Accepting the diagnosis, dealing with doubt

I regularly deal with skepticism about the diagnosis of TMS. I deal with worry that something else is wrong. I deal with a reluctance to give up a structural model for chronic pain.

Today, with one patient, I could tell with the first sentence that doubt remained. I knew that if I didn't help the patient extinguish this doubt it could burst into full fledged rejection. Doubting the diagnosis of tension myositis syndrome / tension myoneural syndrome is toxic to the treatment. Doubting poisons the ability to move forward with hope and calmness. Doubt drives anxiety (and vice versa). Doubt must be addresed by the physician caring for the patient. It's harder for the psychotherapist, if one is involved, because although an emotion, doubt can be grounded in specfic structural comments or diagnoses that the patient hangs on to. Therefore the physician can most effectively address the rational basis for a new diagnosis, a diagnosis that is not bio-mechanical, but mind/brain based.

Doubt--- the roadblock that must be passed through to succeed in treatment.

Featured Posts
Recent Posts
Search By Tags
Follow Us
  • Facebook Classic
  • Twitter Classic
  • Google Classic
MindBody Medicine

 If you need us, use Contact Us page or: 

Telephone : 310-836-2225


Ways to learn more


Read, study, make an office appointment. See our links page and read blog updates. Look at our "other TMS doctors" page.  

Also follow us on twitter, read blog updates, and send us your mailing address for infrequent notices and updates. 


Reminder and Disclaimer

A website can provide valuable information and a home educational program can teach you a lot.  But a diagnosis can only be made by a physician examining you in the office.  Be sure to exclude structural and chemical conditions before embarking on TMS treatment.


© 1997 thru 2021 by MindBody Medicine Publications.

  • Facebook Social Icon
  • Twitter Metallic
  • s-linkedin
  • YouTube Social  Icon