In response to a TMS question about recovery, part of Dr. Schubiner's response is one's "ability to recognize the process as TMS and to clearly understand that there is no physical reason why they cannot get better". My question is, how do we know whether our symptom is TMS and not a physical issue. In my case, I have tinnitus (which Sarno lists as a TMS symptom), and I have been checked out by doctors and nothing was wrong with me (except normal hearing loss which most people my age (51) have). The problem is, I can never know for sure if I have TMS and not some structural problem. I can never fully "clearly understand there is no physical reason why cannot get better". Therefore am I doomed to fail this program? This program seems very much hinged on whether a person can accept that their symptom is not a result of a structural problem, but how can we ever know for sure?