I wanted to let you know that you are not alone. I have anxiety, depression, PTSD and Fibro. As well, we are close in age. My experience is that beginning any new medication for depression takes time to work and sometimes you may have to try a different one. Frustrating and requires patience. Depression can cause physical pain as well, but you may know all of this. My Fibro began after an event that caused the PTSD. So surviving? Well for me, it helped to accept the diagnosis, which I did not for a long while. Therapy did indeed help with PTSD, which helps my Fibro. Finding the right therapist is key. I preferred a Psychotherapist. I now know that stress is a big factor in triggering Fibro pain, as well as weather. My family physician refers to me as having a "circle" of things to deal with and one affects the other and the other and so on. My PTSD symptoms have improved with time, which helps with stress. I do what I can do when I have a good day, but don't overdo. I try to do little things like having my nails done when I have the energy to go out. When I'm in pain I use my heating pad and watch or listen to something pleasant. Getting out of bed is difficult but I do it because I feel more depressed if I don't. I congratulate myself for every tiny achievement like having a shower or doing the dishes. There are days that are more difficult than others, of course. I do have a prescription for Tylenol 3 but for very limited use. It has to be an extreme pain level before I will use it as there are side effects and the risk of addiction. For me spiritual health has been an amazing help. I returned to church after searching for the right one. It is small and my pastor happens to have chronic pain and is knowledgeable about Fibromyalgia. When I can't go on Sunday's I watch the service online. You may have no interest in church or synagogue etc. but something you are comfortable with, may help. To say I don't have ridiculously angry, sad days would be untrue but it's getting better. I'm researching pain clinics or physiotheraphy or other options and that is why I joined this forum to see what others have found helpful. This is a long post. I'm hopeful there something I've said that helps.