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Upon completion of this course, participants will be able to:

  • Identify at least three contributors to multiple sclerosis fatigue.

  • Name two strategies for helping your patients manage or cope with MS-related fatigue.

  • Identify two ways that CBT for Insomnia can be adapted for people living with multiple sclerosis, especially those with mobility challenges or increased disability.

Course Summary

What this course is all about

Fatigue is one of the most disabling symptoms of multiple sclerosis and occurs in approximately 80% of people with this condition. In an article that was published in the Journal of Neurological Sciences in 2021, it was found that fatigue was the number one factor influencing self-reported ability to work.

In this 2021 study, fatigue was significantly associated with an increased likelihood of missing work, low work productivity, and decreasing ability to work. When fatigue was combined with depression, there was a higher likelihood of people reducing their work hours or not working at all. And when fatigue and anxiety were present, fatigue was associated with many more work-related challenges.

While fatigue can develop directly from multiple sclerosis. It can also be caused by or exacerbated by many other factors, including things like vitamin deficiencies, depression, and physical exertion.

Another huge contributor to MS-related fatigue is poor sleep.

Although fatigue and sleep can exacerbate one another. They can also be independent of one another. Sleep disorders are extremely common in people with multiple sclerosis. They can be caused by MS symptoms like bladder urgency at night, restless legs, chronic pain, or temperature dysregulation. But other conditions like sleep apnea are also more common and contribute to daytime sleepiness.

In this podcast course, you will learn from two psychologists. The first is Dr. Anna Kratz. She's a research psychologist at the University of Michigan. She discusses new ways to assess fatigue, as well as ways to treat or mitigate its effects.

Dr. Abbey Hughes from the Johns Hopkins University School of Medicine discusses different types of sleep disorders seen in individuals with multiple sclerosis, as well as a current study she's conducting to assist patients to improve their sleep. She offers advice for mental health professionals on how to work with their clients on sleep-related issues.

Our patient voice and advocate is Kathy Chester. She's the host of the Move it or Lose it Podcast. And she's also the owner of Disrupt Fitness Gym. Kathy has lived with both multiple sclerosis and rheumatoid arthritis for over 20 years. She shares about living with both of those conditions, as well as some helpful tips for managing fatigue, especially for those who want to keep active and exercise regularly.

Course curriculum

Created & Published April 14, 2022

    1. Course Introduction & Instructions

    2. Fatigue & Sleep Challenges - Course Content

    3. Fatigue & Sleep Post-test

    4. Fatigue & Sleep - Course Evaluation

    5. BONUS Content - Fatigue & Sleep Resource Page for Your Clinical Practice

About this course

  • $30.00


Assistant Professor at Johns Hopkins School of Medicine Abbey Hughes, PhD

Abbey Hughes, Ph.D., is a clinical psychologist with expertise in rehabilitation psychology and multiple sclerosis rehabilitation. Her clinical and research interests include the assessment, treatment and management of psychological and cognitive difficulties associated with multiple sclerosis, including adjustment to disability, sleep disturbance, fatigue, depression, anxiety, and problems with thinking or memory. Using a multidisciplinary and biopsychosocial approach, Dr. Hughes conducts neuropsychological assessments, provides consultations and engages in psychological/behavioral medicine interventions with a variety of patients. As a clinician-scientist, she conducts research examining the assessment and treatment of sleep disturbance and neuropsychological impairment in people with multiple sclerosis.

Associate Professor, Physical Medicine & Rehabilitation Research Non-Clinical Psychologist Anna Kratz, PhD

Dr. Kratz is particularly interested in assessing, characterizing, and treating symptoms such as pain, cognitive dysfunction, and fatigue that interfere with functional ability and quality of life across multiple clinical populations. Dr. Kratz has expertise in advanced statistical analyses, repeated measurement methods, ecological momentary assessments of symptoms and physical activity, and psychometric evaluation and development of patient reported outcomes. Her research includes an examination of the dynamic associations between day-to-day symptoms and functioning in multiple sclerosis, as well as an examination of the mild cognitive problems commonly reported in persons with fibromyalgia.

