Sunday, 29 January 2012

LOCAL PRESENTATION FOR 15th February 2012

FIBROMYALGIA WELLBEING
FIBROMYALGIA is estimated to affect around 2% to 8% of the population…
No accurate figures are possible, which clearly supports the need for more work to be done – on many levels, with this chronic illness. It is then estimated to affect around 65,000 people in this state alone!!
Dr Richard Kwiatek (an Adelaide rheumatologist specialising in this area) suggests that FMS is one of the most prevalent musculo skeletal disorders and accounts for approx. 25% of new referrals to rheumatologist specialists. Diagnosis can be drawn out and very complex, and its sometimes referred to as a CMI = Chronic multi system illness. Its far reaching syndrome of symptoms are greatly misunderstood, and bring impacts to the sufferer which are greatly underestimated by others.
Fibromyalgia is explained by Dr Jacob Teitelbaum, MD (an author, who is MY HERO) as  - a short circuit that occurs as a result of a malfunction in the H-P-A axis, (hypothalamus, pituitary and adrenal axis). In simple terms, it occurs when energy demand exceeds available supply. The body then experiences a trickle like effect, and one poorly functioning system will affect the next….poor health, nutritional issues and deficiencies, infections, pregnancy/hormonal changes and other factors impact on the severity and symptoms. Therefore, lifestyle, genetic weaknesses (eg thyroid problems), ongoing significant stress and diet and nutrition are all factors to be considered. Symptoms may include  - stiffness, widespread pain, unrelenting fatigue/extreme exhaustion, sleep disorders, hormonal dysfunction, increased allergies, brain/cognitive dysfunction (confusion and memory problems), anxiety/depression, infection and immune dysfunction, and reduced ability to tolerate and manage stress. All these symptoms occur as result of hypothalamus, pituitary or adrenal problems (mainly underfunctioning).
I will now move forward to how my relationship with fibromyalgia began…..
As many of you know, I have dedicated a large portion of myself and my time over many years – both professionally and in voluntary capacity – to helping others and supporting and developing community. Most recently, this club has supported my Professional endeavours, and also my voluntary involvement with DELTA SOCIETY, as a pet therapy visiting team – with my little dog `ANGEL`.
Some of you may be aware, that in April 2011, I reluctantly gave up my professional role – one that I was passionate about and greatly enjoyed. My health was becoming more of a challenge and I needed to make a difficult decision. My decision was to better support my health and well being, and also to try to restore some quality of life to our home and family life. Therefore, my resignation was submitted.
Although I was officially `diagnosed` with FMS in late 2007, I continued to work but this ongoing challenge continued to result in further decline physically.
My health issues began subtley, from around 2003 – when my daughter was 2 years old….however, things were not appropriately addressed and therefore remained greatly unmanaged and therefore greater strain and drain continued on my physical body, until mid 2007 – when I experienced seizure type activity, resulting in hospitalisation, low blood pressure, low white cell count and an underfunctioning body – on many levels.
Luckily for me, pursuing a second opinion at that time, brought some answers. Thanks to my wonderful GP, slowly the areas of poor functioning were addressed. Around 18 months ago, my GP began working along side a Naturopath, and this has enabled at long last some stable results and better outcomes that will hopefully continue to bring further improvements.
From early 2008 I required monthly blood tests, and doctors visits and slight changes to medications and other interventions followed.
I initially saw a GP, a rheumatologist, an endocrinologist, and for a while a psychologist and then came the naturopath. I was given a variety of medications and realised that more than medicine alone was needed to stabilise and improve my situation – so, a wide range of both pharmalogical and non pharmalogical approaches were used. I needed to restore the underfunctioning systems but also needed to aim for long term management and wellbeing.
For a while the term hypopituitarism was used, and replacement of all pituitary hormones began. This included hypothyroidism, secondary premature ovarian failure and adrenal insufficiency. For a while I also required daily injections of growth hormone, as I was told my levels indicated the physical age of a 70 plus year old, in terms of energy – and I was 39 at that time! Unfortunately for me - this is a very slow process, as stabilisation requires slow introduction and minor changes along the way. I guess that luckily for me, I was in a phase of denial for most of this time and as such, continued working and pushing myself through – as it wasn’t going to beat me!!!! This may have assisted me psychologically (to not give up), but certainly did NOT physically.
