Thinking about a patient with MND after diagnosis they may feel that they are not able to continue to do the activities that they have previously enjoyed. As a result of this they may find themselves distancing from people and things that they enjoyed. This can have knock on effects with confidence and ability to complete ADLs. The receiving of the diagnosis will not only affect the patient but the patients family and friends as well. Understanding that it is okay to ask for help might be difficult for some people so coming to terms with a diagnosis that is going to limit the individual can be difficult.