Hi. I've suffered from bouts of different types of tms for years. The most challenging is when I put out my back and am incapacitated for several days. That's what's happening now. I bent over while on vacation several days ago and felt those two classic zaps of electricity in my back and then the muscles starting to spasm . But it could easily have happened sitting down doing nothing. It got better and then worse and for the last couple of days I've been laid up in bed only getting up to go to the bathroom but with great difficulty. today I started getting a new symptom which I've never had which is severe pain in my hip and down my leg. Even the strongest painkillers only make a slight dent if at all. It's so depressing to be here again since I've worked on my tms for years including with tms therapists. It all helps but I still get these Debilitating episodes. I've also been struggling with What seems to be menopause triggered anxiety The last few months . I've even started taking Zoloft which I never had before. I would have thought that it would help my TMS but apparently not. The doctor wants to switch me to an SNRI. I read that Cymbalta is prescribed for fibromyalgia ( which Sarno says is basically just bad TMS) But the doc thought that effexor might be a better choice.I'm not sure if he's putting the pain/TMS in the same category as anxiety or not but I look at all of it as one big anxiety disorder.. Has anyone tried an anti depressant for their tms and is there one considered more effective than another? Though I know these meds are very individual. Anyhow, was just looking for some general support from other like-minded people who suffer from similar things. All sympathy/empathy welcome .