Erin, don't wait to get denied to admit to your depression - it's not a bad thing. Honestly, I think we're all a little depressed at a minimum - in fact I think we've all realized/admitted it here on HW at one point or another. The fact is, when you are dealing with chronic, daily pain as we are and the stresses that go along with the knock-down illnesses we are all enduring - how can you NOT be somewhat depressed? We're constantly being hit with the realization our lives are changing and the selves we used to know are no longer. We strive to get anywhere from making it through a day feeling somewhat 'normal' to achieving that awesome feeling 'I'm in remission!' But, it's not up to us and it is frustrating and depressing.
The only reason I finally realized I was depressed in the beginning was my doctor at the time (awesome lady) gave me a pamphlet on depression. There was a little quiz on it. After I took it (honestly with no cheating) it said, "if you can say yes to 3 or more of these items..." My answers? Well, I said 'yes' to 9 out of 10. It was a bit of a shocker. Now I am more aware of what's going on with me because of going through such a severe case of it back then.
I don't recall why - but initially I was on Elavil for about a year....there were some issues with me being on it. Possibly my age and marital status (fear of getting pregnant on it, I believe) - but, it seems there was something else and they switched me to Paxil. Possibly the Elavil was making me too spacey and tired, but I'm not 100% on that memory. Paxil was AWESOME. I was WIRED for 2 weeks - didn't sleep a wink, and I'm not exaggerating. But, after that, I was fine. It really helped me a lot. I had to stop cold turkey (in hindsight I think that was a big mistake my doctor made in my part) when I found out I was 7 weeks pregnant with my daughter. I think it did me and her more harm than good. I've felt numerous times over the last 3 years that I really should be on something again, my PCP hasn't been too willing due to my other health/liver problems. She put me on Wellbuterin for a while, but I did not find that one as helpful.
My sister was/is on Zoloft - similar to Paxil. She said it worked wonders for her as well. Her doc did not take her off of it while pregnant like mine did. She tried Paxil recently and was too wired for too long - it freaked her out and she stopped taking it (my personal opinion is she didn't give it enough time, but she was freaking out over all the meds the doc had been Rxing her.)
My mother in law had issues and addiction to Prozac, by the way.
I know at least 3 other people who have had fabulous results w/paxil - it doesn't mean it'll work for you at all, your doc might promote something else, but a GOOD pain management/psychatrist/whatever doc (again a GOOD one) should be able to assess your health history and figure out the best med for you.
Well, I hope that is some of the info you were looking for.
I hope you sleep well tonight!