This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Help, I'm losing hope. It's been a year since I had a lumbar and then pelvic MRI and I am back to square one after improving maybe 60% in the spring and summer. The thought that keeps replaying in my mind is that all the negative thoughts and fear that I still experience may have manifested some real physical problem that could cause pain (like cancer or a colon disease) and I should go have tests done again. I went to a neurologist in Sept. who did an x-ray and recommended PT and a pain clinic. I went to 4 PT appts and the pain is so much worse. I wear one of those heat patches to work to help me through the day and now that is not helping (my brain is getting what it wants right?) I am going to a Jungian psychotherapist, journaling, obsessively reading mind-body books, reading tms pain forums for inspiration (I have printed up posts all over my house) and am not getting even remotely better. The pain doesn't move around much from my buttock/sacrum area and I'm having a hard time sitting/walking for long. Am I conditioned to have increased symptoms because it's Nov and I was a wreck last fall? If I do go and have tests done will I be worse off because I'm doing something physical or will I have a renewed sense that this is definitely TMS?