My SFN has always been more emotional than physical. However, I do have depression and anxiety also. I was diagnosed in 2020 with no pain at that time, mainly sweating spells. Cleveland Clinic diagnosed me with SFN. I've never been able to find a good Neurologist; still looking. I do take gabapentin but not on a regular basis. My biggest problem is SAD right now. I am miserable when we have rainy weather. SFN has practically destroyed my life as I never feel like doing anything. I have no motivation or interests. I'm 69 yo and just waiting to die. Sometimes I feel so bad, I think I am going to die. This is sure not living; it just existing. I'm sure there are many in the world that are in worse shape than I am and I pray for them often. I am beginning to have pain in my feet, but it is short term.