Adam Coloretti (coach)
Well known member
Thank you @Adam Coloretti (coach) for your in-depth reply. I saw your post last night in the midst of my insomnia and pain. It immediately made me cry-but in a good way.
You're welcome! I really think that this could be a turning point and a breakthrough for you
Instead, I popped an ibuprofen and the pain went away in 5 mins which is impossible for it to work that fast. That was the last time I was ever concerned with back pain again.
This is instructive because what's happened here is that you've had an experience which has (by itself) logically eviscerated your doubt in the TMS diagnosis (at least with your back). This can sometimes happen (and is the reason for book cures), in that an event (whether in the past reflecting on it or in the present) makes no sense at all to you other than it must be TMS. In most cases, however, this doesn't happen and belief in the TMS diagnosis is something that needs to be tactically fostered over time (it certainly was for me and I didn't have a big moment like that). You may have subconsciously been expecting this same process to take place with the stomach symptoms, but as I said this is rare and I would say 95%+ of the time it is a more deliberate process (building belief).
I'm actually working with someone on an eerily similar trajectory. He had an "aha" moment (jumping in the pool with no pain) that served to completely wipe out his doubt as to whether or not his back pain is TMS (and surprise surprise due to this belief, it's now completely gone). He hasn't yet had that moment, however, with his pelvic pain, so we have worked on really emphasising his evidence list and drilling that in in order to give him confidence to move forward (that event may happen, it may not, but there's no need to wait for it). I think it's starting to click, as this week he's started to bend a lot more naturally (he's been getting on his knees to do tasks on the floor, avoiding bending altogether at the beginning) with the same pain levels as when he was avoiding doing it. That's huge progress as not only is he getting the natural movement back (which is important to send the message to the brain that nothing is wrong), but now he has clear evidence that it's really got nothing to do with the bending (as if it did, then it wouldn't hurt equally as much if he bended vs if he didn't - it's a redundant non-factor now) and therefore that's even more proof that it isn't structural. This also allows him to focus more on the psychological as an explanation for his symptoms, and he's also sent through some interesting insights and new potential links between his emotions and pain (it's a much easier thing to see once you stop obsessing over your movements/body).
My original IBS TMS evidence was this:
- Doctors literally couldn't find anything wrong after multiple blood tests, 3 CT scans, endoscopy, and colonoscopy. Any elimination diets didn’t help long term and made me feel much smaller and helpless. The gastro doctor told me there is nothing more he could do for me except give me some prescriptions and I will have a follow up colonoscopy in 3 years.
- Sensations move around the abdomen in location and intensity.
- Sensations can be symmetrical which is really weird for abdominal pain. Usually you have one location that hurts-not pain that can mirror each other.
- When I was at Top Golf, I got an imperative symptom and my original IBS sensations went away for a bit! It was so amazing to witness the change in symptoms even though the pain was not reduced.
- My symptom imperatives took turns with the IBS symptoms. For example, if I had nerve pain, then I didn’t have IBS pain. If I had bad insomnia, then I didn’t have back pain. They took turns with each other-never at the same time.
Personally, and it doesn't really matter what I think as it needs to resonate with you, but this is very very strong TMS evidence to me. You sound like you've had every test imaginable, I agree that symptoms moving around (both in location and intensity) and being symmetrical is great evidence, and it being involved in the symptom imperative process wouldn't make a whole lot of sense (it would be one hell of a coincidence) if there were truly something wrong (the brain wouldn't risk turning it off if there were truly something terribly wrong, just because there's another symptom to give attention to, your brain is smarter than that).
But I think that is why I’m heavily leaning on the fear-pain-medication cycle instead.
I do think, at least objectively speaking (obviously what matters is how you feel), the evidence you have is strong enough to combat this cycle.
I went back to my old posts here just to see and my overall theme is complete fear of the IBS symptoms and wanting to desperately be off medication but everytime I try, I make the symptoms feel worse. (maybe that can go on my IBS/TMS evidence list?)
Yes and this makes sense taking into account your doubt in the TMS diagnosis. Naturally if you come off of the medication and symptoms flare, if you have significant doubt then that's going to say "well of course once we came off the medication the symptoms went up, that's proof that there's something wrong with us, so back to the medication we go". Ironically, however, assuming this is TMS it's a self-fulfilling prophecy, because the reason it flares once you come off the medication is the fear/panic itself, which is driven by the lingering fear there is something wrong (which makes complete sense mind you, this is a logical reaction on the basis that something is wrong - because if you think there's something wrong then you think the medication is necessary to treat it - so of course if you come off the medication and it flares that's a sign that you needed the medication - anyone would have the exact same reaction if they had doubt in the TMS diagnosis). It all comes back to the false belief (assuming TMS) in a structural issue (the underlying basis). Your reactions and behaviours make complete sense based on the underlying basis (and would be universal) - it's just that basis is false. That's why it is difficult to see people judge themselves in the recovery process - it's not really an effort or a perseverance game at heart (it is in a way), it's more down to correct knowledge and in turn belief/tactical action based off of that knowledge. Without TMS knowledge, coming off the medication causing a flare confirms in one's mind a structural problem, but with it, it makes complete sense from a TMS perspective and serves as further proof of it (the fear and panic driven by the doubt in turn drives the uptick in symptoms).
Not going to lie-that made me very sad to see this fear hang on since 2024 with some brief respites.
I get what you mean, but don't be too sad because I'm pretty confident it's your way out! You have to recognise the issue to fix it, so this is big process in and of itself. Also, it makes complete sense that if a big piece of evidence served to obliterate doubt for another symptom (your back), then part of you (even subconsciously) would be waiting for that to happen with your IBS symptoms. It makes sense and it's logical, but we don't need to wait
This kind of goes back to my “now what” post.
Journalling and the emotional side of things is always great (and I advocated for it above in terms of it helping to lower, even slightly, the meaning that we give to the pain - it's great anyway irrespective of pain), but please don't lose sight of the basics around belief. What I would do is rewrite it if you need to but really drill down on your evidence list. I had it on my desk I would say for 6 months (starting from when I just started TMS recovery mind you - I don't want you to think this will necessarily take 6 months) and often carried it around with me (certainly when I travelled). I looked at it every day, multiple times a day and I would have read it hundreds of times. I added to it when I could too (as your belief grows, improvement will happen as a result and that will provide you with more evidence - which in turn leads to greater belief - it's like a snowball rolling downhill). I basically did this until I was that sold on the evidence that I didn't need to anymore. I would suggest it be the first thing you look at when you wake up and the last thing you see before you go to sleep (it sounds intense, but I think it's ideal). That's what I have recommended for the guy I talked about above, and he's even (not my idea but a great idea) recorded it (him reading his evidence list) so that he can listen to it continuously.
Let me know what you think but I'm excited for you based on this chat