This was a post on the old TMSwiki forum that really struck me especially this what Forest said: "I've been wondering about how fear of future pain can worsen TMS, leading to a vicious cycle recently. It seems like a mindfulness approach of acknowledging the fear and allowing yourself to feel it before letting it go may work better. This approach is often discussed among meditators, and managing fear like this is really quite close to what is done in meditation with managing intrusive thoughts. For anyone who wants to read more about it, I can recommend "8 Minute Meditation" as a very quick read and easy to digest intro." I bought the book 8 minute meditation and I love it extremely easy to read, the guy is really down to earth, and is the first time I've actually started doing meditation because I understood what it was about. I read a book called "Natural Pain Relief" by Shinzen Young and it was just too difficult for me to understand. Anyhow there is one central theme here to mindfulness, meditation, and that book I talk about Dissolving Pain that I'm reading. They all tell you not to fight feelings of fear, pain, negativity, etc but to feel them fully and let them pass on their own. As you said Forest "acknowledging the fear and allowing yourself to feel it before letting go" seems to be the key to these methods. The Dissolving Pain book refers to it like this: "One of the reasons we are so attached to narrow-objective focus is that it successfully represses the pain, at least in the short run. And we would keep directing our attention away from our pain if it didn't eventually surface into conscious awareness. Sometimes however the pain is more stubborn and our resistance to it is greater. At this point, we need to do the opposite of what our instincts usually tell us to do. In response to pain, our habit is to distance ourselves from the pain and to fight it, thinking that if we don't resist the pain it will intensify. But over the long term, exactly the reverse is true. We exacerbate the pain by narrow-focusing away from it or otherwise trying to resist it, consciously or unconsciously. After we open our attention into a diffuse awareness, we need to learn to move toward the pain, allowing it to melt into broadened awareness, and so let it dissolve." Pretty much the same concept as the meditation just a different method of doing it. All of the reading I've done says this "A cranked up nervous system that is on full alert due to stress, fear, anxiety, and other negative emotions makes you hypersensitive to pain." I dont know about you guys but I think the main driving force behind my pain is the fear of it which I believe heightens my arousal and sensitivity to pain and creates a viscous circle. Doing journaling Im becoming more aware of how much stuff I actually fear and its pretty surprising. As Brady said in his book, I'm in the "fear prone personality" where I think the worst of situations, try to calculate the future and prevent things from happening that might cause me more pain, worry way too much about nothing, etc.