Skip to content

Pain Management Health Center

Pain Management: Chronic Pain and Depression

Font Size
A
A
A

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.

Recommended Related to Pain Management

Cervical Disc Disease Treatment: Managing Neck Pain at Home

Cervical disc disease may be the most common cause of neck pain. It's caused by an abnormality in one or more discs, the cushions that lie between the neck bones (vertebrae). When a disc is damaged, due to arthritis or an unknown cause, it can lead to neck pain from inflammation or muscle spasms. In severe cases, pain and numbness can occur in the arms from nerve irritation or damage. While pain relievers, physical therapy, neck traction, and as a last resort, surgery, can help ease neck pain from...

Read the Cervical Disc Disease Treatment: Managing Neck Pain at Home article > >

Treating Pain and Depression

Most people with depression can be treated successfully with medicine, psychotherapy, or a combination of both.

Antidepressant Therapy

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:

  • citalopram (Celexa)
  • fluoxetine (Prozac)
  • sertraline (Zoloft)
  • amitriptyline (Elavil)
  • desipramine (Norpramin)
  • venlafaxine (Effexor)
  • bupropion (Wellbutrin)
  • duloxetine (Cymbalta)
  • paroxetine (Paxil)

 

Psychotherapy

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.

 

WebMD Medical Reference

Reviewed by Melinda Ratini, DO, MS on March 02, 2013

Today on WebMD

pain in brain and nerves
Top causes and how to find relief.
knee exercise
8 exercises for less knee pain.
 
acupuncture needles in woman's back
How it helps arthritis, migraines, and dental pain.
chronic pain
Get personalized tips to reduce discomfort.
 
illustration of nerves in hand
Slideshow
lumbar spine
Slideshow
 
Woman opening window
Slideshow
Man holding handful of pills
Video
 
Woman shopping for vegetables
Slideshow
Sore feet with high heel shoes
Slideshow
 
acupuncture needles in woman's back
Slideshow
man with a migraine
Slideshow