know safety won’t return all at once. But I also know it can reenter in moments that are small enough to miss unless you’re paying attention.

My writing has followed the same pattern. At first, I could only manage half-thoughts and single lines that felt too fragile to matter. But each one was a pulse, proof that something inside me was still alive. Eventually, those fragments began linking together, tentative sentences bridging the distance between silence and story.

I used to think safety was something someone gave you. Now I believe it’s too precious to hand over to anyone to control. Maybe true safety is what you give yourself when you decide to keep breathing and writing, even when it still hurts to trust your own voice. My body is still unpredictable. My heart still bruises easily. But I’ve stopped waiting for safety to be given. I’m learning to create it — one breath, one prayer, one meal, and one word at a time.

Perhaps safety isn’t a place we return to after everything falls apart. Maybe it’s what we learn to carry when we stop shrinking to fit in, embrace our authenticity, and finally start speaking again.


Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today or its parent company, Bionews, and are intended to spark discussion about issues pertaining to multiple sclerosis.

Lisa Bowser avatar

Lisa Bowser

Thank you so much for your article. I'm going through a rough patch right now. I'm having a bad reaction to my current medication. I decided to take myself off of it until I bounce back. The truth is I think I'm going a different route. I made an appointment for acupuncture next week. I've been on medication for 24 years. I've decided to give my body a much needed break. The medication is still processing so I don't feel great. The doctor told me it could take a month. It is very depressing, and your article made me feel not so alone. Stay blessed and be a blessing! May God be with you!

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Elizabeth avatar

Elizabeth

Thank you for this post. You are appreciated.

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Timothy avatar

Timothy

I feel this so much!

Sometimes you just gotta put one foot Infront of the other and soldier through difficulties,

Other times you just have to accept that you are allowed to say no. This one is particularly difficult as someone who grew up with a family life that really did not allow you to refuse, they call them 'guidelines' but in practice they always were flat out orders.

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Tommy B McDonell avatar

Tommy B McDonell

Hello.

I don’t think I understand this article and this may be the diagnosis or explanation of before and now. I like almost everyone was diagnosed in the beginning with RRMS in 1995. (My bday is 10/11/1951). I had ups and downs and periodically lost my eyesight. In 2010 after my second husband died (I am a widow twice) my MS got periodically worse. Prior I had been an adjunct at NYU and Columbia and more. I was worse in NC.

Similar to many of us have been on different medicines. And I continue to read all the literature and research.
Most recently my MS is far worse. Occasionally my speech was a problem but for the most part it is my walking.

My diagnosis however is Active Secondary MS.

Now I am a mixed media artist and I write periodically about my
MS. Part of my art sales go to MS research and other non profits.

Could someone tell me the difference between her diagnosis and mine? I have another question about research but I don’t have the article in front of me.

Thanks. Tommy. (To read about me and my MS beginning see.
https://leap4artnyc.com/artist-statement

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Tom A avatar

Tom A

Hello Tommy- I am Tom also, and a PhD in psychology (U of Il, formerly licensed), but a male. You asked "Could someone tell me the difference between her diagnosis and mine?" ANSWER: I don't know her or you but both disclosed enough to make some reasonable guesses. This area, personality and MS, does fascinate me. Personality generally stays the same but MS changes nearly everything else. Being lucky with MS may involve living half your life before diagnosis, like you. Being unlucky may involve being diagnosed very young, like her. You, got to go thru much stuff without thinking about MS; it has been part of her life since adolescence. She probably doesn't remember too much else. BIG difference. Adolescence is a trying time in and of itself. But with MS? Are you kidding? She chose to take a big chance with her early treatment HSCT, which is usually accompanied by the hope of near total remission. She also suffers from AVN which may be related to her MS. You, are on a standard B cell depleting DMT which does have side effects, but death is not one of them. She would not have chosen HSCT in a willy-nilly manner. She makes the argument in essay form that she no longer feels "safe" after a pretty severe relapse. I would say she has a different aura about her. She describes her feeling well; it is one that others may relate to, which is her task- coming up with interesting angles on MS that others may relate to. And she had to wait to get her words and thoughts back together after her relapse to communicate it.. That would be pretty scary. Is not a typical symptom, and might make me feel less secure. You, do art and have taught English, words are your friend. She is a dietician and nutritionist, and I think we can see why,…shaped by MS also. The extra relapse couldn't have been encouraging as she has apparently been fighting this tooth and nail. Perhaps things would have gone worse, if not for her efforts, which is typical of HSCT, but this is how MS goes, or doesn't. We never know. We try our best, which differs from person to person. You have lived out most of your life, she has not. What can she make of hers now? An existential dilemma. So you are two different "spirits" coming at this from different angles. It's more than similar words representing a diagnosis you both have.

Feel free to ask me that other question about research you have and I'd be happy to take a stab at it. I'm usually up on whatever is "hot off the MS press". Respectfully, Tom

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Jenny avatar

Jenny

Thank you for writing with such feeling, and images like hemorrhaging, and the loss of so much you thought was sure. And with time the knowing of safety. It is beautiful writing. And lots to think on.

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Phil Kirschbaum avatar

Phil Kirschbaum

Bravo Ahna. I love your name.- saying your name is like taking a deep breath! It breaks my heart to hear you struggling at such a young age. Yet I’m full of admiration for your strength and resilience. I love how you found your voice again. I also find writing to be therapeutic. It’s always a relief to find our way back. I meditate. Not to be a great meditator. I get lost during meditation, lost in thought. But I find my way back to the path. And I meditate to learn more about getting lost and finding my way back to the path. Your story today is such a beautiful example of that and an inspiration. Write on Ahna! It felt good to say your name again!

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Barbara Strouse avatar

Barbara Strouse

You are an inspiration, God has better plans for you. ❤️

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John Falker avatar

John Falker

Ahna, first of all, you write beautifully.

I was saddened when I realized you were diagnosed with MS at such a young age. My diagnosis didn’t come until 1991, when I was 23. Your having a severe form of RRMS is similar to how mine began…the neurologist said I was in a state of MS which was leaning toward Primary Progressive. So, over time, I was eventually dx’d as Secondary Progressive.

I’m wondering if you’ve ever found relief through chemotherapy. I was part of a clinical research study at Vanderbilt University in which everyone’s MS became so severe that the only thing that eventually stopped it was 2 years of a lifetime maximum dose of chemo.

I lost the use of my right leg during the clinical study, however the chemo stopped the MS. That was 12 years ago. Ever since, I’ve been back in the gym every day…which I never thought I’d see again.

I hope the very best for you, Ahna. Thank you for sharing your story.

John

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