Sorry for your suffering, there is an Integration between all psycic symptoms, no barriers and no sole title, specially with chronic pain each symptom grasps another, depression itself is endogenous or exogenous. What is pathological and needs treatment with psychiatrist and starting antidepressants is when it is excessive in amplitude (black thoughts and total indifference or self centered reactions) or extended in time with no improvement or adaptation, or if you feel you are loosing judgment.
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