Sleep disorders were also of prime importance (more medications), and then nutritional deficiencies and infections were targeted.
I certainly don’t proclaim to be an expert, but I am pretty proud of how I have managed to get to this point. I have learnt a lot ! I have had to make changes and had to make new choices that reflected my needs and focussed on balancing the physical – psychological – spiritual aspects – for ME.
I have always had an interest in helping others and encouraging their empowerment. Luckily one of my strengths has been sourcing information and I`ve been resourceful by nature. I have had many many bad days… days in which others do not see me, and therefore this becomes an invisible illness and as such I have had limited support through this journey. It can be very easy to slip into victim mode, and get stuck – due to social isolation. But, I have constantly tried my best to turn this challenge into a learning opportunity for myself. I certainly needed medical interventions and support, and I certainly needed to remain open minded to different ways and approaches..
But, the biggest and most important thing to learn was that I needed to remain empowered, and remain actively involved in my own wellbeing.  I had to support my own hopefulness and find my own inner strength.
So, when I felt that I had regained my control and enough physical strength – in September, I started to write.
I started to write something that I was looking for around 4 years ago but couldn’t find. Something that provided some encouragement and hope to others – not just with FMS, but with others facing challenging health issues or other problems.
Its easy for people to become victims and be defined by illness or life challenges. But, my motivation for writing has become about nurturing others and encouraging them to find their own strength, their own solutions and their own pathways. I hope that when they read this book, they feel hopeful and encouraged to become their own `specialist` - and most of all, I hope they may find their inner strength…the courage to continue to move forward, and take baby steps. To find their balance and move beyond victim mode and reach out to others that may offer useful support and strategies – to NOT GIVE UP.
I began writing this book on 24th Sept 2011. I wrote only at night time, and continued until it was finished….This was approx. 4 weeks later. I then sought 2 people (not too close to me), and asked them to read it and provide feedback. Their feedback inspired me on to the next step. I then looked into self publishing and decided this would be best, if I was serious about my story getting out there…even if only 6 people are helped by this book, then its all been worth it…If I can raise awareness within the community at the same time = added bonus….If I can then link people into other networks and supports (and therefore they continue to move forwards) – then this will ensure self empowerment and continued coping in the long term.
In mid November I submitted an article to a new wellness magazine – and this was published and circulated just last week !
Late November (2011) I created a facebook page `Fibromyalgia Wellbeing` and now have over 400 followers of this page…I share a combination of information that supports others with fibromyalgia in emotional, spiritual as well as physical ways. I now have others `sharing` and interacting on this page, and have received some great, positive feedback and comments reassuring me that this is making a difference.
I have the wonderful Jacob Teitelbaum on board, as well as my GP and Naturopath, and through networks and community links I feel confident that I have the commitment and passion to see this project through.
I NEVER THOUGHT I COULD CHANGE THE WORLD, BUT HAVE ALWAYS THOUGHT I COULD DO MY BIT TO CONTRIBUTE TO THE WORLD, and my own community – and this is reflected in my life history and character and integrity.
Through this book, and related efforts I hope that I can motivate others to find their own strength. To support them in remaining optimistic, and to therefore CHANGE THEIR OWN WORLD or indeed their `reality` with chronic illness.
I`m currently looking for sponsorship to enable me to have the total of approx. $1,600- needed for a self publishing package, that will launch this resource on world maps (hard copy and electronically). I currently have a short fall of approx. $900- and I hope you may be able to provide between $300- and $900- and then I am able to proceed with publishing! As we are now only on one income and self employed, I can and will continue to provide my time voluntarily to support this cause and others with this condition – but financially at this time, I am limited as you would understand. My family and some personal supporters are also happy to undertake or assist with any events, functions etc that you may use to raise any monies to support publishing!
I TRULY HOPE YOU WILL SUPPORT ME IN THIS PROJECT.
THANK YOU….

