Boston Redsox
Well Known Member
I am glad this is helping
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Hello all-
I think I may have discovered a correlation that (I hope) will bring people some relief from their pain. Granted many of you have already figured this out. At a minimum I hope it will provide you with a better understanding of how we/you “respond” to TMS.
Let me preface this by saying, I owe A LOT to many of the contributors on this forum (specifically those who run it and many of the book authors who contribute to it-you know who you are). You had mentioned this very thing to me a year or two ago and I simply wasn’t “hearing you”. Ultimately the catalyst for my present understanding was this “description” that I read in a book, that when compounded with the info that many of you had already provided for me…well, it struck me pretty hard and I had my “AH-HA” moment.
Let me explain:
About 6 months ago I was dealing with a short (yet very effective) bout of insomnia. Insomnia used to have its way with me for months at a time, even though I definitively knew it was yet another form of TMS. I say “used to” because I finally realized it was simply another divergence from my repressed emotions; me being mentally exhausted during the day was the perfect mechanism for not allowing me to focus on my emotions. I learned a lot about insomnia and the anxiety that causes it, by reading a very well-known book in the psych world called “Hope and Help for Your Nerves” by Dr. Claire Weekes.
Dr. Weekes was a brilliant GP and health writer who pioneered much of what is now our present treatment (and understanding) of anxiety, via Cognitive Therapy. Mind you she wrote this book about 60 years ago.
Ok, so what does this all have to do with pain, you ask?
The very smart and generous people who I refer to above…who had helped me…always used to say to me: “Avik, you need to observe your pain without judgement and accept the situation.”
“Do not fight it”…is what I would repeatedly hear.
This INFURIATED me.
What do you mean “accept” the pain?
How can I not fight it?
What am I supposed to do then…just sit here in misery?!
I was annoyed, to say the least. I could not wrap my head around accepting anything, let alone this horrible life of pain.
Well…unfortunately for me…I wasn’t listening to what people were telling me. I was too busy fighting them and being my usual stubborn, TYPE A self.
So, Dr. Weekes’ book did wonders for me years back so I picked it up again about 6 months ago for a refresher course on anxiety, in the hopes it would help me with this new bout of insomnia.
Dr. Weeks talks about how when you are in bed tossing and turning and you begin to feel anxiety (whether it be related to some specific fear in your life or more commonly, just plainly fearing the inability to sleep and function) you are “terrified because your body is in a sensitized state…shooting off exaggerated responses”.
Ok, this definitely made sense to me…
She goes on to say that when you feel the panic coming on (and I quote directly from her book in Chapter 20):
“Relax to the best of your ability, then examine the feeling of panic and prepare to let it sweep over you. Relax and go with it. Do not shrink from it or try to control it”.
This hit me like a ton of bricks.
This is exactly what I wasn’t doing.
Dr Weekes was dealing with Anxiety, the way I should be dealing with my pain.
When any one of the myriad of TMS-related-pains would suddenly come on, I would fight... I would scream at it...I would do essentially anything other than accept the situation I was in.
I would try to control the situation and push it away.
This is (according to Weekes), the way that most people deal with anxiety (which includes me). Our natural response to anything fear based is Fight or Flight.
When I get anxious, I force myself to calm down which in essence, is me trying to quell or push down the fear.
Now this does occasionally work for me (for both anxiety and pain), but it never lasts. I found the pain would come back soon thereafter. It was a short term fix.
I finally drew this correlation between what all of these very smart and progressive, TMS-experienced people were telling me for years, with what Dr Weekes wrote in her book….let it sweep over you. Relax and go with it.
I realized that “observing and accepting the pain” and “relaxing and letting it sweep over you”, were one and the same.
Words simply cannot express what this realization had/has done for me. It has changed my entire perception of pain and my relationship to it. Now when pain hits me, I automatically relax my whole body and mentally accept that this is TMS trying to just do its thing. I then let it do its thing while I mentally envision the pain sweep over my entire body. Kind of like a wave of warmth. Sounds crazy because who in their right mind would want pain to sweep over their whole body…but by relinquishing my desire to control it, it just dissipates.
Sometimes it dissipates more slowly than other times, but it ALWAYS dissipates. No matter what happens, I don’t judge it, I don’t try to control it-I just watch/observe it, let it sweep over me and I put up ZERO FIGHT.
TMS HATES IT WHEN YOU DON’T FIGHT.
When you don’t fight, you are not engaged!
And when you are not engaged in the fight, your attention cannot be diverted!
Not allowing yourself to be pulled into the game of TMS…by not playing with it…by not allowing it to occupy your brain matter...you render the (pain/oxygen deprivation) response powerless.
Wishing everyone a relaxing and pain-free weekend.
-A
Accepting requires the suspension of judgement. One looks at the sensations with curiosity and interest, but then adopts a "so what" attitude.Or perhaps I'm struggling to understand the difference between enduring and accepting. Or maybe I'm too anxious for the symptoms to stop and watching them too carefully. I don't know.
Accepting takes practice, but is not as impossible as it sounds.
