Depression is one of the most common problems experienced by people with chronic pain. It is no wonder; chronic pain can significantly affect a person's quality of life.
If symptoms of depression are related to pain or side effects of a medicine, doctors can make adjustments in medications to alleviate these symptoms. If the depression is a separate problem, it can be treated on its own.
On the night of March 28, 1986, Howard Heit's car was struck in a head-on collision. He left the scene of the serious crash thinking how lucky he was that he hadn't been hurt. "And then four to six weeks later, I started noticing twitches in the muscles of my neck and upper back. These progressed to marked spasms of my neck, shoulders, and upper back," he recalls.
The pain never ceased. All day, every day it plagued him. It became difficult for him to walk -- and almost impossible for him to work...
Most people with depression can be treated successfully with medicine, psychotherapy, or a combination of both.
In addition to being a primary treatment for depression, some antidepressants are effective in the treatment of many chronic pain syndromes, such as nerve-related disorders.
Antidepressant drugs work by altering the level of certain chemicals in the brain, which are responsible for transferring messages between brain cells. Some antidepressants include:
Psychotherapy, also called therapy, refers to a variety of techniques used to treat depression. Psychotherapy involves talking to a licensed professional who helps the depressed person:
Focus on the behaviors, emotions, and ideas that contribute to depression
Understand and identify the life problems or events, such as a major illness, a death in the family, a loss of a job, or a divorce, that contribute to depression and help them understand which aspects of those problems they may be able to solve or improve
Regain a sense of control and pleasure in life
Early Treatment Is Best
Early diagnosis and treatment for depression can help reduce distress, as well as the risk of complications and suicide. People who get treatment for depression that occurs at the same time as chronic pain often experience an improvement in their overall medical condition, a better quality of life, and are more easily able to stick to their treatment plans.