I've had fibro for the past 4 years approx. The first rheumy who actually managed to diagnose me with fibromyalgia also told me that I would probably benefit a lot from something called cognitive behavioural therapy which is done by a psychiatrist. I only decided to visit one now, like a month ago. On my first visit, he prescribed me Cymbalta 60 mg. Being very fragile and knowing that I am very sensitive to medications/side effects etc., I decided not to take it although I bought it. On my second visit, the psychiatrist asked me if I started taking the medication and I told him that no. He insisted very much on me taking it explaining to me that our psychotherapy will help me a lot but the medication will really really do me good. I don't believe that, because I think that the medication is a temporary relieve (if it works at all), and what really happens when you have to stop it. Don't all the symptoms come back ? anyway, i went to my third consultation and he asked me again if I took the cymbalta, i told him no, he got upset and preached me about it. anyway, i am not going back to him. I would like to know from those of you who have had experience with anti-depressants such as cymbalta, if it is all that good for you and how do you manage this medication in the long run. Doesn't the organism get used to it and then the mg have to be increased ? did anyone here do the cognitive behavioural therapy with a psychiatrist ? do u believe in anti-depressants for our illness ?