A 34-year-old woman presents to your office for a second opinion. She believes that she has fibromyalgia and has suffered for years with daily generalized muscle pain that worsens with activity and responds only minimally to OTC analgesics. Examination Rheumatologic and other medical disorders examination have been repeatedly negative. Following an exhaustive workup, her last doctor tried to start her on antidepressants.
Although she is fatigued, lacks energy, has trouble concentrating, and feels sad, she believes these symptoms are caused by her disease and so she never filled the prescription. What would be your advice to her? Source: Case Files Internal Medicine *This is a hypothetical case from the Docplexus Editorial Team and is meant for educational purposes only.