Tuesday, 10 January 2012

A Simple Birthday Wish....

This coming Saturday is my Birthday.

Around four weeks ago, I was feeling very positive about Christmas, as it was approaching. I left my paid employment in April, and around October I started to feel like I was gaining `control` over the long term management of my Fibro and all that goes along with it.

December was full of planning, pacing, preparation and looking forward to the school holidays :-)

The week of Christmas was busy, but again I was finding time to rest when needed and was getting better at listening to my body. My daughter and I happily undertook shopping and `making` things for Christmas day, finished shopping, wrapping of presents and we were looking forward to the festive season. I coped better this Christmas than the last 4 Christmases - which had (to be honest) had a fair amount of dread attached to them - due to the expectations of those around me and my anxiety that comes with that and stems from my concern that I would not cope very well.

Indeed, this year (pre christmas)- I had even be on the right track with following a healthy diet, supporting my body with good nutrition and undertaking gentle, daily exercise around 5 days a week.

I must have been feeling good - because in my optimism I invited another family to celebrate my Birthday at our home (14th January), and had an idea that we may have an informal lunch, and perhaps share this with some family and friends - maybe totalling 16 to 18 people. In my thinking was chicken platters, salads, finger foods - and a nice post christmas catch up before 2012 becomes hectic once again. I emailed some invites prior to Christmas, as I have learned over 43 years that this needs to be done earlier on, before the busy New Year period and holiday times for many.

WHAT WAS I THINKING ????

The reality slap came just this week - on Saturday 7th January to be precise!! When I began to feel the post Christmas stress/let down phase, together with the anxiety I feel when I am faced with overwhelming situations - (lucky for me!) this is one of my biggest challenges with my FMS.

You see, what had unfolded was a very good Christmas with minimal stress. The following day found us at our niece`s 21st Birthday (High Tea) and farewell as she leaves to work at Mt Isa :-(

The day after that we visited family up in Waikerie (Riverland) which was a day trip of approx 1.5 hours travelling each way. Although we had to travel, it was a low stress and very enjoyable event.

Next day we stayed at home - needed to do some sorting out after christmas...Rested!!

Then the next day, we packed up and travelled to our holiday van at Victor Harbor, approx 1.5 hours travelling. Arrived, unpacked and settled in for the next 3 days - intending to spend New Years Eve there....However, as we were then heading to Sydney for a 4 day family holiday on the 4th of January, it was decided we would head home early - to minimise stress and enable me some rest before our big Sydney trip! So, we returned home on New Years Eve, unpacked, setttled in, etc. New Years Day we stayed close to home - and kept things low key.

I was still managing all of this quite well, and making sure I was getting some rest time and pacing myself.

The next 2 days were spent repacking and focussing on the first family holiday we had been able to take for several years - mainly due to my illness. Also complicating our holiday and family time is the fact we have our own business and my partner ONLY gets this (short) period of time as his annual holiday!

I dropped the dog at her `boarding home` and we were finally prepared for our plane flight (early) the following morning!!

After a good flight, we found our apartment in The Rocks, Sydney, and settled in. This time it was my partner that was off colour and stayed at the apartment to sleep off his ill effects of the flight. Daughter and I ventured out to take a look around our near vicinity for a couple of hours....The following day we headed by ferry across the harbour to the fabulous Taronga Zoo, and had a HUGE but fabulous day!! Managed to get a 2 hour nap in that afternoon!!

The next 2 days were spent sight seeing - within my `window of opportunity time` (between 10:30am and 2:30pm) and saw what the time allowed. My partner (Brenton) went off to do some additional sights on his own, that were not of interest to me and our 10 year old daughter.

