I see there is another night time symptom post, too. This has been my greatest hurdle and recently worse. I so hate bedtime. I fall asleep easily, but wake up repeatedly with lots of pelvic muscle tension that causes pain and makes me feel like I have to go to the bathroom. I almost always feel like I have to go to the bathroom on some level. I've seen several therapist, including a TMS one. I've done four sessions of hypnotherapy so far with someone I travel a little bit to get to because of a good reputation he has. I've been practicing outcome Independence pretty hard core for at least a year. I'm so tempted to go back for pelvic floor therapy, which I have not done for over a year. However, I feel like that's not really the answer here. I have had good and bad days and I suppose the good days have kept me sane. I admit I am sometimes a little terrified of returning to the place where I was mentally when my symptoms were just unbearable. I know fear drives a lot of this. Today just seems hard as my symptoms are kind of miserable, but here I am on my way to work. I'm trying to do what dr. Hanscom wrote about and not obsess so much over symptoms and improving from symptoms and getting on with life. It seems like my brain keeps trying to find ways to screw with me. I'm wondering if anyone else has overcome the night time tension and insomnia issue. I'm thinking of trying another therapist again. Maybe I have an issue I could work on. Hope this isn't in vain and due to the fact I'm just a really anxious person.