This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question I need a clarification regarding the cause of TMS pain. Dr. Sarno says the purpose of the pain is to repress unconscious rage that threatens to become conscious. Others say the pain is more a physical expression of these inner feelings, and others that the pain is a form of abuse caused by "the bully within." So I'm confused by all these explanations. Since Dr. Sarno's books healed me for many years, I lean more toward pain being generated to repress unconscious rage. Can someone please clarify these seemingly very difference approaches to what causes the physical pain of TMS?