Excellent post, avik! I applied what I learned from your post and have enjoyed great success.
avik hammered home the message to try not to resist pain or anxiety and instead to allow these symptoms to manifest. This is similar in many ways to Claire Weeke's approach to dealing with anxiety. From months of experience, I can say that the best way to deal with TMS pain is to simply "relax" into it. Whenever I am successful at "relaxing" myself into the pain or anxiety or depression, my perception begins to change and the pain diminishes. I have noticed that when pain starts coming up, I tend to think and feel 'hopelessness' and engage in 'catastrophic thinking' and experience feelings of bitterness among other things. I try to do two things: relax and observe. At the beginning stages of my recovery I had to also be mindful of the TMS diagnosis and mechanism because I hadn't fully absorbed the knowledge. I still visit this site to refresh myself because the brain is always trying to deceive.
When I 'observe' the pain, I merely recognize its presence and try not to think anything about it. Instead, I observe the phenomenon in the 'present' and also pay attention to my breathing. If I am successful at calming myself down and 'relaxing and observing' then the pain generally subsides and my attention will shift other things.
I am not always immediately successful nor am I always mindful to relax into the pain.
I still have issues with TMS but it is far less intrusive in my life than it once was.
@eskimoeskimo
Here's some practical suggestions on acceptance. I found that approaching painful sensations with curiosity worked best for me. I thought about what shape, color, texture, etc. my pain had. I noticed where the edges were and how it moved, vibrated, etc. This "noticing" of it allowed me to distance myself from it. It became this "thing" in my body that I no longer identified with and reacted to.
HOW TO PRACTICE ACCEPTANCE FOR MINDFULNESS
Acceptance turns out to be one of the most helpful attitudes to bring to mindfulness. Acceptance means perceiving your experience and simply acknowledging it rather than judging it as good or bad. For some people, the word ‘acceptance’ is off-putting – replace it with the word ‘acknowledgement,’ if you prefer.
Acceptance doesn’t mean resignation. This doesn’t mean, ‘If you think you can’t do something, accept it’ – that would be giving up rather than accepting. Acceptance refers to your experience from moment to moment.
For example, when you feel pain, whether it’s physical, such as a painful shoulder, or mental, such as depression or anxiety, the natural reaction is to try to avoid feeling the pain. This seems very sensible because the sensation of physical or mental pain is unpleasant. You ignore it, distract yourself, or perhaps even go so far as turning to recreational drugs or alcohol to numb the discomfort.
This avoidance may work in the immediate short term, but before long, avoidance fails in the mental and emotional realm.
You still feel the pain, but on top of that, you feel the emotional hurt and struggle with the pain itself. Buddha called this the ‘second arrow.’ If a warrior is injured by an arrow and unleashes A thought like ‘why did this happen to me,’ that’s a ‘second arrow.’
You may inflict this on yourself each time you feel some form of pain or even just a bit of discomfort, rather than accepting what has happened and taking the next step. Avoidance – running away – is an aspect of the ‘second arrow’ and compounds the suffering. Acceptance means stopping fighting with your moment-to-moment experience. Acceptance removes that second arrow of blame, criticism or denial.
Perhaps you sit down to meditate and feel bombarded by thoughts dragging you away again and again. If you don’t accept the fact that your mind likes thinking, you become more and more frustrated, upset and annoyed with yourself. You want to focus on the meditation but just can’t.
In the above example:
By acknowledging the feeling, thought or sensation and going into it, the experience changes. Even with physical pain, try experimenting by actually feeling it. Research has found that the pain reduces. But remember, you’re not acknowledging it to get rid of the feeling. That’s not acceptance. You need to acknowledge the sensation, feeling or thought without trying to change it at all. Pure acceptance of it, just as it is.
- First arrow – lots of thoughts entering your mind during meditation.
- Second arrow – not accepting that thoughts are bound to come up in meditation. Criticizing yourself for having too many thoughts.
- Solution – to acknowledge and accept that thoughts are part and parcel of meditation. You can do this by gently saying to yourself ‘thinking is happening’ or ‘it’s natural to think’ or simply labeling it as ‘thinking…thinking.’
One way to relax into the discomfort is by courageously turning to the sensation of discomfort, and simultaneously feeling the sensation of your own breath. With each out-breath, allow yourself to move closer and soften the tension around the discomfort.
If all this acceptance or acknowledgement of your pain seems impossible, just try getting a sense of it and make the tiniest step towards it. The smallest step towards acceptance can set up a chain of events ultimately leading towards transformation. Any tiny amount of acceptance is better than none at all.
Another aspect of acceptance is to come to terms with your current situation. If you’re lost, even if you have a map of where you want to get to, you have no hope of getting there, if you don’t know where you are to start with.
You need to know and accept where you are before you can begin working out how to get to where you want to be. Paradoxically, acceptance is the first step for any radical change. If you don’t acknowledge where you are and what’s currently happening, you can’t move on appropriately from that point.