Host of the Move it or Lose it - Podcast and Owner of Disrupt Fitness Gym Kathy Chester

My name is Kathy Chester. I am the Host of the Move it or Lose it - Podcast and Owner of Disrupt Fitness Gym. I have had both Multiple Sclerosis and Rheumatoid Arthritis for over 20 years. I have stepped into a larger role regarding advocacy and raising awareness for Autoimmune Diseases.One of my First MS symptoms was Optic Neuritis and my MS treatment has taken me through many DMT’s from Avonex and Steroids, to Chemotherapy to Tysabri and now Ocrevus. Through all of this I recognized Movement and Exercise was crucial. Fitness took a big role in my life and I became a fitness instructor teaching Aerobics and Boot Camps. I have managed many Fitness Studios and eventually opened Disrupt Fitness Gym. My knowledge in fitness allowed me to focus on my true passion, helping Autoimmune Patients and developed a new Fitness Program called Disrupt Move and Transform - DMAT.

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Approved CE Provider

Empathie, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Empathie, LLC maintains responsibility for this program and its content.

Find Empathy has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7257. Programs that do not qualify for NBCC credit are clearly identified. Find Empathy is solely responsible for all aspects of the programs.
Find Empathy, #1817, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period:
 06/14/2022 – 06/14/2023.   Social workers completing this course receive 1.5 continuing education credit.

How to Take this Course & Criteria to Receive CE Credit

To obtain a certificate of completion for continuing education credits associated with this course, please follow the following steps:

  • ENROLL in this course and create an Empathy account

  • COMPLETE COURSE CONTENT in one of 3 ways:
    • Listen to the corresponding course podcast by streaming it on the webpage, downloading the audio file, or listening to it on your favorite podcast provider.
    • Read the podcast transcript, in its entirety
    • Watch podcast video on YouTube

  • TAKE THE POST-TEST assessment and achieve a passing grade of at least 75%

  • Complete the COURSE EVALUATION

Remember, full attendance is required for all CE activities. This means you will be asked to certify that you listened, watched, or read the entire podcast episode.

Once you have completed the above steps, your course certificate will automatically populate for download and will automatically be sent to the email linked to your account. It can be downloaded immediately and will be available for future download.


It is absolutely critical that our program exemplifies accessibility for all participants.

We seek to ensure all participants are able to fully, equally, and independently access the educational content. Our goal is to have a website that is perceivable, operable, understandable, and robust. If you have any difficulty navigating the website, we want to know! Please contact us at

While our educational offerings are primarily in podcast format, we also provide a written transcript for each course. It will be available on the course landing page and available for download in PDF format.

CE credits require a post-test assessment. The assessment is untimed and provided in writing on the course website. However, for individuals with visual impairments, or those that may benefit from an orally presented post-test and program evaluation, contact us. We will work with you to find an alternative option for completing the course post-test and program evaluation.

We remain available and open to ANY additional requests for format modification or additional assistance.

If any accommodations are needed to enroll or participate in the course, or complete the post-test and course evaluation, please contact us at

Access & Expiration Information

Once enrolling in a course, you will have 30 days to complete the post-test and course evaluation. If your access lapses before completing all tasks, you will need to re-enroll.

Once you have completed the post-test and program evaluation, your certificate will be immediately available for download. Access to the certificate will expire after 365 days. Find Empathy will keep course certificates on file for 7 years. If a certificate is needed, contact

You are allotted 3 retries to achieve the acceptable 75% passing grade.

Additional Information

This course is intended for psychologists and social workers.
It is also appropriate for mental health counselors and therapists.
The instructional level is at the introductory and intermediate level.

The primary format of the course is podcast; a non-interactive distance-learning recorded audio continuing education course.

It is available via all major podcast providers including, but not limited to Apple Podcasts, Google Play, Stitcher, Spotify, and more. You can also listen to the podcast via the player on our website or download it for free to your favorite digital device.

To ensure our course material is accessible, we also provide the content in video (with subtitles) and written forms.

There is no known commercial support or conflict of interest for this CE program, content, or instructor(s).

Contact us at We will do our best to return your email within 24-48 hours during business hours: Monday through Friday, 9am to 5pm eastern.

If you have any questions, concerns, or grievances please email us at

You can also see our grievance policy via the following link:

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