I have been coming around to the idea of my pain being TMS for about 6 weeks now. I really do believe it to be true, but I still find myself letting the doubt creep back in - I think because I have never had it diagnosed or seen a TMS therapist or spoken with anyone else with TMS. My pain started about 5 months ago with a severe muscle spasm by my left shoulder blade. There was no physical trauma, but I had been going through intense emotional trauma. My brother died of a heroin overdose 6 months prior to the onset of pain. The week before the pain, my anxiety levels were through the roof and I had several panic attacks. When the initial spasm went away, I was left with intense burning trigger point pain and a really stiff, tight neck. I went to a spine specialist who did an MRI of my spine and said I had minor wear, but that it was not related to my pain. He did however describe it as myofascial pain that I had developed. I tried everything to get rid of it - you name it, I tried it. Nothing even came close to making it better. Mornings are always a bit better for me, but as the day goes on the pain ramps up. Nighttime had been unbearable for the last four months, but I recently was put on Cymbalta when I had a nervous breakdown. It seems to take the edge off the pain, but I don’t want to be on antidepressants (more on that later). Around the time I was put on the Cymbalta was around the time I really began to consider TMS as my diagnosis. The difficult thing is that since the Cymbalta numbs my pain a bit, it’s hard to know if I’m making progress, in turn I don’t get that much needed evidence that I’m on the right track with the TMS diagnosis. Any insight into if my story and onset of pain lines up with TMS would be greatly, greatly appreciated!