This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Alex Bloom, MSW, said on this forum..."Very often TMS will directly affect things that we use to make ourselves happy or that are very important to us. A singer will develop acid Reflux, a writer will experience Carpal Tunnel and...a musician will experience pain in their hands. I see this so very often, and my clients will usually say things like "If only I could do 'X' then I would feel so much better". This is exactly why the pain affects you in these places, because it is where you are vulnerable. It demands your attention and keeps your preoccupied, which is the purpose behind the pain. If it affected your little toe, you wouldn't notice or care and it wouldn't be able to scare you like it does. It is this fear and anxiety generated by your symptoms that you want to try to address." My mind is BLOWN. I am a photographer, have been for over 25 years. In 2013, after a severely stressful family trip, I had what can only be called a "nervous breakdown". I began a down spiral of symptoms (mental & physical) that began with Migraines and Panic Attacks and moved into TMJ and Neck pain, and eventually "settled" in my right Arm, right Shoulder, neck and upper back muscles. The EXACT places that I use as a photographer. Could you please explain why 'Very often TMS will directly affect things that we use to make ourselves happy or that are very important to us.' I find this FASCINATING. BTW, I was cleared by Dr. David Schechter with a diagnosis of full blown TMS, have had TMS my whole life (tummy aches as a kid, frequent colds, sore throats and Allergies in my teens (I was a voice over actor at this point!), IBS in my 20's, anxiety and Depression in my 30's, but never did it affect my shoulder and neck UNTIL I decided to make photography my full time career. Why does this happen and how can I best get through it so I can fully get back to work? I am working as a photographer, but whenever I really hunker down and begin to gain some traction and success, my TMS flares big time. I've made big progress, but TMS is still affecting my work, my livelihood, and my JOY! Why is it attacking the very thing I love most? I would love any thoughts from the group on this...I really want to de-condition myself. I know my camera and sitting at my computer isn't CAUSING my pain, but man, my shoulders feel like I am carrying a thousand pounds on them when I pick up my camera, and when I sit at my computer just for fun, I get very little pain, but when I start into PhotoShop for work...BAM, my shoulder feels like a frozen block of ice.