My mom is now 77 and continues to be extremely sedentary, still suffering from generalized fibromyalgia-type pain, and her lifestyle has not really changed since the last time I wrote about her. She continues to be prescribed tramadol for her pain issues, which she claims doesn't help. She claims no pain medication of any kind helps her. She refuses to do any walking or even gentle standing exercises until she achieves her holy grail, which is a knee replacement, as she blames her bad knee for all her mobility issues. (She had other knee replaced 10 years ago, but she is NOT in the same physical condition she was then and I am afraid she will do poorly with the physical therapy this time.) I think she has much more of a systemic mobility breakdown due to the sedentary habit. I think she needs to be treated for anxiety and depression, and also have a physical therapist come to the house to assist her with a mobility plan, but I don't think her doctor has ever discussed this with her at all. (It doesn't help that she considers it insulting that anyone would want her to talk to a "shrink" and won't consider it.) I want to know the best way to have some kind of conversation with her doctor about my concerns. Is that even possible?