Depression in fibromyalgia is a controversial topic. In support of the contention that fibromyalgia is not a psychiatric illness, some authors believe that no correlation exists between fibromyalgia symptoms and psychological factors; others have determined that fibromyalgia is not a psychiatric disorder. The depression associated with fibromyalgia is believed to result from the pain, sleep deprivation, and dysfunction.

Depression in fibromyalgia may be treated with a regimen that includes nonpharmaceuticals. Antidepressants may help, but the clinician also should address other symptoms, such as fatigue or pain. Modifying diet and practicing good sleep hygiene are crucial. Starting a rehabilitation exercise program also is important. Some authors suggest that behavioral modification techniques and stress management also should be employed.

For further information, please see The National Institute of Mental Health (NIMH) –

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