Instead of increasing tramadol or pain meds due to tolerance, the problem is more of how to cope with the bad moods and ups and downs rather than pain?

Pain psychologist: To treat chronic pain effectively, you must address its physical, emotional and psychological aspects. Although chronic pain is not a psychological disorder, psychotherapy can be helpful as an adjunct to pharmacological treatment to deal with any accompanying emotional disturbance. See a pain psychologist for cognitive behaivor therapy.