I recently moved from TX to MI. As a result of the move, I've had to switch doctors (including pain specialist, rheumatologist, eye doctor - for secondary autoimmune diseases). The pain specialist here requires all people to have at least one appointment with a local psychologist who does pain management techniques. I had my appointment with him and one of the things he recommended was going through Dr. Schubiner's program on TMS. I'm game for trying anything that will help. I've done a cursory glance about what is out there on TMS and something I keep seeing is that TMS may not work with people with specific medical conditions since there is a known physical reason associated with tissue destruction. The specific conditions that I've seen referred to in many places are cancer, stroke, heart disease, diabetes, lupus or rheumatoid arthritis. I had my first rheumatoid arthritis issue in 2004 when I developed a very rare pregnancy complication. I had my first major RA flare in 2006. In 2006 I was diagnosed with pan-rheumatoid arthritis and Raynaud's syndrome. I continued to deteriorate but because my blood work was negative, they knew it was something autoimmune given my symptoms but they didn't know what it was. I was finally diagnosed in April 2011 with rheumatoid arthritis. It is definitive. There is no denying it because I test blood positive now. In addition, I do have secondary Raynaud's and secondary Sjogren's as rheumatoid arthritis complications. I do qualify as having a disability and I do get some good parking to go along with it. The meds that I'm on for my RA (and secondary conditions) are meloxicam (anti-inflammatory), procardia (for the raynauds), prescription mouthwash (due to the sjogrens - I also had tear duct plugs installed for the sjogrens), flexeral (muscle spasms), plaquenil (an anti-malaria medication that mimics steroids to help suppress the immune system to lower inflammation that mimics steroids without the long-term side effects associated with long-term steroid use), Enbrel (a biological agent that suppresses the immune system and is the main medication used to slow down the progression of the rheumatoid arthritis - I still get the swelling and inflammation daily but this slows down the destructive nature of rheumatoid arthritis), Butrans (a patch to help with the pain), and Norco to help with breakthrough pain (I take 1-4 a day, most notably in the morning when the RA stiffness is at its worst, at night when all my joints are swollen just from getting through the day, and other times needed (e.g. I have a lot of breakthrough pain during rainy times and living in MI isn't helping with that. My concern is that a lot of the things I've seen say that TMS is not effective for things like RA. Is there still benefit in a TMS program for people who do have a disease with known tissue destruction?