15 months post surgery and experiencing symptoms of clinical depression.

I have been having some symptoms of depression for about 4 months. Emotionally it seemed to peak about a month ago. I saw a counselor a few times and it seemed to help with the emotional stuff. I have been doing pretty good with that aspect but still having major problems with my thought processes-poor concentration, forgetfulness, poor sleep, fatigue etc. I also have edema and poor circulation to my hands and feet. My dr. has run some tests but hasn't come to any conclusions yet. Sed rate is high but rhuem. factor negative. He thinks i have rhuematoid arthritis anyway. That doesnt explain the edema and depression...i really don't want to take antidepressants unless that is really the problem. Any one else with symptoms similar? Any ideas?

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