Not only just physical symptoms but possible psychological symptoms must also be addressed when discussing multiple myeloma. Things like this are very common in patients at the last stage after they know they have a life-threatening disease that could, if not treated, shorten their lives. It's quite common for anxiety disorders to accompany each other in these situations and for depression to be an additional trigger.
Yet patients may exhibit mood disorder symptoms before they are aware they have multiple myeloma. It is relevant when patients have severe distressing somatic symptoms. Sufferers are forced to sacrifice countless activities of daily living as they endure chronic, debilitating pain and fatigue. Having myeloma means a higher care burden for the family, with an increased need for care due to frequent infections, broken bones, or other problems with a patient's health caused by the disease.
So, this can elevate emotional and social stress to a great degree. Such compromised health also means that some patients are forced to abandon work. Patients can, thus, be very much worn out by ceaseless medical issues, a heavy beat on the psyche. They are frustrated, depressed, and anxious about their health.