my cousin takes luvox for OCD...

why wont your doc prescribe it? its an SSRI and they are like the first drug they prescribe for depression...
there are lots of antidepressants to choose from though, have you asked your doc for a referal to a psychiatrist ?

are you on pain management?
Depression and Chronic Pain: Causes and Treatments

i cant recall any reason why they wouldn't prescribe an antidepressant while on pain management... or taking pain meds... atleast the SSRI class?