Adjustment Disorder In Fibromyalgia

adjustment disorder in fibromyalgia

Fibromyalgia is definitely one of the most stressful medical condition. Having to deal with the constant stress of fatigue and pain can surely impact the quality of life of patients. A particular psychological condition may cause some fibro patients to suffer more severely and cope less well than others. This psychological condition is known as the adjustment disorder.

What Is Adjustment Disorder In Fibromyalgia?

Adjustment disorder is an abnormal response, usually more than usual, to a significant life stressor. Basically, this condition is one’s reaction to a certain stressful event in his or her life. Such event is usually a bad experience like death of a loved one and divorce. It can also be a reaction to a continuous struggle of chronic fibromyalgia every single day. Adjustment disorder in fibromyalgia leads to responses surpassing the usual reaction to fibro pain and symptoms.

As such, those who have adjustment disorder will end up suffering from persistent depression, anxiety and other physical issues such as irregular heartbeat, and even unexplained weight gain. Patients with adjustment disorder show signs like:

  • often crying for long durations
  • always in bed and not able to get out of bed
  • lashing out at others
  • showing compulsive behavior
  • suicidal thoughts

How To Treat Adjustment Disorder?

The treatment focus on helping the patient learn how to deal with their situation. Most patients will have to undergo Cognitive Behavioral Therapy (CBT). During the talk therapy, a psychiatrist will help the patient identify negative emotions and thoughts and look for ways on how they can possibly deal with these things. The process involves going through the things that can lead to negative thoughts and feelings and learning how to transform negative feelings into positive ones.

Other types of therapy such as relaxation and meditation exercises can also help patients cope with anxiety that comes with the disorder. In fact, doctors will highly recommend group therapy, where the patient joins a support group discussion that consists of other people who are also suffering from the same condition.

Medications To Treat Adjustment Disorder In Fibromyalgia

There are certain medications that can treat the condition. The medications include antidepressants which help to boost the serotonin levels in the brain and help break down the cycle of negative emotions and thoughts. However, since adjustment disorder is mainly based on not having an effective coping mechanism rather than the biological causes, most therapists believe that drugs are not the most effective way of treating the condition.

Fibromyalgia is still a chronic disease with no cure. This means that patients have to constantly struggle with the pain and symptoms for decades or life. Learning how to cope with the pain and stress of fibromyalgia can certainly benefit patients.


  • I worked with a few people that could understand my issues with this disease. One of the women told me that she hurt too and I should just get over the pain I was in. She just did not understand what it was like to go to work every day I had a very physical job and be in so much pain and stress and anxiety . And all actuality she made it very hard for me to come the work and do my job because of the way she treated me not believing that there was something wrong with me the worst part about this is she was supposed to be a good friend went turns out she was not . She could not understand that I need to be on pain medicine to get through my day to work eight hours and stand on my feet all that time. She work five or six hours and she was not doing a physical job . She Told other people in our work place that I was addicted to drugs painkillers and I really Did not need them . Well I am longer working there because of her I had to leave my job she turned almost everyone against me and made me think that I was worthless. Well I know that I’m not worthless and I know the pain I am in physical any motional Is real . All I can say is I hope this never happens to her or maybe I hope something worse happens to her she understands what I went through. Please do not judge people try to understand what they’re going through please don’t put them down and make fun of them and turn people against them. If you can’t be decent to a person that suffering then walk away from them don’t abuse them is all I ask. One day you may have to deal with what I went through and some other people are going through with this disease So please be a little more understanding than my so called friend. Rise above all these people that don’t understand and take care of yourself be true to yourself .

  • Sorry to hear, Pat , that you had to give up your job because of a so called friend’s lack of understanding of Fibromyalgia. I am constantly being told by people that I “look well”when the reality is I never “feel well”.
    I am in constant pain, exhausted and stressed but because I try to put on a brave face, laugh instead of cry and get on with life the best I can they all think I am fine. I wish some people could spend a few days walking in our shoes then they could maybe understand.
    Telling people you were addicted to the medication you obviously need was awful.
    I hope you can find a less demanding job with nicer colleagues .
    Take care x

  • Dear Pat & Lynn,
    I’m so sorry Pat for people not understanding how it is to work a physical job all day. I understand completely how you are feeling. I also work a physical job as a bus driver. My fibromyalgia started back in 2015, didn’t know what was going on. But today I do. Some days are good and some days are off the charts. I hope that if you get a new job that people understand what you are going through. I have some people that understand that are friends but what really my family doesn’t understand. So it’s hard for me to explain to them but my husband and kids help me a lot. God bless you and hope you get some relief soon. If you need to talk here’s my email: mccorm03@ Relax and smile . We are special just like everyone else!!!

  • I totally understand the feeling of having people not believe you’re in pain. One of the most irritating things for me is when people say, oh you’ll be fine tomorrow. Or I know how you feel, I have (insert some other condition here). No, you don’t know how I feel any more than I know how you feel.

  • The friends who ask what’s wrong now, when you say your feeling rough. As if it going to disappear. One reason I withdraw is feeling you have to explain your self. I think after 5 years she would understand a bit more about it. I hate being incapacitated, this wasn’t what I had in mind for my life, i/ we don’t choose to be ill!

  • If I am correct that Fibromyalgia is a recognized disability, then discrimination on any public job is illegal. Any remarks regarding be “addicted to drugs” by another employee or management should be considered discriminatory and a reason for lodging a complaint with the company’s Department of Human Resources. Quitting a job because of complaining colleagues should never have to be an option because of illness.

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