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Maintaining a positive attitude is very important. Multiple system atrophy patients may become depressed so do whatever is needed to reduce feeling of depression whether this is medication, counselling, talking to clergy or friends. Do not isolate yourself, maintain connections with family and friends to maintain your mental and spiritual well being. Reach out to other patients and their families for support either through this disease map or with one of the Multiple System Atrophy advocacy organizations. Here is one MSA discussion group open to anyone around the world: groups.yahoo.com/group/shydrager