By Saturday 7th January, I was starting to feel the strain and the previous 2 weeks were beginning to take their toll - made worse in my mind, as I knew I still had more activities in sight! And also still another 2 weeks of school holidays to come :-)

We returned home late on Sunday 8th Jan, unpacked etc etc and settled in at home again. The following day was Brentons 50th Birthday and suffice to say I was not really up for having visitors coming through - though I felt guilty for this. However, we had gone to Sydney for this special Birthday - at Brentons request. The next few days at home meant more unpacking, child care, collecting the dog, bathing the dog, washing, and chores (food shopping etc) and these were now my responsibilities, as Brenton had to return to work on the Monday.

I then cancelled what plans I had made for my Birthday...I had a few days to spend at home, and catch my breath. Then, I had the choice that I could
1/ have a foot massage, and eye brows and waxing done on Friday OR
2/ I could run around getting things arranged for having people over for lunch on Saturday. Then I had cleaning up etc to also take care of afterwards.

Given what has unfolded over the last 3 weeks, I decided I couldnt cope with any more `work` and stress.

What I intend to do is head down to the beach (approx 25 mins drive), after a bit of a sleep in. Have late breakfast at the hotel on the beach...maybe take a walk, have a coffee and have some time to sit at the beach. I love the beach - it keeps me grounded and restores my soul....makes me feel peaceful - and thats what I need for my Birthday.

This concerns others - as until I had FMS, I was a very social and outgoing person, who would have taken the past 2 weeks into her stride and then some...then, would have arranged a celebration for my Birthday. They seem to feel bad for me - as they think I am depressed and think `I should` do something more exciting for my Birthday.

But, not this year...maybe not even next year.
I just want something very simple and to be able to enjoy my Birthday , the way that I choose to.

However, I have mixed emotions as a result of changing these plans.

I feel guilty - for cancelling the plans I had made, and keeping things low key. I feel the expectations of others around me.

I feel frustrated - that others dont really understand why I need to cancel and change plans.

I feel disappointed - that my life has changed so much and I am a little sad that I am not able to do what I would have chosen to do 10 years ago.

I even feel a little resentful - that Brentons Birthday comes before mine every year and we celebrate his and everyone is `over it all` by the time they get to mine. That we have to have such a busy time (through this period), and that my Birthday tends to pale into significance.

But, mostly - right now - I FEEL TIRED ....And I crave some `beach time` to replenish myself - and have a day off!

I recognise that awareness is the first step in healing or changing. I become more aware with each passing day.

I cant change the date of my Birthday, and I cant change the effects I feel from FMS.

I tried my best, to manage the best I could over the last 3 weeks.

Whilst I am not sure how well I will be able to manage these feelings, I do know that I can look back proudly over the last month and tell myself how well I have coped! I have done my best. We have had some great times, attended some great festivities and enjoyed family times. Its been worth it! :-) I need to keep focussed on the positives.

I cant worry about how others may react to the change of plans and cancelling what I had intended to do.
I can only look forward to a day (on Saturday) where I can minimise my stress levels and enjoy some fresh air, sunshine, and being at a place I love. I can make the most of the day and BE with my family and enjoy the simple pleasures that will bring me peace.

All I am doing is `going with the flow` and listening to my body. Doing what I need to do, for ME.

After all - its MY birthday.
I am yearning for simplicity (and the beach).

I am easy to please - so, I will keep it simple.

SIMPLE.......

Knowing others is intelligence; knowing yourself is true wisdom.
Mastering others is strength; mastering yourself is true power.
(Lao Tzu)

Monday, 2 January 2012

swim with the tide and let it take you where it wants you to go.

