Hi Everbody, I'm new to the forum. I'm having some problems with the TMS approach and wonder if anyone else out there has run into the same problems. I have quite a few chronic "physical" ailments. My main concern at the moment is an RSI like syndrome in my wrists. I've had issues for twelve years with one of my wrists and six months ago the other wrist acted up. It's gotten so bad, that I'm no longer able to work and am on disability. For years I have known these issues are psychosomatic. I've been to many specialists (hand, ortho, rheumatologist, neurologist,vascular surgeon, acupuncture, chinese medicine...) and undergone every imaginable test, and they have never found anything physically wrong. So I have no doubt in my mind about the TMS diagnosis. I've also been (and am currently) going to psychotherapy for many years. Recently I began seeing a second psychotherapist who specializes in mindbody medicine.I meditate on a daily basis, and regularly journal. I'm well aware of what psychological issues/traumas I've had in the past. I repressed feelings in the past (twenty plus years ago), but not anymore. I've dealt with the issues from my youth, but my body doesn't seem to change along with my conscious mind. Consciously I have don't have any conflicts and the only fear/frustrations I consciously have are about my "physical" problems. What typically happens is this - I "overuse" a part of my body, then I develop a chronic pain/issue there, and have a VERY difficult time getting rid of it. Part of me identifies with the classic TMS personality, but it doesn't really fit me to a tee. I'm not a perfectionist or over-achiever. I did have some goodism in my youth, but again this was twenty plus years ago. Also, though I have some pains, the aspect that is most debilitating w/regards to my wrists is a weakness/paralysis that develops when I use my hands. Also, I don't have random flare ups where I can stop and think about why my hands/wrists have begun to get weak/painful. It's always there, 24-7. The symptoms get worse after activity, get just a little better (but never come close to fully healing) with rest. Here's a list of some of the books I've read on the topic - Sarno - Mindbody Prescription & Divided Mind Schubiner - Unlearn Your Pain Brady - Pain Free For Life Fehmi - The Open Focus Brain Kabat-Zinn - Wherever You Go There You Are So I have two questions - 1. Has anyone else gone through all the steps but not seen any improvement / gotten stuck, but then found a breakthrough? If so, what was the breakthrough? 2. Does anyone out there have an issue that has to do with weakness/paralysis and cold hands/feet (rather than pain)? If so, how do/did you deal with it? I really don't know what else to do. If anyone has any suggestions it would be greatly appreciated. Thanks.P.S. I recently had a breakthrough for about 8 or 9 days where my hands felt strong and warm, but it seems to have worn off.