Warding off depression

Chronic pain and depression frequently go hand in hand. Depression can make working difficult, derail OA patients from their self-care programs, strain family relationships, and drain away any joy in life.

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It is not inevitable, however. Patients can seek help if they learn to spot the signs of depression:

• Low spirits that last for two weeks or more
• Strains in relationships
• Lack of interest in work
• Sleeplessness or oversleeping
• Loss of appetite or overeating
• Crying or frequent, overwhelming sadness
• Fatigue
• Irritability
• A sense of worthlessness
• Persistent headaches or digestive disorders

OA patients who think they are depressed should first consult their rheumatologist, who can evaluate whether any arthritis drugs might be causing the symptoms. Then they should consult a mental health specialist, such as a psychologist, psychiatrist, or social worker, who may suggest one or a combination of treatments, including cognitive or behavioral therapy or anti-depressant medications.

Patients can also help themselves to avoid feeling isolated by making a point to spend time with friends or by joining a support group. Participate in a favorite activity, even if participation feels like a chore. These efforts can often help lift a patient out of a dark mood.