Very recently, this following quote was posted/shared on my facebook page `FIBROMYALGIA WELLBEING`. And it rings true for many people - but its relevance in this case - was for others with Fibromyalgia......
`A person has three choices in life. You can swim against the tide and get exhausted, or you can tread water and let the tide sweep you away, or you can swim with the tide, and let it take you where it wants you to go`.
It made me think again about denial versus acceptance of this myriad of symptoms and cluster of health issues and challenges that I live as a reality - Fibromyalgia.
I also read another post somewhere today about healing from the inside out, instead of the other way around.
I am one of the first people to push the barrow of increased acceptance, understanding and compassion from society - towards people with Fibromyalgia (and other chronic conditions and health issues and/or disabilities).
However, the reality may well be that instead of seeking validation from the outside, we need to focus on the inside. To begin our healing or restoring, we need to become our own best friend and work towards strategies that will enable this to happen.
Dont waste precious energy on being frustrated because others dont undersand. Lord knows, in my worst days - I really didnt understand what was happening myself. How did I (then) expect others will be able to understand.
Believe me, I know how important it is to feel supported and how depressing it can be to feel isolated and alone but these are the times we can learn about ourselves and make positive changes. Instead of being annoyed and disappointed because we may be missing out. Instead of grieving because we have lost some of our previous quality of life. Instead of continuing to spiral downwards into a negative thinking cycle, turn your thoughts around. Its hard and (of course), the right support to help us through these difficult times is crucial. Not the support that makes us feel incompetent, guilty, lazy or worse than before. But the support that uplifts us and understands us, validates our feelings and can guide us through these difficult times. The right support is out there - we just need to remain open to it and lose our expectations of what it `should` look like. It may be via a Professional - it doesnt matter where or how, but with appropriate support - we can regain our balance, strength and perspective.
The reality is - everyone has struggles. People face their own challenges on a regular basis. Some people live with disability, or other health issues and some are far worse than Fibromyalgia.
The reality is - we show compassion to others, we support others, we try to show empathy to others.
When another person is faced with a problem like cancer, or diabetes, or they have limitations or disabilities - we automatically validate that and accept their reality.
So, why is it so hard for us to do that with ourselves ?
Instead of expectations about how others should treat us, maybe we should consider that if we BEGIN this process and learn our limits and respect our needs - then it may follow that others will try to follow suit. If not, then that should not stop us from caring for ourselves !
It is widely documented that people with FMS are typically `Type A Over achievers`.....we are intelligent, motivated, hard working people - we know that.
So, we also know that this condition affects many different systems and is known as `chronic multi system illness`.....although symptoms vary between individuals, many issues and symptoms overlap.
We cannot deny the main common point is `ENERGY SYSTEMS` (Hypothalamus - Pituitary - Adrenal axis).
If we listen closely to our bodies, they are undoubtedly saying
STOP.....SLOW DOWN.......REST.........CHILL OUT.....
And that is what needs to be done - at least to begin the healing process...if we do this, then we will have our energy to think and thus perspective and clearer and more positive thinking may follow.
A person with diabetes knows that they need to consider food in order to better manage their condition - some foods will make them worse, other foods will help long term management and increase stability. Sometimes medications are also needed to help this process on physical level. If they dont follow these strategies - then their condition may worsen and/or other problems may be triggered.
Fibromyalgia is no different....It is REAL, and it means that at least initially WE NEED TO TAKE CARE OF OUR PHYSICAL HEALTH, and our emotional wellbeing....we need to consider our nutrition, we need to ensure we find time for gentle exercise, we need to get adequate sleep and rest, we need to address any deficiencies and infections, and most of the time we need to take medications for the parts that just `need a little help`..there is no shame in that. It is just a HUGE refocus for us, being such workaholics, over achievers etc,....we are not used to caring for ourselves on this level.
BUT IT IS WHAT IS NEEDED....
So, if we return to the original quote....
`A person has three choices in life. You can swim against the tide and get exhausted, or you can tread water and let the tide sweep you away, or you can swim with the tide, and let it take you where it wants you to go`.
We can get exhausted with our expectations and disappointments, remain in fight-flight mode, remain stressed and continue to push harder and not give in. We can resist the changes we know we need to make. We can allow ourselves to be defined by our limitations and NOT listen to our bodies nor respect our needs OR
We can tread water by doing nothing. We can deny that we need to address our poor health and deny that we have a very real issue that we need to address. We can allow ourselves to feel disempowered and relinquish our control to others (eg Doctors etc) and let the tide sweep us away OR
We can let go and surrender, to do what we know we need to do for ourselves. Go with the tide, one wave at a time.
We can accept this `reality` and listen to our body. We can address the physical deficiencies and problems. We can reach out to others and get the support we need. We can remain empowered and responsible for our own health and wellbeing. We can become active participants in our health care and make choices that we feel comfortable with. We can take the action and the steps that are right for our own self. Perhaps by doing this, we will promote our own recovery and healing - and move through this challenging experience. I know one thing for sure - this last choice will be the least stressful.
Resistance does need and take far more energy - energy that we just dont have !
So, swim with the tide and make your peace - and become your own best friend. Save your energy for positive healing.

