I have been dealing with this for 2.5 years and before my rsd I had severe depression/anxiety. I had seen a psych on and off for eyars but when got dx with this I quit as I wanted to just work with pain control. Anyhow as the years past and my pain level plus more health issues happened I became an anxious,depressed,almost like monster mess. After a very big push from my family I went back to a psych and on meds for anxiety/depression etc 4 months ago. I am so glad I did. Though I still have high pain my outlook and coping is still better. Even people in my life have made comments. I am more rational and through the bad days which I have both mental and physcial I can now remain more hopeful still. I think a combo approach with a pain doc and a psych works well. Hang in there