anxiety
"I have a history of migraines & 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 & anxiety & 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 & chronic muscle/neck/shoulder pain I began to see a huge decrease in my anxiety & motivation & wanting to face each day.  I too hope they will consider Ultram for tx of anxiety/mood d/o."