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Chronic pain mood swings

User Profile: Katieee97
Katieee97 July 11th, 2017

So I'm 20, for almost 4 years I've had a constant headache and neck/back pain. After years of tests and examinations the Drs can't find anything 'wrong' with me. Their only options are pain meds or quitting my job and basically doing nothing with my life.

Im currently taking the last drug option available to me (all the others either didn't work or the side effects weren't worth the relief). I am taking nortriptyline.

Throughout all of this, not many people in my life have much of a clue of what I've been going through. Half know I haven't been well and the other half don't have a clue I've got anything wrong. It seemed easier when this all started, to carry on like nothing was really wrong because this definitely couldn't last forever! I was so wrong!!! My family try to understand, but they think I'm lazy and can't be bothered to help myself.

After my most recent treatment didn't work, and being told to give up my work and passion (I'm a chef) I've been uncontrollably angry, with huge mood swings. I literally have lost all control of my moods and can't even see I'm doing it until afterwards. I can go from super optimistic and happy to either super angry and confrontational or literally breaking down. I don't know whether it's my meds or whether it's just every bit of hope I had has been crushed.

Has anyone else ever had anything like this? I literally don't know how to manage it... any advice would be amazing! 😊

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User Profile: CourageDearHeart
CourageDearHeart July 12th, 2017

@Katieee97

Hi there,

Sorry to hear about your health care struggles. It's so defeating to hear doctors tell you there's nothing wrong. I was told that I had anxiety and wasn't managing my pain well enough and needed to learn to cope better. Turns out an upright MRI showed I had an Arnold Chiari Malformation and I needed brain surgery. The pain was real, I felt justified, and post-op I'm doing much better with pain. I defintiely had mood swings when I didn't have any medical answers. My family was supportive, as were my professors in college, but it's hard to explain soemthing that has no vocabulary. It's hard to get people to acknowledge that the pain is real without a doctor's backing (which is a shame, but unfortuantely true).

What kind of pain mgmt techniques do you use? Epson salt baths, heating pads that curve around the neck, topicals like tiger balm can all help. Do you think your job exacerbated the pain because you were bending your neck to look down as you prepped food? Is there any way you could use adaptive devices - a neck brace or cervical pillow - to give you relief outside of work? For me the biggiest thing was creating a set of expectations and listening to my body. I know now even post-op that I can't keep my neck bent long without pain, so I have my computer at an eye level height. I also use hemp oil (totally legal) from Charlotte's Web for pain. It's been the most successful drug compared to most opiods/prescription medications like lidocaine.

I think mood swings are pretty normal for your situation. If you're not getting enough sleep, if you feel upset about your support network, or if you're disappointed by the limitations that your body is posing then of course you might feel hurt and upset. I know that I had to go through a grieving process after I learned that I was handicapped and secured my diagnoses. I had to change some life goals to things that my body can manage, and I definitley felt loss and grief making those choices. That's not to say I gave up on everything. I had to put some goals on hold until I could secure better pain management. Even now I have put off travel plans to come up with a more accessible set of trips. I have managed to secure accommodations at work and I can do some work from home which puts me close to all of my adaptive devices and holistic treatments. I'm not sure if you could do any work from home (catering, writing a cook book, etc?) but it greatly helped me.

Looking back at the period in which I was in the most pain and undiagnosed I felt very lost and scared. I was worried all the time about my future - would I have a partner, could I have a family, could I maintain a career? Now at the other side of things I still struggle with health issues, but I have a network that is more capable of supporting me because I have learned to express my direct needs to them. I've been open and honest to them about being depressed and feeling loney in this fight, and they have adapted to become allies in my fight. It is hard to find the words, when I first tried to explain it to people I often wrote them letter on how I felt and what I needed - it was easier than speaking to them. It also forced them to read the letters, think about the situation, and get back to me. It took away the casual nature of a conversation.

It's hard to negotiate disability when you lack a good support structure and the future seems so unsure. I would recommend looking out to bloggers and finding a support group you can physically attend in your area. It is really positive to know that others are struggling and adapting, and can give you hope for the future. A few years ago I was wondering if I would have to live with my parents for the rest of my life. Now I live half way across the country and I'm completing a PhD program. It took a lot of work and forgiveness - I had to learn to accept my limitations and then creatively find ways around them. It's scary and isolating to feel like you're the only one going through this, but I promise you you aren't.

Feel free to PM me any time!

User Profile: MDPhDFACSCCTSTS
MDPhDFACSCCTSTS July 13th, 2017

@Katieee97 I don't know about neck and back, but when I couldn't find anything for my constant migraines, I found that there is an inner ear piercing that works for some patients, haven't had so much as a headache in five years. But I know about pain. I turned to street drugs until I started on the right meds for me.

User Profile: ElanortheFair
ElanortheFair October 19th, 2017

Sorry to hear that, i completely understand how you feel and have that issue allot. For me personally it's the build up of frustration of not being able to do the things i want to do and feeling of being trapped in my body that dosn't work. I find the best thing that helps me is distraction, focusing on other things, letting that anger out in the form of playstation games or a calming cup of tea and chocolate always seems to help. I also think some of the cause can be certain batches of medication, some i feel more anxious than others which may contribute at times too.

@Katieee97

User Profile: ThisIs543
ThisIs543 October 19th, 2017

@Katieee97 Yes, mood swings can definitely be a part of chronic pain! Depression is often correlated, too, so it's great you're here to take care of yourself and your mental health.

You are not alone! Even when pain is mild, I can have good and bad days, or feel like I'm going to manage one minute and next feel like my life is falling apart.

I recommend the mindfulness exercises on 7 Cups, from the main menu. A great selection, and just being able to sit with what you are feeling, without judging it or getting mad at yourself for how you feel, becomes an excellent tool in managing difficult emotions.