Recently the doctor told me I was depressed, after asking me a series of questions, and then asked if I wanted extra help. I said no as it is just part of the down ride of living in chronic pain. Eventually, or even daily, I do go up again!
I always wonder if depression is part of fibromyalgia, just like the pain, or if depression comes because of the pain.
Signs of depression with chronic pain may include:
- low energy
- difficulty concentrating
- difficulty making decisions
- feeling of hopeless or irritable
- loss of interest in things normally enjoyed
- feeling sad
- worrying or anxious feelings
I am sure there are many theories and here is one of them.
"Ninety-five percent of people with fibro have low thyroid function and 100 percent of them have low adrenal function — and both conditions can cause depression and anxiety." Pamela W. Smith, MD, MPH
Vitamin D deficiency, low cortisol levels and sleep problems are also considered contributing factors according to Dr. Smith. She recommends testing to see if a deficiency or health condition could be bringing depression to the surface in fibromyalgia.
A.Aguglia, V. Salvi, G. Maina, I. Rossetto, and E. Aguglia, Fibromyalgia syndrome and depressive symptoms: comorbidity and clinical correlates, Journal of Affective Disorders, 2010
V. Maletic and C. L. Raison, Neurobiology of depression, fibromyalgia and neuropathic pain, Frontiers in Bioscience, 2009