I am convinced I have cognitive dissonance. The last few paragraphs of Steve O's "Top 10 healing discoveries of Dr. Sarno" book bowled me over. It had a piece I don't recall seeing in Sarno's Divided Mind book. I already knew I had the symptom imperative but didn't know why. The book defined well what I have been experiencing. After pondering it for a few days, I now have this feeling that my daytime work is not significant in any way and I need to do something that will last. Yes this is part of my built-in perfectionism (the stronger kind he referenced, who wants to leave a lasting mark - I can't find it now). Does this resonate with anyone, or can you give me some of your experiences with cognitive dissonance, for those who are ok being vulnerable here? What life changes did you make?