you know, the pain before work thing is something i have experienced as well...I can go a lot longer at a a taks i am doing for me than one i am doing for someone else...i think (my own personal opinion here) that holding tension is a real problem with TOS, and when we knoe we are doing something that is going to hurt we start to hold tension and cause ourselves pain. One of tpwel horses posts related back to this as well...whne he would start to THINK about raising his arm to do something it would start to hurt because he was already applying tension to the muscle that was goign to have to do the work of lifting his arm (i think i am remebering this correctly- maybe he will chime in)

SO, i think the answer is to study relaxing before you go to work- maybe devote the last hour before you depart to some floor time...i am sure you have learning some breathing exercises with alexander...or do some focused relaxation (i have instructions for that i can send you if you need)

I think if you show up to work more relaxed you will fare better...but after that you will have to be careful with your work activities not to aggravate...is there a place where you could do more relaxation during your lunch break or whatever? I used to do that all the time at work, and i still do it at home. just lay out on the floor and breath- these days I practice funny breathing (a feldenkrais exercise), but I used to do focused relaxation with my ipod on...had a special playlist just for that.

Johanna

PS, as for depression, I agree a certain amount of it is quite normal. you know, if you don't want an antidepressant, just a simple B6 supplement can be good for mood and energy level. When I was preggers I took a 100mg's every morning and night.