Chronic pain and antidepressants

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1 month 3 weeks ago - 1 month 3 weeks ago #29231 by C_a_t#
Chronic pain and antidepressants was created by C_a_t#
Hi, I am new to this forum and really hope I can get some answers or advise on how to go along with it. I started having right lower abdominal pain since beginning of last year. As part of investigations I had multiple ct scans, unltrasounds, blood test (all good) etc as well as 3 laparoscopies incl. hysterectomy, appendicectomy and latest removal of adhesions. I still have pain, more since last surgery. I suffer from anxiety but since mid last year started to get depressions as well. I had been on escitalopram but was changed over to Prozac to help with major depression and possible neuropathy pain. I had 40mg in total. Didn’t help at all. Still depressed and in pain. Saw today this Psychiatrist who said that pain is all nerve pain and wanted me now to take Endep and Catapres as well as Palexia. Apparently nerve pain increases anxiety/depression and vise versa. However surgeon who did last surgery said I was literally covered in adhesions and that this is very likely the issue I am having re pain. I really didn’t feel comfortable with the psychiatrist today. He didn’t ask me one thing regarding my anxiety or stuff like it. I was prescribed Targin 2.5mg by surgeon which psychiatrist now wants me to stop. I know I have anxiety and depression since I had sooo Monday surgeries in such short time but I also had the pain prior to all of this when I had adhesions already. I just simply feel that my GP and Psychatrist blaming pain on my mental health entirely. I know there is a proven connection between the two but I am doubtful I have nerve pain. Has anyone a similar story to share? I am not happy of taking more meds. I was very happy with the escitalopram and like to be treated by an pain specialist.
Last edit: 1 month 3 weeks ago by C_a_t#.

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1 month 3 weeks ago #29232 by Peter
Replied by Peter on topic Chronic pain and antidepressants
Hi Cat,

Welcome to the CPA Forum!

I'm not sure how you are going to deal with this. Have you asked your GP for a referral to see a pain specialist yet?
Also, have you been to a multidisciplinary pain clinic? They will help you learn to deal with your pain symptoms better and may be able to offer alternative therapies instead of extra drugs.

It is concerning that you are getting mixed messages from these people. And it is good that you are aware that your state of mind plays a huge role on how much pain we suffer.

I guess maybe the best way to go would be to approach your GP and ask if you can have a referral to see a pain specialist for another opinion. Remember this, if your GP refuses, you do have the option and the right to go find one who will take the time to investigate things further. They are out there, so you don't have to stay with a doctor who won't help or who may be fixated on one thing.

Now to qualify what I've said. It could be that your GP is correct, but you are not seeing it, because you have not yet been convinced by the GP and the psych. If that is the case, then it is their fault for not explaining things properly. So the GP should not have any problems with you needing a second opinion.
If you want to look at this site: www.apsoc.org.au/public-listing , you might find a clinician who works with pain in your area or perhaps give them a call. Or maybe contact the public hospital near you and ask if they run a pain clinic there and who the specialist is and how can you see them privately.

We can't give you any advice here, because we aren't medically trained. All I can suggest is you go back to your GP and ask to see a pain specialist.

I hope this helps.

Please let us know how you get on.


Peter

I wish the ring (this Chronic Pain) had never come to me. I wish none of this had happened. (Frodo Baggins)

So do all who live to see such times. But that is not for them to decide. All we have to decide, is what to do with the time that is given to us. (Gandalf the Grey)

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1 month 3 weeks ago #29233 by C_a_t#
Replied by C_a_t# on topic Chronic pain and antidepressants
Hi Peter

Thank you for your warm welcoming and your lovely reply. I did ask the GP to be referred to a pain specialist but he initially said there is no point. After I saw the surgeon who suggested to see a pain specialist my GP send one off this week. I found the psychiatrist unreasonable. I have never seen one but simply thought they are interested in how I feel or at least what symptoms I have when I have anxiety attacks. He simply wrote out one script after another and all he tried was to convince me that he is right. I read up on Endep and it has more side effects than the one I am currently one. I just don’t want to mess with my body around. I am a believer in finding the reason beyond the issue rather than numbing the issue via medications. Am I sooo off in that regards?

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1 month 3 weeks ago #29234 by Peter
Replied by Peter on topic Chronic pain and antidepressants
No, you have to do what is right for you. And believe me, from someone who has suffered badly from drugs, you don't want to go there. Best find a different way to deal with the pain than take more drugs.

Well, if your GP has sent off a referral this week, then let's see how this goes and what he says.

The specialist might just tweak what you are already taking or suggest something else. But at the end of the day it is your body and if you don't want to keep taking extra drugs on top of what you already take, then you don't have to. At least you need to tell them this.

Peter

I wish the ring (this Chronic Pain) had never come to me. I wish none of this had happened. (Frodo Baggins)

So do all who live to see such times. But that is not for them to decide. All we have to decide, is what to do with the time that is given to us. (Gandalf the Grey)

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