Originally Posted by EndGameNYC

The bolded words represent part of the process of psychological addiction: the idea that I need a substance just to feel okay.

Tramadol is an opioid, and also has antidepressant properties similar to meds like Zoloft and Lexapro in that they all extend the actions of neurotransmitters in the brain that are associated with depression. In this case, serotonin and norepinephrine. It's also extremely addictive.

Seeing a psychiatrist or someone who specializes in psychopharmacology is an excellent idea.