Hello dear Understand your concern For better treatment consult the best psychiatric in your area. Exact cause of fibromygia flare is not known, Following are the factors that causes fibromylagia Polygenetic factor, Genetic predisposition, overctivity of Sympathetic nervous system, disturbance in dopamine and serotonin pathways in brain Sleep irregularity and disturbance, Excessive stress, depression & anxiety Doctor will give you following advice Life style changes,do exercise like Play mind games and walking and swimming, Acupuncture therapy, Regular yoga Relaxation therapy: whole body massage and breathing technique in fresh air, bath in salted water, maintain weight according to normal BMI Take healthy diet rich in protein and vitamin and mineral supplements like Green leafy vegetables, milk, meat, chicken that high in magnesium Diet rich in omega three fatty acid like egg, salmon fish, flaxseed oil Drug therapy: savella, Tramadol and duloxentine Cognitive behavioral therapy: active therapy that find the defect in cognitive function, avoid negative self talk and behavior, Spends more time with family and friends, be creative and learn new things, enjoy your hobby. Hope this will help you thanks and Best regards Dr. Sagar