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Derek S. Help with TMS diagnosis

Discussion in 'Ask a TMS Therapist' started by Emile54, Nov 1, 2014.

  1. Emile54

    Emile54 New Member

    This question was submitted via our Ask a TMS Therapist program. To submit your question, click here.

    Question
    I am 99% sure that my back pain is TMS. Since reading the books on TMS a couple of years ago, I have had much better results than with anything tried by my PCP, chiropractor or back clinic w/ PT's. After my latest flare up, I contacted a listed TMS Physician, thinking his diagnosis would help eliminate any structural diagnosis uncertainty. They recommended that I first go see a PCP, get an X ray and/MRI and then follow their given protocol. If I was not helped by their protocol, they could then assume it is TMS, and I was then to call back and possibly schedule a TMS appt. They called this approach diagnosis by exclusion. This answer confused me and I am wondering if you had any thoughts/advice on this approach. I am currently doing the 30 day structured program since this happened. Things are improving!!
     
  2. Derek Sapico MFT

    Derek Sapico MFT TMS Therapist

    Answer
    Hi Emile,

    Thank you for submitting this important question.

    It brings up a very salient issue regarding the importance of a TMS diagnosis in recovery.

    A diagnosis by exclusion is the method that some TMS physicians will use to determine the causality of your symptoms. There are some physicians who will actually perform a TMS diagnosis by applying pressure to certain areas of your body assessing for tenderness, though not all TMS physicians will utilize this approach.

    It is always a good idea to see your PCP to get X-rays and imaging tests to rule out any significant structural issues. This should always be done to ensure that you are not under-treating something serious or dangerous. If they can't find anything significant in the standard diagnostic tests, then you schedule an appointment with a TMS physician and you have your diagnosis by exclusion.

    In your case, it appears that utilizing the principles of TMS recovery have already given you significant symptom reduction. I would continue to operate from this mindset. Since you've already been through treatment by your PCP, PT, and back clinic, I would imagine that major structural issues have already been ruled out. If this is the case, going through all of the diagnostic tests again seems like overkill. Even with a diagnosis by exclusion, there may still be some lingering doubt. Ultimately, the belief must be your own.

    As you stated, you're 99% there.

    Keep working on the remaining 1% and you will get there.

    -Derek


    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.

     
  3. Walt Oleksy

    Walt Oleksy Beloved Grand Eagle

    I believed about 90 percent that my back pain was from TMS but withheld about 10 percent that it was structural.
    It took a while but I finally believed 100 percent in TMS and did some more journaling and forgiving those whom I blamed
    for childhood anger, and I healed. But it does take total TMS belief, as Steve Ozanich and others have said.
     

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