Hi guys, I'm new to this forum and TMS in general and was hoping for some kind advice from people with more experience in this field. I apologise in advance for the length (nobody likes long rambling posts I'm sure!), but please take a minute to see if anything resonates with you. A little history... I'm now 38. From around when I was 20 I started to get major anxiety and panic attacks along with depression. I'm not sure exactly what started it, but I have always thought it was down to drug use (mainly ecstasy) in my youth. I wasn't a major user as i was afraid of taking whole tablets and i found towards the end of my use that i was no longer getting the "highs" but panic attacks instead. For a few years i didn't know what was wrong; I would see my GP for various things I thought were wrong with me, like dizziness (I was prescribed Serc-8) and stomach complaints (an endoscopy was done). Nothing was found wrong.... In the end I came across the idea that it might be all anxiety related and spoke to my GP again. I ended up on Zoloft (anti-depressant) and having sessions with a counselor. I seemed to be better for a while and stopped the AD's, although about a year later I had a "relapse" of anxiety/depression and was out onto Effexor XR, which i remain on to this day. The anxiety lasted probably a few months, then I became much improved.. there have been a few blips almost every year lasting around a week. Ive had a kind of backache for as long as i can remember. It was never a MAJOR issue and i brushed it off as bad posture and sitting for too long. In 2011 I woke up one morning with a numb left index finger tip. I saw my GP who said it was nothing and would be better in a week. No improvement, so i went back and was referred to a Neurosurgeon and had an MRI. It turned out that i had a C6-7 herniation. The numbness gradually left after a few months and I thought that was the end of it. I ve also had a few other medical things going on... I had an operation to remove a cyst on my lower back a few years ago, and Septoplasty on my nose due to years of having sinus complaints. Now to more recent events... In November 2012 I woke up one morning (after having a Massage the night before) with really bad back pain. It was around the Latissimus and Rhomboid areas and felt like a bad strain. It wasn't nice but i wasn't yet overly worried about it and over the course of a month it had gotten much better. Then one night in December my wife phoned to day she would be coming back late from work (she usually finishes as 9pm) and i was really irritated lying in bed. I started to fidget with my neck, trying to get comfortable. When i woke up the next morning, the pain was back to its initial levels from November. I was also getting tingling in my fingers and a feeling of ants crawling under my skin in the left side. I got worried and spoke to my GP. He made my anxiety sky rocket when he said it was probably the Nerve in my neck again. I went to see a Neurosurgeon privately as the wait on the NHS was too long to handle. He initially said the same thing prior to a new MRI, then changed his opinion a bit after the MRI. He said that some symptoms could be explained by the disc, but some of the other back pain doesn't match with it. Myofascial pain was mentioned. By this point I was an absolute nervous wreck - severe anxiety and desperate for help. I just wanted to be better again, both physically and mentally. The pain took about 7 months to start to calm down, but keeps flaring up. It might get better for a few weeks to a month, then worse again. I have been suffering from anxiety since it started and have noticed that when one gets better, so does the other. The problem is that either one can set off the other. If I start to feel a bit of pain again, I get anxious that its coming back again and is a permanent thing, which makes me more tense. The Pain Specialist i have seen on the NHS has not been clear in a diagnosis. She initially said "Myofascial pain", but in our final session she said my diagnosis was "Chronic Pain". Genius! Her reasoning is that the pain was from the Neck Herniation and that has since healed, but there is a "Pain memory" in the area. What Ive Tried... Ive tried Chiropractors and Osteopaths which offered limited temporary help. Ive taken a Mindfulness course which I didn't really absorb much from due to my anxious mind at the time. Ive had CBT which was helpful to a degree. Ive had Physiotherapy which i dont think has done much other than make me more aware of my posture. Ive been on a pain management course (a group course) which was informative but not much else. Medications: Loxoprofen - taken twice daily (like ibuprofen), Tolperisone - taken most evenings (muscle relaxant - this one works quite well), Xanax - not regularly (works ok, but i dont like strong medications), Pregabalin - twice a day (anti epileptic and off label anti anxiety. Really dont like this one, but it was the one most advised but my GP and the Pain Specialist) Effexor XR - anti depressant. The Symptoms.... Its has been all left sided, although it seems to wander around the upper half mainly. Sometimes in my scalenes, then other times across the top of the shoulder, sometimes in my arm or at the back of the shoulder. It has even gone down to my middle and lower back on occasions and down my left hamstring very occasionally. As far as I am aware most of these areas are not related to the C6-7 nerve. Its also intermittent... there are periods of very little noticeable pain. One of the most irritating and unpleasant current complaints are what can best be described as morning "Myoclonic Jerks". I often awaken to these jolts first thing in the morning. If i stay in bed they continue and cause me a lot of distress and adrenaline. Once i get up, they seem to stop. Again, they are not consistent every morning but in patches. Ive mentioned them to my GP though he pretty much ignored my concerns about them. They're either due to anxiety, due to a medication (maybe Pregabalin) or due to some problem with the muscles/knots. I have no idea and no one seems to have answers. I cant understate how unpleasant they are to experience. My Thoughts.... My Problem is this... Ive not had a clear cut diagnosis, and what little I have been told Im skeptical of. My thoughts keep coming back to this and I get anxious about what the actual problem is. This starts a loop of anxiety causing pain causing further anxiety. I don't know which one comes first... the pain or the anxiety. This is why I have started to look at TMS as a possible cause. I know its probably frowned upon my plenty of Medical Professionals and as such I'm not sure I could reasonably talk to my GP about it. From what i have read, TMS seems to match quite a lot, but how do i know if im right? Do i need a professional diagnosis of it and where would i get it in the UK (London)? Many thanks for getting this far!