This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question In the absence of access to a TMS physician, how can one be reasonably assured that symptoms are in fact psychosomatic? I feel very confident that none of the physicians in my area would even be aware of TMS. I've been to countless doctors and heard all the go-to explanations for my back and lower leg/foot pain: disc bulge, arthritis, short leg, spinal misalignment, pelvic obliquity, muscle imbalances, poor posture, improper gait mechanics and more. Meanwhile my pain does not behave in a manner consistent with ANY structural diagnosis. It appears directly tied to my mood and my expectations. I also have most of the risk factors for developing TMS. It seems exceedingly likely to me that my pain is psychosomatic, but doubt is a powerful thing to overcome.