Answer
Thanks for the question. There are a couple of things that stand out right away, and they are pretty important.
1. You’re pretty sure it’s TMS. I’m glad you’ve done some work to get you to the point of being pretty sure, but we need you to be 100% confident. Not just pretty sure. When a doctor is about to operate on your broken arm, you want to make sure that it’s broken, so that the surgery the doctor is about to do is exactly what you need. Similarly, you want to make sure that your pain is 100% TMS and that treating it from a TMS perspective is exactly what you need. Go see a TMS doctor (or another doctor that can help you eliminate structural causes) and read some of the suggested books if necessary.
2. Change your perspective when it comes to treating your pain using TMS knowledge. Your goal is not to get rid of the pain – your goal is to change the way you respond to it. I know that sounds backwards and that’s hard for a lot of people to be okay with, but it’s true. You say the pain gets excruciatingly bad at certain moments, but it doesn’t sound like it lasts long. When it shows up, notice it, do whatever you need to do in that moment (sit down, focus on your breathing), but don’t let yourself get scared. You know that the pain will pass and it won’t be around for long, so don’t even let yourself dwell on thoughts about how to fix the pain.
Think of this pain as washing the dishes. Nobody likes washing the dishes, but it has to be done. Because it has to be done, you might as well do what you can to enjoy it in the moment. When you do the dishes (whether that’s loading them in the dishwasher or by hand), you don’t stand there thinking “I hate doing this, it’s awful, and I can’t wait for it to go away.” Instead you tell yourself that it’s just something that’s going to happen and you do what you can to minimize how boring it can be (I play music and air-guitar when I’m doing the dishes).
3. Lastly, take some pressure off of yourself. Even from your question it seems like you’re the kind of guy who is pretty empathetic and puts pressure on himself to act a certain way (you apologize for the long story, when it was a short story!). Take some of that pressure off of yourself – act more like a kid sometimes (do what you want, when you want). It’s fun, and it balances out the adult part of us that says that we have to follow rules and be responsible (read: boring).
Keep up the good work, and have faith that you can and will reach a point where your pain has much less of an effect on you.
Any advice or information provided here does not and is not intended to be and should not be taken to constitute specific professional or psychological advice given to any group or individual. This general advice is provided with the guidance that any person who believes that they may be suffering from any medical, psychological, or mindbody condition should seek professional advice from a qualified, registered/licensed physician and/or psychotherapist who has the opportunity to meet with the patient, take a history, possibly examine the patient, review medical and/or mental health records, and provide specific advice and/or treatment based on their experience diagnosing and treating that condition or range of conditions. No general advice provided here should be taken to replace or in any way contradict advice provided by a qualified, registered/licensed physician and/or psychotherapist who has the opportunity to meet with the patient, take a history, possibly examine the patient, review medical and/or mental health records, and provide specific advice and/or treatment based on their experience diagnosing and treating that condition or range of conditions.
The general advice and information provided in this format is for informational purposes only and cannot serve as a way to screen for, identify, or diagnose depression, anxiety, or other psychological conditions. If you feel you may be suffering from any of these conditions please contact a licensed mental health practitioner for an in-person consultation.
Questions may be edited for brevity and/or readability.