Chronic pain is one of the most difficult aspects to overcome in depression. It is constantly with us. No sunny disposition can make it go away, I think it’s important to note Gretchen’s story.
I also have a high tolerance for pain and do not follow through in management. But, I am beginning to see the importance of better management in addressing my depression.
On Oct. 26, 2003, two patients of mine, Randy and Helen—a married couple in middle age and both weary with chronic pain—attempted a dual suicide.
Randy succeeded by overdosing on the methadone that was prescribed for his pain. His wife was either lucky or unlucky, depending on your point of view. She survived and was afterward confined to a psychiatric ward for several days.
A pile of papers, suicide notes and a will left for family and authorities to find seemed to indicate that the plans had been percolating for several months at least.
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