### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Thanks. Im in Prescott, AZ. I had major spinal fusion surgery twice last year. In May, I had neck vertebrae fused, and in September I had L3,4,5 and S1 fusion. the surgeries seemed to work fine. Im in the 5th month of rehab. The nerve pain is gone, but I still use a cane and still have swelling and numbness in my toes. Anyway, I am still taking Morphine sulphate 30ER twice a day and 15IRs up to 3 times a day. I am also taking Lorazapam 0.5. 2 or 3 times a day. I am suffering from depression as well. I have pressure, and fear from other issues that are causing my depression. My family doctor has prescribed Cymbalta, 20 mg once a day to start. I am a little afraid of Cymbalta. I had some weird side effects in the past with others. So what do you think?

### output:

Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode and that needs treatment. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. Treatment of depression can reduce your pains as well. Cymbal ta which your doctor has prescribed is a good option but if you have had side effects in the past then there are many other options available. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  If you are averse to the Chat Doctor.  This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/