"i have a history of migraines &amp; cervical stenosis at c6-c7 with bulging of disc causing constant muscle tension in my neck/shoulders.  i have a long history of bipolar d/o,depression &amp; anxiety &amp; recent  development of panic attacks (r/t recurrent missed miscarriages).  i have been treated with various psych/antidepressants/anti-anxiety meds over the past 23 years.  i had been prescribed various meds also to help with migraines to no avail with exception of maxalt to relieve impending migraine episodes.  when i was prescribed tramadol for migraines &amp; chronic muscle/neck/shoulder pain i began to see a huge decrease in my anxiety &amp; motivation &amp; wanting to face each day.  i too hope they will consider ultram for tx of anxiety/mood d/o."