I'll try to answer your questions in order for my husband.
Denial when first diagnosed five months ago and shock. First systom was neck hanging down and noticed by my wife then unable to raise my arms over my head or to lift weights which I regularly did. Hardest thing about ALS is knowing what is coming and not being able to stop it. No positives for me except I can say goodbye to my family instead of a quick unexpected death. Feel better in evening. Paralyzed in both arms so I can't feed myself or dress or shower without help. Can't blow my nose, answer phone ets, just a feeling of helplessness. Grandfather had ALS. Can't work and going on disability and gave up all hobbies. This all happened in 5 month period. Family in shock, sad but very supportive. They are just starting to read about it now.. Having problem accepting the disease and I get worse because I have no hope for a better tomorrow, only the inevitible paralysis which was always my biggest fear in life. There is not enough awareness. I only knew of it because of Lou Gehrig and then vaguely. I didn't know it could strike anyone at anytime and now that I have it almost without exception everyone I know knows someone who has had it. Example-friend's sister died of it, friend's cousin died of it, cleaning lady father-in-law died of it, associate's mother died of it and these are people I have known over 10 years and it was never brought up until I was diagnosed and this is just my inner circle of people, plus my Grandfather which I never knew about. I get very fatigued and that seems to compound the problems. No support group in our area yet but one is coming. Don't know if treatments are helping because this is moving so quickly. My legs are ok for now. It took 3 months to diagnose with no misdiagnosis. Good luck on your paper,
Phyl