There is nothing as frustrating as a doctor not taking your fibromyalgia concerns seriously. It just compounds our stress, which in turn increases our pain. Perhaps a letter might enlighten doctors, turn up their empathy, and help them hear what we really have to say. Here is what I would say in that letter: Dear doctor, I understand that you spent a lot of time in medical school. And you did a lot of on-the-job training as you went through residency. I get that it's frustrating having to diagnose and treat an illness like fibromyalgia. Perhaps nothing in your training prepared you for patients like me. But as your patient, I wonder how much training you had in "bedside manner" and communicating with your patients. A lot of my FMS symptoms bother me, and it would be really helpful if we could have a conversation about this, so that when I leave your office I feel you've actually listened and understood me. I get that your hands may be tied by insurance regulations, and being wooed by pharmaceutical companies. The thing is, I don't just need medication. I need a listening ear. Are you up for that? I'm a single mom with two young children who depend on me to provide for them. I need help figuring out how to get through my work day, and still be able to care for my little ones. I need ideas on how to work with my illness so I'm productive as I can be, without triggering flares and losing work days, and possibly my job.