I read about RSD some time ago and felt exactly the same thing- it described me to a tee. When I have it bad I literally feel like I am dying inside, and the bleak feelings seem to have a never-ending quality to them. It is unbearable. And it has happened again to me recently- not quite over it yet- and I’m 52. I am on Strattera and Cymbalta which have been great for focus and organisation and general mood, but if I have an episode, and it is ALWAYS in response to a rejection of some kind, nothing can stop the onslaught of internal horror. I am about to see my shrink to talk about trying the meds mentioned in the article, as I just cannot bear the thought of going through it again.