@stevow7, after all these years and your many posts which indicated extreme OCD, I'm very glad to know you are getting therapeutic help. I appreciated the post you made not long ago. I have some thoughts about your question, which is a good one.
Back in the 1980s when Dr Sarno first described the brain dysfunction that he labeled TMS, he thought that it only applied to muscle pain. This is why he used the word Myositis, which in Latin has something to do with muscles, I think. I've heard that in later years, he said that "TMS" might as well refer to "The Mindbody Syndrome" because he later recognized that our brains will use just about ANY kind of physical symptom in order to distract us from experiencing emotional vulnerability. By the time he retired, I think that he had also started to theorize that mental disorders might also be forms of TMS, and it would have been really interesting to see how he would have adjusted his theories once again with the advances in neuroscience we have had in recent years. But I digress.
We all know that anxiety and TMS have a strong connection. I think that in the case of simple, or common anxiety, it's kind of a circular relationship and sometimes hard to figure out which came first.
However, when it comes to the severe forms of mental distress, specifically depression and OCD, and probably the extremely disabling forms of anxiety, my personal (and unprofessional) observations from 13 years on the forum have led me to believe that these are the mental versions of physical TMS, because they seem to primarily affect people with significant childhood adversity. We
often recommend that people take the "ACEs quiz" to see if childhood adversity is a factor in their adult suffering, whether it's physical or mental.
By applying Dr Sarno's theory of emotional repression to depression and OCD, I think that the TMS brain mechanism is using these extreme mental disorders to completely block the ability of the individual to experience any kind of honest emotional vulnerability. The reason the TMS brain would do this is because, in the experience of the young child, having emotions was somehow dangerous to their physical or emotional survival. I could come up with different scenarios in which this would happen, depending on the nature of the adversity faced by the child.
It is my firm belief that emotional vulnerability is required in order to recover from all forms of TMS. Emotional vulnerability is not easy for the vast majority of humans, and achieving it is harder for some than for others, but I have faith that it can be done.