Depression
Depression is by far the most common emotion associated with chronic back pain. The type of depression that often accompanies chronic pain is referred to as major depression or clinical depression and is a serious medical condition. Although most people understand how chronic pain can cause depression, the reverse can be true as well. People with depression are much more likely to develop chronic back pain or neck pain than people who are not clinically depressed. A comprehensive approach is often required to assist patients in managing depression, chronic pain and depression-related sleep issues.
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A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely "pull themselves together" and get better. Without treatment, symptoms can last for weeks, months, or years.