Sunday, 1 January 2012

Changing our thinking......

We know to stop thinking is actually impossible (even when we sleep).

The way we think about a situation will determine and influence how we EXPERIENCE that situation, and, therefore influence the overall outcome.

Sometimes we have limited control over what unfolds before us, and the events or challenges we may find confronting (eg chronic condition). But, the way we THINK (respond) will lead directly to the outcome = how we feel and possibly how we may act in response to this situation/challenge. A negative response will certainly not assist our pain etc.

Although we may not be able to control the circumstance or event - we do have the power to control our thinking and thus the resulting feeling/behaviour.

It also follows that if our initial thinking is positive, then we have greater chances of a better outcome (feeling/behaviour). Better ability to cope and less aggravation to pain etc.

One possibility to help us with this is to use positive self talk - especially when we feel stressed.
If we can focus on positive self talk, then we may just remain calmer - or decrease our feelings of stress and anxiety. Positive self talk may help the way we view our health and what we may face as consequence of our condition.

This may lead to confidence, and assist us to be more optimistic, and lead us to feeling more empowered!

By the way, WE DO HAVE THE POWER TO CONTROL OUR SELF TALK - and redirect it when necessary...we just need to be consciously aware of it! When negativity strikes, make the decision to exchange those thoughts with positive and more useful and helpful thoughts.

This may take some practice and some awareness - but, it is possible ! Although, sometimes we may need to work harder at it. Sometimes the challenges are tougher.

To over rule the negativity - look for the good in ourselves...be kind and nurturing and re assuring. Look for the positives and remind oursleves how far we have come and how we are trying, but we cant be responsible for everything and everyones behaviours.....as long as we can reassure our self that we have done the best we could, at that time, with what we had - then we cant expect that we have total control over everything....Find things to be grateful for - see the blessings, take a step back, take a deep breath......then, move forwards.

As long as we are aware of when our thoughts become negative, we can remind ourselves that its in our `best interest` to remain positive...Its up to each and every one of us to do that for ourselves...It really does help.

BUT, keep in mind that its not easy...that, just sometimes there are other factors involved.....dont see this as failing - but that at least the awareness was there and thats a very good start and a positive in itself!
We are learning and growing and we will have set backs.

Awareness is the key....

Our personal wellbeing is the motivator.......

FMS In a concise and non clinical explanation

Fibromyalgia In a Nutshell
A lot of illnesses involve one part of the body, or one system. Fibromyalgia, however, involves the entire body and throws all kinds of things out of whack. As bizarre and confusing as the varied symptoms may be, they're tied to very real physical causes.
Fibromyalgia can take someone who is educated, ambitious, hardworking and tireless, and rob them of their ability to work, clean house, exercise, think clearly and ever feel awake or healthy.
  • It's NOT psychological "burn out" or depression.
  • It's NOT laziness.
  • It's NOT whining or malingering.
  • It IS the result of widespread dysfunction in the body and the brain that's hard to understand, difficult to treat, and, so far, impossible to cure.

