I am 47 years old/male, facing problem of trembling during writing causing a shivering kind of situation while writing and hence a smooth flow of writing is not there. This habit combined with anxiety building on the same has aggravated over the years, may be in last 20 years. Now my writing is distorting with considerable pressure which I apply over the pen while writing. My worries have increased due this condition and my signature is not consistent. My family do not have such history and I am physically good and no such parkinson's type of shakes are observed at rest. I feel more of stress related problem and would request concerned doctor help me out a good solution. I work in the manufacturing company and my bp levels are normal. I ate in earlier occasions tablets like proprnolol and tonics like ashwagandha and thulasi. Never I felt comfortable and more I felt is of a psychological issue. Regards

Dr. Saul PereiraPsychologist48yrs exp

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You seem to understand your problem rather well. It is definitely a stress related problem but it is difficult to say whether the chicken came first or the egg. In the sense whether you had anxiety problems that had caused a nervous disposition or the nerves were already frayed and you developed anxiety because of it. A neurologist will be able to give a definite opinion on that. Any which way you can do some of the following to see how much it works: you definitely must meet with a counselor to identify the origin of your fears and learn to deal with that emotion in particular. Go to a gym and do some light weight-training exercise, especially to firm up the arms and hands. Yoga and meditation will definitely help. A combination of a multivitamin and multi-mineral with calcium tablets will help deal with the effects of stress from a physical sense. The neurologist may recommend some prescription to treat the nerves too. He may also recommend some exercises or physiotherapy to help with the recovery. I hope that you did not discontinue propranolol on your own without consulting your doctor! discuss that too with your doctor. 

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