I live in the area far away from any TMS doctor. I have many weird and chronic symptoms and pains starting from headaches and dizziness (with some temporary and scary foggy cognitive and visual disturbances), face tingling to neck and lower back pains and ultimately more recent pains, pulsating and numbness in hands especially wrists (and elbows) and both knees, calves and feet. Occasionally I have pain in the chest and GI and urological issues. One day I can swim 80 lapses and next I feel fatigued and unwell with pains and then again back to full energy. In the last 5 years I had countless lab tests and other diagnostic procedures performed that found only gastritis, bulging disk L5-S1 on MRI (twice same MRi within 3 years!) and high cortisol level but not a cancer but stress related. Reading about TMS in Sarno's books I recognized myself as a typical TMS patient (probably with yet undiagnosed FM or CFS) but then question is when can you say for sure I am definitely a TMS sufferer? My problem is with TMS diagnosis (or self-diagnosis in my case). My physician ruled out everything more serious according to her knowledge. My neurologist is completely (and rightfully) unimpressed with my MRIs (and is prescribing some beta blockers for migraines) and my psychiatrist suspect I have somatoform disorder (aka TMS). Alternative medicine didn't help either. When are you done investigating if anything serious/structural is causing this? Is there a way to be diagnosed with TMS without being in the room with the TMS doctor? I think I really need accurate diagnosis to stop this vicious circle.