This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question How to approach TMS-related problems that arise in your sleep? I am taking the liberty to take bits and pieces of my story that can be found around the forum. I will just focus on the question that I feel is hindering my progress by completly freezing me. I am stuck. What bothers me is TMJ (temporomandibular joint problems)/CMD(cranio muscular dysfunction). I can't get rid of it. My doctor says it's to be expected, after having a traumatic accident and being hit in the jaw. It wasn't broken, though according to the CT and x-rays, just badly sprained with swelling and such. It's becoming unbearable. I cannot sleep, I wake in extreme pain in my jaw joint, my muscles and my teeth. My ears hurt, even, after waking up - from the strain because my jaw muscles are tense all throughout the night. And now my jaw is acting out like never before - minus directly after the accident. But back then, I was on pain meds so... I refuse to take pain meds right now. I don't know what else to do. I struggle to find relief because most of the grinding and clenching happens at night. I feel like I have no control whatsoever over it. And I can't "face my demons" and throw myself into the activity (which, I believe, Dr. Sarno reccommends to unlearn your conditioned fear and pain response) because I am not aware of when it happens! It's like my mind and body decide to let it all out when I am asleep. Makes it much harder to actively arm myself for battle. I can't fight a ghost that only appears at night... I recognize TMS: I am afraid of going to bed because I know I am going to do bruxism/teeth grinding and will wake up in extreme pain. I wake up throughout the night, as well, in pain. I feel so sore and tired after waking up. I haven't gotten a good night's rest in about two weeks. I feel adrenaline shooting up in my body when I am lying in bed, trying to sleep. Thoughts plop into my head "it'll be terrible tomorrow" or "how are you going to function properly if you can't sleep?" or "you are going to do some serious damage to yourself tonight" ... I just don't really know how to work from here. I would love to throw myself into the activity that causes my pain. I just don't know how to do that if it works mostly when I sleep. I wake up tense and sore and in pain. How can I re-programme my brain if I am not in control of it during those periods? What would you recommend?