Step 1: Accept The Diagnosis
A key to getting well from TMS is understanding and believing the diagnosis! The TMS pain process occurs, we believe, in order for the unconscious mind to hide "unacceptable" emotions. It is a form of distraction.
When this TMS process is exposed, the symptoms begin to resolve. Accepting the diagnosis also pushes aside fears of a damaging structural condition that may reside in your belief system.
Treatment For TMS
The treatment program begins with the diagnosis, which is typically made at the time of the initial consultation. A home program--materials that are educational, brain-focused, and psychological--is often advised after diagnosis and is an important part of the treatment.
Patients are typically seen for a 45 minute initial consultation. Usually a follow-up visit at 3-4 weeks is advised and additional follow-up is scheduled as required. Follow-up visits can be done via phone or teleconference (e.g. Doxy.me or Doximity) if you come from out of town. In 2022, for initial visits in person or for telemedicine, contact the office.
The program of treatment is about empowering people to get well (not to become dependent on the practitioner) and therefore involves fewer visits than other approaches to chronic pain. Homework is essential and psychotherapy is often very important, as well. (Group and individual referrals)
Step 2: Think Psychologically
The second part of the treatment process is learning to think psychologically, not physically. By this we mean focusing on emotional tension and your internal response to external events and not on prior, conventional, mechanical or so-called structural explanations for your pain. We also teach a cognitive system of blocking, then shifting attention that is very effective. (a form of self-talk)
It then becomes crucial to gradually become more physically active; this further causes the apprehension and fear to diminish.
Patients with intense, long-lasting, or debilitating symptoms benefit from TMS psychotherapy. Both in the LA area and beyond I am fortunate to have developed professional relationships with psychotherapists who are accomplished "TMS Therapists". More than one has successfully treated his own pain via a TMS model. All of these therapists are skilled in telephone or Zoom therapy.
I am able to do telemedicine visits with many out-of-state or international patients as certain rules have been loosened during the Pandemic Crisis.
We are offering a weekly Zoom TMS Healing Group where 6-9 patients get to interact with other people with TMS, learn from one another and from me and my co-leader, a TMS psychotherapist (Justin Barker, Psy.D.). Feedback has been excellent about this group, which has entered its 2nd year. The group is for diagnosed patients; contact the office for a diagnosis or if you have one, or for a reservation. Typically I advise patients to commit to a four week block of meetings in order to make significant progress. Meetings are 6 pm Tuesdays, Pacific Time on Zoom. **
While not every patient needs to see a psychotherapist as part of their TMS treatment, I find that the percentage of those that benefit from therapy is quite high. In my experience, I use this collaborative treatment model more than is cited in earlier books. (e.g. Dr. Sarno's) I try to tailor my referrals to an individual patient's personality and circumstances, which I learn during the initial consultation. Most therapists work virtually, so proximity is less of an issue.
If you see a psychotherapist in your area who is not familiar with TMS, suggest they learn more about this disorder via the web site, written materials, podcasts, and videos.
For most of our patients, daily journaling is a key part of the treatment program and recovery process. The MindBody Workbook offers a structured approach to therapeutic journaling. Challenging but rewarding!
** Comment on Group: "Doctor Schechter's TMS Group saved my life! I am a classic TMS patient and his group therapy was the most helpful thing I have done and was able to get me 100% pain free. He is simply one of the best doctors in Los Angeles. He goes the extra mile for his patients. I am grateful to have met him!" Nadia B. Agoura Hills, CA
updated Dec. 2021
MindBody medicine will help you
use your mind to relieve your pain.
This book has changed many lives.