For some, living with ALS can be accompanied by grief for losses already experienced, anticipatory grief, chronic uncertainty, anxiety about what lies ahead, exhaustion, despair, existential questioning, strained relationships, frustration, or a deep sense of vulnerability. Many people struggle with shifts in identity, autonomy, communication, and meaning, alongside the toll of ongoing medical care. Loved ones and caregivers may experience burnout, guilt, helplessness, or conflicting emotions they don’t feel they can share elsewhere. Therapy can help you and your loved ones make sense of this experience, reduce emotional distress, and create room for honesty, dignity, and meaning throughout the journey.