I had success with Dr. Sarno's approach in 2006. I challenged the belief that pain = physical damage, I got active again, and the pain diminished. For the past 10 years or so, the pain has been back, and it's been getting worse in recent years. I am absolutely certain it's not caused by physical damage and that activity isn't dangerous. I fear the pain itself - because it's so unpleasant and interferes with my enjoyment of things. I'm trying not to restrict activity (unless it's excruciating) - but I often end up toughing it out and hating the experience. I had posted about this a few years back and based on the responses I got, this is common. I know I need to learn the mental skill of noticing what's happening with curiosity (instead of "oh no, this is terrible") ... I am practicing that but can't seem to shift into that frame of mind. My question is, has anyone else in this situation benefited from a medication like Lyrica or possibly an antidepressant? The reason I'm looking into it is that this approach acknowledges that the pain is coming from the brain - not some structural issue in the body. I am wondering if it could give me an extra boost in breaking the pain-fear cycle - the same way that medication can give someone an extra bit of help, in addition to therapy, in managing a mental illness.