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My daughter has been diagnosed with the children's form of fibromyalgia. She's also very anxious about a lot of things but I can't figure out if she's anxious because she's living with fibromyalgia (and the pain and other issues) or her fibromyalgia acts up before she's anxious. Is there a way to tell?

Unfortunately, fibromyalgia in adults and the juvenile fibromyalgia syndrome in children are still very much a puzzle for doctors and researchers. They are finding, however, that children with fibromyalgia do have a higher rate of having anxiety disorders and/or depression disorders than children who don't have it. It is very much a chicken-and-egg question as to which comes first, but knowing that these children do have higher rates of anxiety is helpful in treatment.

Reference: 

Susmita Kashikar-Zuck, PhD, et al. Anxiety, Mood, and Behavioral Disorders Among Pediatric Patients with Juvenile Fibromyalgia Syndrome. In The Clinical Journal of Pain. September 2008. Vol. 24. No. 7. Pp. 620-626.

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