Hi welcome to the boards though sorry for your pain and the rsd. A few thoughts. One when I have an apt that is far off I call everyday to see if there was a cancelation and usually I do get in early. For me the cold is very bad but I live in a warm climate but when I used to live in a cold place or even now when it is cooler baths help me to an extent. As for the mental side a huge mistake I made was to wait so long to go to a psychiatrist. I felt if they could fix my pain mentally I would be fine but that was not happening. The build up of so much physically,the anxiety,fears,limits,worries took a huge mental toll. I did go to a psych about a 1.5 ago and it has helped me cope in a better manner. As my pain doctor says one can't be in pain so long and it not impact you mentally.