Hello Lisa,
It's heavy going, and although the disease is VERY real and has lots of physiological effects it how you deal with it all in your mind, that's the real battle.
I tend to swing about between thinking I need to be super woman and then thinking I'm being rediculous and should be a patient ill in her bed!
There's a middle ground and I'm getting better at finding it, but its easier to think middle ground thoughts when the ra is calmer and I'm doing a little better (which I am on these big dose steroids).
Steroids can affect mood, so watch out for signs of being blue and tearful and do not put up with it. We have lots of things we have to live with when you have ra but depression is treatable and not necessarily with more pills
I've found CBT very helpful indeed, this has been offered as part of my pain management strategy.
All the best to you
Jenni.
how to be a velvet bulldoser