I'll be as brief as I can. I've had TMS for 15 years: pelvic pain, stomach pain, nerve burning, back pain, chest pain, you name it. But...in 2008, I had a very real brain aneurysm, and was saved via surgery. I was fine both cognitively and emotionally immediately after the surgery, but emotionally I was a mess. Starting about six months after the surgery, my primary symptom came on: a constant "brain fog" where I felt a little drunk every day. It got worse when I was under stress or talking to large groups, and we eventually realized it was PTSD. One day, I was prescribed Ativan, took one pill, and it disappeared for hours. Eventually, it went away for good, but it purely an anxiety symptom. Two weeks ago, I crashed hard on my mountain bike and suffered a grade 2 concussion. Prior to the crash, I'd been dealing with weeks of terrible stomach paid TMS, and that pain disappeared the MOMENT I crashed. A trip to the ER revealed no cognitive deficit, but they suspected a grade 2 concussion. A few days later, with NO other concussion symptoms, the brain fog comes back. And it's been here every moment for the past two weeks. But EVERY OTHER TMS SYMPTOM I deal with -- tight chest, pelvic pain, gastro pain-- has disappeared. But every day I feel like I'm drunk, and looking at life through a slightly dirty window. My brain is fine and I can do my work, but it doesn't feel EASY. Everything is a struggle. If I were a normal person, I'd just say "it's a post-concussion symptom" and will go away with time. But I'm not and I accept that. I have TMS, and this could be TMS. And it matters: if I think it's a concussion and it's really TMS, I may rest for a bunch more weeks, miss out on a lot of life, get more depressed and anxious, and think this is how I will be for the rest of my life. But if I think it's TMS and it's really my brain, if I return to physical activity I could crash again and hurt myself badly. I just have a hard time believing if it was a concussion symptom that 1) I wouldn't have at least one OTHER concussion symptom, like memory loss or headaches or nausea, and 2) that all of my TMS symptoms would have disappeared the moment I hit my head if this symptom wasn't also TMS. I'd love any feedback or words of wisdom you might have.