I am so sorry to hear all that you are going through. I think we all suffer from the mental effects of RSD and chronic pain to some degree. While I don't think that I suffer from depression...I do have difficulty concentrating, barely get any sleep, can't cope well with stress (it actually flares my RSD which is common), and I get snappish sometimes. It's important to remember that our mental health is just as important as our physical health and we can't forget to take care of it.

If the meds you are currently taking are not enough...then maybe try some other ones. There are lots of different ones out there to help with depression and like many things it's about finding the one that works well for YOU. I wasn't getting even 30 minutes of sleep together at night until my doctor put me on amitriptyline...now I usually get 3-4 hours of consecutive sleep a night (sometimes not but most of the time I can at least get 3 hours which is so much better than nothing). Just getting that little bit of sleep has been very good for me.

Definitely discuss tDCS with your doctor. Some people have had success with it treating their RSD but it is also used to treat depression I think. It's pretty affordable as far as treatments go with little to no side effects.

Keep moving and keep fighting. If you can make some progress in physical therapy you will be amazed at how much that can improve your mood and outlook on life. And don't forget to try to do things that you enjoy as much as possible. It will remind you of the good things in life and give you motivation to fight. For a long time last year I couldn't stitch at all because it was too painful...but I was very active online with different stitching forums where I could talk to others and watch their projects come along so it gave me something to work towards. I also can't hardly read books at all anymore because my concentration is so bad...but I have found that audiobooks work out really well for me (and they are usually so much better than anything on daytime tv). Listening to music is fun and even though I can't really dance to it anymore...at least I can sing along as loud as I want. I will sometimes even use songs as my way of timing out exercises like, "I'm going to walk for 5 songs." Or I set up different playlists on my iPod for different therapy routines or to help me relax or whatever. There's a lot of things that I can't do or that I can't do the same way I did before...but it helps to try to keep these things still a part of my life as much as possible to remind myself of what I am fighting for.

Another odd things I did...some people might think this is a cruel thing to do to ones self but I found it motivating...was read travel guides for my favorite travel destination in the whole world...Disney World. I also joined some online forums where I could read about other people's trips, talk about my own experiences, "plan" future trips for myself, etc. Okay...so I am admittedly an odd duck...but it gave me joy and a goal to shoot for in the future. I think if we don't remind ourselves about the things in life that are worth fighting for then it becomes all to easy to stop fighting.

Not saying you need to do any of my hobbies...I know they are not for everyone...but I only give these as examples of things I do to help me cope and stay motivated to fight.

I hope you find success in your treatment. Please keep us updated and ask any questions you want. Or if you just need to vent...we are there for that too.