Fibromyalgia can cause depression and anxiety.  I definitely have had anxiety and depression since being diagnosed.  I have struggled with both since I was in high school.  I learned coping skills for both when I was in my twenties, but recently they both came back into my life.  I remembered most of my coping skills, but I asked for medication to ward off the edge of the anxiety.  My first real flare kind of freaked me out.  Since I wasn't sure what I did to feel as bad as I did, I was scared anything I did would make me have another flare.  I first asked for medication to keep the anxiety from getting to overwhelming and I made an appointment to talk to a therapist.  

I have been working to get my home office in order and some of the household so that I could start my new job.  And I have been working on a way to help me have enough energy to work, maintain my household, spend time with my family and basically enjoy life.  I had not heard of this technique until a few weeks ago.  It is called pacing.  I know there is an armband you can buy which is supposed to help make pacing easier, but I am not sure about it.  I have read mixed reviews about it.  Besides I always think there is a cheaper easier way to do things, but with pacing it seems to be time consuming.  For me if it is time consuming then it is also energy consuming.  So, I am trying to find the easiest way to pace my days and not have to deal with as many flares of pain and fatigue. 

Fibromyalgia defies simple explanations. It's not an inflammatory or autoimmune disease, though immune system involvement may play a role. Instead, theories point to central nervous system sensitization, where nerves amplify pain signals—real pain that's not "in your head," but a misreading of normal sensations. Other ideas include genetic mutations affecting neurotransmitters or poor communication between the immune system and nervous system.