Here are some ways you can try to cultivate acceptance:
In the realm of emotions, the quickest way to get from A to B isn’t to try and force yourself to get to B, but to accept A. Wholehearted acceptance leads to change automatically.
- Gently state the label of the experience you aren’t accepting. For example, if you’re not accepting that you’re angry, state in your mind, to yourself, ‘I’m feeling angry at the moment… I’m feeling angry.’ In this way, you begin to acknowledge your feeling.
- Notice which part of your body feels tense and imagine your breath going into and out of the area of tightness. As you breathe in and out, say to yourself, ‘It’s okay. It’s already here… It’s already here.’
- Consider how much you accept or acknowledge your current thoughts/feelings/sensation on a scale of 1 to 10. Ask yourself what you need to do to increase your acceptance by 1, and then do it as best you can.
- Become really curious about your experience. Consider: ‘Where did this feeling come from? Where do I feel it? What’s interesting about it?’ In this way, the curiosity leads you to a little more acceptance.
Your struggles are similar to mine, and I'm still working on acceptance everyday. Somehow I finally got it with regard to pain, so I wish I could articulate better how I did it. But I'm still working on accepting anxiety and insomnia. I'm having a harder time with these types of TMS for some reason. Every time I try to explain something to someone else, it helps me clarify it for myself.Thank you Ellen. You must get sick of my constantly asking the same questions! I really appreciate your patience and perpetual willingness to try to help me. If I ever get out of this mess, I hope to pay your kindness forward to the other strugglers and stragglers.
Me too. Nothing works every time and this syndrome is very tricky. I just spent the last hour depressed out of my mind and finally got the willpower to get up and can feel more determination. Let me formulate it this way: Before discovering Sarno, I estimate that 11/16 of the time I was awake was spent dealing with, thinking about, or suffering from TMS pain and TMS equivalents like depression and anxiety. Nowadays, I only spend about 3/16 of my time awake dealing with TMS. That is a remarkable improvement! But I need more time to figure out this beast.Thanks for elaborating MrRage. I try to apply these techniques, but usually end up confused and in a miserable puddle of pain and anxiety. On an intuitive level, this prescription makes sense... so I keep trying. It's always helpful, and encouraging, to hear it explained again in slightly different terms. Something's gotta give.
Me too. Nothing works every time and this syndrome is very tricky. I just spent the last hour depressed out of my mind and finally got the willpower to get up and can feel more determination. Let me formulate it this way: Before discovering Sarno, I estimate that 11/16 of the time I was awake was spent dealing with, thinking about, or suffering from TMS pain and TMS equivalents like depression and anxiety. Nowadays, I only spend about 3/16 of my time awake dealing with TMS. That is a remarkable improvement! But I need more time to figure out this beast.
One thing I believe: If something isn't working, try something new. Then try what you were doing before and see if it starts to work.
Whatever a TMS patient does, it will be productive, as long as he understands that the process is rooted in the unconscious.
My main problem now is dealing with the 'mental' aspects and also dealing with exercise intolerance. Before discovering Sarno, I had pain in my back, pain in my neck, pain in my shoulders, pain in my urethra, pain in pelvic floor, pain in my knees, pain in my wrists, and sometimes pain in my elbows. I also had horrible pain in my facial muscles and horrible migraine headaches. From the time I was 16 to the time when I was 18, I had to deal with urinary frequency. It was horrible!
I have made an enormous amount of progress since late March of this year.
My belief is that the reason it is hard to communicate precisely what to do is because language is always going to be vague and imprecise in describing a phenomenon. What is going on with TMS mostly goes on at the 'non-verbal' level. Dr. Sarno himself said called recovery a two-way street meaning that the healer must provide knowledge about the mechanism and the patient must use these tools to figure his way out of the problems.
Hi! I was away from the forum a while because I was obsessing too much about pain symptoms and I needed a break.How's this been going for you so far?
Hi!Thanks MrRage. It really does help to hear people describe how they try to navigate this thing. Wishing you ever more success.
Hi I am new to this site I have had burning tingling awful sensitivity to clothing for the last two years. Been throughly examined all clear. No neurological problems. Seen five neurologists all agreed it was anxiety based.Lexington-
I hear you.
Keep in mind this stuff takes time.
Be kind to yourself and allow yourself the time needed to figure this out. That in itself should alleviate some stress and subsequent pain.
I wrote in a previous post (may be in another thread) that I think "accepting" requires the most amount of work, but provides the longest lasting effects (and potentially permanent ones). Acceptance with most things in life that we initially dont like, take time to digest.
On the other hand, yelling at it, talking to it, ignoring all work really well, but for me never lasted.
I find that anything that prevents me from engaging the TMS on an ongoing basis, serves me the best.
When I talk to it or yell at it, im engaged for lengthy periods of time, which gives my TMS exactly what it wants: attention.
On the other hand when I accept, I am basically saying "hey, I know you're here and go ahead, do what you gotta do! dont let me get in your way".
This allows me to quickly go back to what i was doing prior (regardless of how much pain I might be in) which in effect, is me disengaging form the TMS, rendering it powerless.