What's actually going on? Does anyone actually know? Fibromyalgia is a complex condition that's difficult to understand, especially if you don't have a medical degree. Because it involves the brain and nervous system, fibromyalgia can have an impact on virtually every part of the body.
If you're trying to understand this condition in someone you know, it can be incredibly confusing. When a lot of people see a bizarre collection of fluctuating symptoms that don't show up in medical tests, they decide fibromyalgia must be a psychological problem. A host of scientific evidence, however, proves that it's a very real physical condition.
Digging through that scientific research doesn't help most of us, though. Terms like neurotransmitter dysregulation, nociceptors, cellular enzymes and opiate pathways aren't exactly easy to grasp.

Understanding the Pain of Fibromyalgia
Imagine you're planning a party and expecting about 20 guests. Three or four friends told you they'd come early to help you out. But they don't show, and instead of 20 guests, you get 100. You're overwhelmed.
That's what's happening with pain signals in someone who has fibromyalgia. The cells send too many pain messages (party guests), up to five times as many as in a healthy person. That can turn mild pressure or even an itch into pain.
When those pain signals reach the brain, they're processed by something called serotonin. People with fibromyalgia, however, don't have enough serotonin (the friends who didn't show up to help), leaving the brain overwhelmed.
This is why people with fibromyalgia have pain in tissues that show no sign of damage. It's not imagined pain; it's misinterpreted sensation that the brain turns into actual pain.
Other substances in the patient's brain amplify a host of other signals -- essentially, "turning up the volume" of everything. That can include light, noise and odor on top of pain, and it can further overload the brain. This can lead to confusion, fear, anxiety and panic attacks.

Understanding the Ups & Downs of Fibromyalgia
Most people with a chronic illness are always sick. The effects on the body of cancer, a virus, or a degenerative disease are fairly constant. It's understandably confusing to see someone with fibromyalgia be unable to do something on Monday, yet perfectly capable of it on Wednesday.
Look at it this way: Everyone's hormones fluctuate, and even things like weight and blood pressure can rise and fall during the course of a day, week or month. All of the systems and substances in the body work that way, rising and falling in response to different situations.
Research shows conclusively that fibromyalgia involves abnormal levels of multiple hormones and other substances. Because those things all go up and down, sometimes one or more are in the normal zone and other times they're not. The more things that are out of the zone, the worse they'll feel.

Understanding Stress & Fibromyalgia
Some people think fibromyalgia patients are emotionally incapable of dealing with stress, because a stressful situation will generally make symptoms worse.
The important thing to understand is that we respond to stress both emotionally and physically. A physical response, in everyone, includes a rush of adrenaline and other hormones that help kick your body into overdrive so you can deal with what's happening.
People with fibromyalgia don't have enough of those hormones, which makes stress very hard on their bodies and can trigger symptoms.
Also, when we talk about "stress" we usually mean the emotional kind, which can come from your job, a busy schedule, or personal conflict. A lot of things actually cause physical stress, such as illness, lack of sleep, nutritional deficiencies and injuries. Physical stress can have the same effect as emotional stress.

Understanding the Fatigue of Fibromyalgia
Think of a time when you were not just tired, but really exhausted. Maybe you were up all night studying for a test. Maybe you were up multiple times to feed a baby or take care of a sick child. Maybe it was the flu or strep throat.
Imagine being exhausted like that all day while you're trying to work, take care of kids, clean the house, cook dinner, etc. For most people, one or two good night's sleep would take that feeling away.
With fibromyalgia, though, comes sleep disorders that make a good night's sleep a rarity. A person with fibromyalgia can have anywhere from one to all of the following sleep disorders:
  • Insomnia (difficulty getting to sleep or staying asleep)
  • Inability to reach or stay in a deep sleep
  • Sleep apnoea (breathing disturbances that can wake the person repeatedly)
  • Restless leg syndrome (twitching, jerking limbs that make it hard to sleep)
  • Periodic limb movement disorder (rhythmic, involuntary muscle contractions that prevent deep sleep)

http://chronicfatigue.about.com/od/whatisfibromyalgia/a/understandfibro.htm