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This is when you really need to accept TMS when it gets harder, but of course after you have ruled out any medical problem. The reason I say this is because you can learn to calm your nervous system down which will hit at the very heart of what is causing you pain or anxiety. Remember the old saying "just calm down now". Well, that saying holds a lot of power in it, so just calm your ANS system down and enjoy.Can the pain from TMS be severe? I can accept TMS when it's minor discomfort but it gets harder when it becomes more severe.