Where am I at in my treatment, a cleverly disguised version of my least favorite question: "how are you". I don't even like to think about that, let alone talk or write about it. And my standard answer these days is "we don't talk about that". Basically where I'm at depends on who you ask. If you ask my two extremely dedicated, wonderful treatment providers they would probably tell you that physically I have made dramatic improvements over the past 18 months and anatomically and physiologically there are no notable abnormal issues. They would also probably tell you they are as baffled by the sudden increase in pain (with no apparent cause) as I am. In fact, one of these wonderful people is so dedicated to helping me that a short time ago, after consulting with several of her colleagues as to what we may not have thought of or might be missing, she suggested very diplomatically, not that the pain was "in my head", but the possibility that there might be an emotional component to it. I ran this theory past a friend in the psychology realm, and my friend agreed and suggested I consult with a psychologist in my local area. After an expensive hour with the local psychologist, he too was in agreement. Everyone has been very forthcoming about the likelihood of a "long, painful journey" ahead of me and that I will likely get worse before I get better. Not to mention the out of pocket financial blow for weekly sessions with a HDHP. So now the paradox that has led me here, frantically searching the web trying to solve the multi-faceted problem: the pain in my shoulder left me unable to work over a year ago, now without a sufficient income source, I cannot afford to get rid of the pain in my shoulder. So where (how) am I? I'm at a frustrated standstill. I have already wasted tons of money (I don't have) fruitlessly trying to end the pain. I think it is very likely that I have TMS, however much of the "work" and many of the "steps" to overcome it are (not surprisingly) very similar to those I've been given to overcome the depression/anxiety that I've suffered with for most of my life. Silly me, I actually thought I had that problem under control only to have it join forces with my shoulder this past fall and completely overwhelm me. If I haven't been able to kick the depression with these steps, is there any hope that I can overcome the TMS with them?