time helps with the acceptance. Many people have a time of grieving for their former healthy, more athletic bodies. And it's prolly useful to go through that stage. These days, closer to 2 decades into my fibro diagnosis, it's best that I just don't let my mind go there.
pacing is what you are going to learn. All these years in, and it took discussions with ME/CFS patients on a joint forum, for me to realize I'm still not good enough at pacing.(CFS is chronic fatigue syndrome--a lame name for a horrid condition). They refer to "push/crash" cycles. Very apt. You get a good Or decent day, and go overboard trying to get things done. The joy of a good day can be self-defeating.
Depression has been tuff for me. Exercise is my best control for it, since those meds are a disaster for me. Exercise helps fibro, too, so double bonus. One study found it reduces inflammatory cytokines in fibro (but not in ME/CFS!!). Cytokines are a relatively newer area of research. btw, the exercise needs to be reasonable.
Depression took a nose dive one year, and I found that my doc wasn't running the best thyroid tests. Getting on a compounded thyroid med, rather than the usuals helped a lot. Hypothyroidism (low thyroid hormone) is sometimes connected to mood disorders....I just wasn't getting the best diagnosis/labs and treatment for mine.
What also helps depression is spending some of the good days on yourself, and what gives you joy. Being out in nature gives me joy. (Some Japanese research indicates it may be physically beneficial.)
From what I've read, nortriptyline or amitriptyline seem to be the most reliable across-the-board meds, and they seem to work long term, perhaps needing a bit higher dose later. But often one of these is combined with something else. These 2 are tricyclic antidepressants that are used for getting more deep sleep, thus more growth hormone, thus more tissue repair every day. But it only helps that one problem. Many things are suspects in how fibro is turning up the volume on pain.
i don't know that it's useful to worry about
your future. Trust that you will get there, and trust us that your confidence in your own ability to endure the flares will grow as you see for yourself that you have learned to cope. Chances are that for now you are doing too much. Our standards for being "super woman" change and become healthier. As I once read on a lupus forum about
a T-shirt motto, and adapted/adopted for myself:
" My super power is surviving fibro. What's yours?"
Super woman doesn't have a super clean house all the time, or do everything for everyone else. Fibro is also a lesson in self-assertiveness.
Superwoman also does chores in little bites, not gulps.
Post Edited (Rockon) : 5/5/2014 9:58:22 PM (GMT-6)