Jen, I know what you mean
Im personally convinced that even despite circumstances and background that when lupus strikes the brain it causes mental and emotional trouble.
What comes up and feeds into that state is anything and everything that 'hovers' from the past, ie fears and insecurities.
Anything that 'hovers' from the present ie the psycological trials of dealing with a chronic illness and coming to terms with that .
The thing is that its such a rollercoaster, the only sane way to deal with it is CBT as it deals and challenges the present.
I would fall at the knees of a person who is also trained in dealing with chronic illnesses.
It takes a lot of character to face a problem and try and deal with it.
Biggest gold star