Recent Tremors and Anxiety: Is It Hypochondria? - Neurology

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I have been experiencing frequent tics lately?


Recently, I have been experiencing tremors in my hands and feet, along with a sensation of wanting to twitch my body.
Because I have previously suffered from a serious illness, I often feel that something is wrong with me, which keeps me in a constant state of anxiety.
Is this illness anxiety disorder? I also feel a bit dizzy.

Nini, 10~19 year old female. Ask Date: 2016/07/06

Dr. Gao Chunde reply Neurology


First, endocrine diseases, drug side effects, and electrolyte abnormalities should be ruled out.
The physician will determine whether your condition is due to anxiety or if there are specific underlying causes that can be treated for improvement.

Reply Date: 2016/07/06

More Info


It sounds like you are experiencing a combination of physical symptoms, including tremors and a sensation of wanting to move or twitch, alongside feelings of anxiety and possibly some dizziness. Given your history of a serious illness, it's understandable that you might be feeling particularly sensitive to any changes in your body, which can lead to heightened anxiety and concern about your health.

First, let's clarify what hypochondria, or illness anxiety disorder, is. This condition involves excessive worry about having a serious illness, often based on misinterpretations of bodily symptoms. People with this disorder may frequently seek medical attention or reassurance, but they often remain anxious despite negative test results or reassurances from healthcare providers. It’s important to note that experiencing genuine physical symptoms does not automatically mean you have hypochondria; your symptoms could be related to anxiety or another underlying condition.

Tremors and the urge to move can be associated with anxiety disorders. When a person is anxious, the body can react in various ways, including muscle tension, trembling, and even feelings of restlessness. This is part of the body's fight-or-flight response, which is activated during stressful situations. Additionally, anxiety can lead to hyperventilation, which might cause dizziness or lightheadedness.

Given your symptoms, it would be wise to consult with a healthcare professional who can evaluate your situation more thoroughly. They may conduct a physical examination, review your medical history, and possibly recommend tests to rule out any underlying medical conditions that could be causing your tremors and dizziness. Conditions such as essential tremor, anxiety disorders, or even neurological issues could be contributing factors.

In the meantime, consider implementing some strategies to manage your anxiety. Techniques such as deep breathing exercises, mindfulness meditation, and regular physical activity can help reduce anxiety levels and improve your overall well-being. Additionally, maintaining a healthy lifestyle, including a balanced diet and adequate sleep, can also have a positive impact on your mental health.

If you find that your anxiety is significantly impacting your daily life, it may be beneficial to seek therapy. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals identify and change negative thought patterns and behaviors. A mental health professional can work with you to develop coping strategies tailored to your specific needs.

In summary, while your symptoms may be causing you distress and concern about your health, they could be related to anxiety rather than a serious medical condition. Consulting with a healthcare provider can help clarify your situation and provide you with the support you need. Remember, it’s important to take care of both your physical and mental health, and seeking help is a strong and positive step forward.

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