HI! For me it is a combo effect. I have 24/7 physical pain because my CNS (central nervous system) is completely torn up from the car crash and my depression sometimes, not all the time, thank heavens!, gives me mental pain and with the physical it is hell. One aspect that always makes me so mad at people, NOT our Global Family, everyone here is just so precious, all the other people that I come in contact with, like at the food store, drug store, they always make remarks about how mental pain and anguish is "all in my head"!! WELL DUH! It is and it is just the same as the physical aspect. I will never understand how ignorant and narrow minded some people can be, oh and also MEAN and NASTY. I truly feel for our Global Family members who are in such pain and I send each and every one a huge hug, a warm smile and so much empathy to try and help. We are in this TOGETHER PERIOD! Walter