@guener, you have posted some very valid information, based on my experience and background as a therapist. I don't think many doctors we go to for pain relief in this group (primary physicians) are well educated in this subject. Why wouldn't we have depression and anxiety? Often we have little control over how much pain or when it will appear. Sadly, some PM doctors reply very poorly to our situation. How do we handle this? So glad we are have a special group for this issue. I look forward to seeing responses on my email.