My TMS pain increased so much over the winter that I had to put my Jazz band banjo playing on hold.The band has a weekly 4 hour job, which is quite demanding. I was just in too much fear of the pain. After working through Alan Gordons most helpful and informative TMS Recovery Program, I regained my lost self confidence by practicing Outcome Independence and Breaking the Pain Circle. Thank you Alan. It gave me the confidence to start playing again. To break the Pain Cycle, I mostly use the Buddhist monks analogy: "a thought is like a train pulling into the station. You can either jump on board or can watch it passing you by." Whenever fear thoughts come up and there are plenty, I visualize the train leaving without me, just watching the back lights disappear in the distance. The worst thoughts come mostly at night, when trying to fall asleep. I also force myself to think more psychological and get in touch with my emotions and anger in my daily life. Even during my performance on the bandstand, which is quite enjoyable, I notice emotions of anger mostly generated by my own playing and my feelings of not being good enough. I ensure myself frequently that this feeling is totally OK and nothing to be ashamed of. This all worked for me quite well for a number of weeks until the pain intensity markedly increased. I was prepared for this "extinction burst". However, I did not really expect such severity and diminishing effects on my self confidence. I still keep up the playing, daily walking and shopping, but for all the other things I had planed, I lost the confidence to actually do them. I am quite determined to work through this and hope that my subconscious mind will get the message and that it is less determined than my conscious mind . I would be pleased to hear how others have dealt with similar conditions.