Cavalcanti
New Member
The graph depicts a recovery trajectory but is not intended to represent chronological time. Individuals with TMS typically monitor recovery by tracking symptom intensity and frequency, which can lead to dysphoria when symptom reduction is not a linear, monotonic process. When the nervous system generates new symptoms as older ones remit (the symptom imperative), the clinical picture can resemble oscillation or regression—one step forward, one step back; one step forward, two steps back; several steps forward, then a partial reversal and so on. Phenomenologically, this is often interpreted as stalled or failed progress, even though, at the level of neural circuitry, adaptive change is occurring. Through activity-dependent neuroplasticity, newly formed or strengthened neural pathways that encode safety, reduced threat appraisal, and altered pain processing gradually gain dominance over pre-existing, threat-based circuits; this competitive reweighting takes time before it becomes robust and behaviourally stable.
Thank you very much for these clarifications. I will take the time later to talk about my own experience with TMS.
I would like to thank you, Bloodmoon, for your insightful messages, which are very helpful to me.