I have been struggling with anxiety and depression for months now. I have had a lot of problems with not tolerating medication, methotrexate, leflunomide, and I have had steroids at different times. On Tuesday I had my first injection of Enbrel. Yesterday I felt so depressed and tearful can having Enbrel make depression and anxiety worse? I am on a steroid at the moment a very low dose which I am reducing. I spoke to the Dr earlier to say how bad I am feeling, she suggested increasing the antidepressant I am on, which they already did a few months ago. I thought she might suggest the need to look at whether it is really helping me or not. I have been on it since 2008 when I was first diagnosed with RA. Then she said I could go to the local counselling service. The psychologist at the surgery costs £60 apparently there is no counselling on the NHS. I went to the pain clinic 3 weeks ago and now have to wait a month to go again. I asked her if there was any support through a mental health team, she said she could write to them, which I guess means you have to wait weeks. I asked her if the drugs for RA can cause/add to depressive symptoms. She said it was possible. I have had times in the past when I felt depressed and anxcious so wonder with my nature and all that has happened with the RA getting worse, treatments not working and making me ill, and trying to cope, is it that maybe the way I am feeling just can't get better. There just doesn't seem to be any support for all the other effects of having RA. Maybe the Dr's just think well you've got a chronic disease what do you expect we'll give you drugs but the rest of it you have to deal with yourself. A year ago my rheumatologist actually said to me that he doesn't 'do stress'. I've got a book about RA and in it it suggests this team of people you should be able to access when you get diagnosed. Well that just isn't true, at no time has the rheumatology dept said right you've got RA this is the support you can access we will regularly check to see how you are coping with the impact of RA on all aspects of your life.. No one has asked me about how I am coping with the impact in different areas from having RA. It seems that unless you say you are desperate no one would think to ask. your family have to pick up the pieces and ask for help that just isn't there, or by the time there is any help things are acutely bad. Surely the hardest part for people when they are ill is to sort out things for themselves and they need to have people there to regularly check on there needs. Well, maybe some people have thoughts on this. thank you for listening and take care all you RA warriors.