That frustration is completely valid — it can feel like lupus just keeps piling on. The reality is that neuropsychiatric symptoms like psychosis aren't just "added on" for fun. Lupus inflammation can actually physically affect the brain and spinal cord.
Here's what's happening under the hood:
- A unique antibody found in Show Full Answer
That frustration is completely valid — it can feel like lupus just keeps piling on. The reality is that neuropsychiatric symptoms like psychosis aren't just "added on" for fun. Lupus inflammation can actually physically affect the brain and spinal cord.
Here's what's happening under the hood:
- A unique antibody found in people with lupus can attack nerves in the brain, causing inflammation or damage
- Proteins that regulate inflammation in the body can cross into the brain and trigger immune responses there
- This can result in symptoms like depression, anxiety, psychosis, and other cognitive issues in up to 80% of adults with lupus
So it's not just meds or life stress (though those are very real too). The disease itself can directly mess with brain chemistry. On top of that, corticosteroids like prednisone — which many people with lupus take long-term — can cause mood swings, irritability, insomnia, and yes, even depression.
So there are often multiple things happening at once, which makes it genuinely hard to untangle. Talking to a doctor about which symptoms are from the disease versus the meds can help figure out the best path forward.
May 19
There is another form of lupus called neuropsychiatrist systemic lupus erythematous (NPSLE) also called CNS or Central Nervous System lupus. It's not talked about much here. I suffered with lupus cerebritis which caused symptoms of both during my first year and had dealt with the psychosis part of it. Some people have seizures and other symptoms. As always with lupus, stress can exacerbate it. I will share more about it in the News and Articles group for anyone interested in learning more.
May 19 (edited)