Dawn,I can relate to what your going through in so many ways. I went to a Neurologist about 2 weeks ago for a second opinion. I will give a more detail summary on another post. Anyway, I am just a few weeks away from my 1 year mark with this wonderful condition. I have a great Neuro who is very qualified and whom I trust. He says I'm healthy. No MS, ALS or Parkinsons. Normal MRI and clean EMG. He's suggested at previous appt's that I get a second opinion (only because he thinks I need to hear it from someone else). At our last appt (April) he encouraged me to go to the Mayo Clinic (for reassurance only). Well ,I never did but in July I decided to seek a second opinion from another Neurologist. So this guy listens to my story and then gives me an exam. He says you're "stone cold normal". No ALS, so get it out of your mind. I continue to list this symptom and that symptom and say what about etc, etc.......He replies you're not telling me anything that is going to make me change my mind about you or your diagnosis.My main symptom is the internal buzzing-shaking-vibrating. I twitch but do so moderately compared to others here. Some days I twitch more than others. The buzzing symptom is what I asked him a lot about. He said that everyone has a tremor. He believes what happpened to me was that stress has caused this tremolous activity to become hyper and what I'm feeling inside is a result of this. He indicated that my "make up" has been changed. He says you're not depressed but rather anxious. He expressed concern and said that I don't what this to become the "new you". He suggested a method to treat it. Excercise, psych therapy and meds. I chose the excercise option. Too proud for therapy and I've never taken any meds. Heck, I just started taking vitamins a few months back. He then said I want to see you back in 3 months and if you're not better I am going to push you to see someone (therapist) and get on some meds.So at the end of our appt. I asked the doctor if he has had any experience with ALS patients. He looked at me kind of funny and said "I run the ALS clinic here in town". This makes me 2 for 2 with insulting my local Neurologists. My first Neuro reacted similiarly when I asked him the same question. He did a fellowship in an ALS clinic and is board certified in electrodiagnostic medicine (EMG's).The hyperventilation theory is interesting. Earlier this year I say my GP. Of course he said "you're healthy". He went on to say that you are probably hyperventilating. According to him, a lot of times you won't know that your doing it. What happens is you are reducing the amount of oxygen that your body is getting. This can create all kinds of probelms. He wrote me a script for Xanax which I never filled.I am still a skeptic when it comes to the stress/hyperventilation theory. However, I do understand that these docs are a lot smarter than I am and maybe, just maybe they know something I don't. I am excercising, which I've been doing for awhile, but my condition remains the same. I anticipate in November when I see this doc he will want to prescribe me some sort of psychotrophic meds. I also have my 6 month follow up with my regular Neurologist in October.CDC