Hey Tom-I would like to welcome you to the world of BFS. One thing that I never understood was "why dont these twitches ever stop" and "well why didnt I feel like that last week". Both of these issues are due to what we all share here on this site. Please read this from my last neuro as it was VERY recent:First off we all get into the pattern of "what if I am the extreme example or the doctors missed something". BFS is like a roller coaster. You start twitching and having symptoms and really dont worry. Then you might see a doctor or "google" twitching and go right into total panic. For me I was fine for about 6 months of twitching that increased until I was having EXTREME tremors to where my limbs would go crazy when I would lift something or do fine movements. Then I went for my first EMG (clean). I was fine for a few weeks then went back into a panic and saw another neuro and had another EMG (clear). My twitching is hitting about 2 solid years now NON STOP! I mean non stop. The only time I dont feel them is when I am asleep. They are focalized in my left foot ALL THE TIME! I have had every symptom that most people on here have. I had a period where I could not chew my food and my jaw was getting tired easily and my tongue was tired all the time also. So after about 15 clinical exams and 3 EMG's I went to the final neuro last month to just get a 2nd oppinion and more answers. Both of those doctors worked and did their residency at the MAYO in Rodchester, MN....and they are VERY highly respected here in Columbus Ohio. So anyway.....thats my history.Please listen to this and try to open your mind to what I am saying (its REALLY hard I know cause I went through it). Anxiety really can cause you to feel weak, bumble your words, walk funny and think that something is REALLY wrong with you. I had months of checking my tongue, walkling like a robot and anxiety so bad I called off work for days at a time. Please understand though that your symptoms are not CAUSED by anxiety (that would be the tremors, twitching, cramping). They are caused by an unknown syndrome that we (and good neuros) call BFS. Anxiety can increase these symptoms and cause you to think that something on your body is not working right and it is. Please read this line and trust me with it. I spent months and months overlooking what my neuros were telling me but I never trusted them. Here it is:ALS is a disease of CLINICAL weakness (not of "I think my leg is not working as good"). My first neuro said "Sean with ALS you have definate weakness and it goes forward progressively". BOTH neuros told me that a CLINICAL test is all that is needed to tell of ANY hint of ALS and then if anything is picked up they can test further with the EMG. Both told me that my EMG's were to rule out anything else and give me piece of mind. This is from both neuro's also "Sean with ALS within around a month of symptoms your clinical exam would show problems and the EMG would DEFINATELY show clear signs of MND along with the NCV results". My last neuro looked at my twitches (which are very bad all over non stop) and said "well Sean this is very common and the cramping and tremors all fit the pattern of BFS...after a few months of no clinical weakness and certainly with an EMG ALS is completely out of the question for you". Basically thats what the other neuro told me but I didnt listen to him. This was also confirmed to me by a co-worker this past week who had an uncle with ALS. He started tripping and falling and twitching and they diagnosed him in 6 weeks! My doctor told me that she was 100% confident that I didnt need ANY more tests even with my symptoms and visible twitches.So I just want you to know that everthing I say is directly from excellent neurologists and I spent hours and hours with them face to face. You have had the tests, they all were clear for ALS. Now you have to say to yourself "ok so I may have twitches for another 6 months or for the rest of my life...so what do I do now". We worry about us being the 1 in xxxxxxxxx that are the exception to the rule but we have had the tests that rule out us being an exception! I had to take effexor to break my anxiety. It is COMPLETELY disabling. We are talking I have only been sane for maybe 2 months now at the most. The past 2 years were horrible for me. So if the anxiety is causing you not to sleep, have problems at work or home I would suggest trying something to bring your anxiety level down until you can really beleive that "everything is ok". But be warned SSRI's will increase your symtpoms and are ONLY!!!!! to be used if you are having major problems functioning in your daily life. My neuro said "Sean we have no treatment for BFS. We can give you medications to dull some sensation or cause you to slow down but nothing will prevent the twitches or slow t hem down"...I told her "im fine with twitching and cramping and tremoring the rest of my life as long as I know its not ALS"...she said "Sean you are fine and I am not concerned at all for you...if you want any meds just call me but you will find out that your symptoms are better without them"...and she was right! I am always available for PM and I encourage you to go back and look at my posts here for the past year or so. They will show you that you are going through the exact same pattern that I did and there is nothing wrong with how your are feeling. I always said "I never feel like Sean anymore" Well we have to get you to feel like Tom again. You will still twitch and have symptoms, but without the anxiety you can overlook most of them and enjoy life again as before. Remember this: BFS is a syndrome that changes and has NO set pattern. Because your symptoms change over time means nothing except you fit the pattern of BFS. Some days are good, and others are horrible. Take up a new hobby and spend time with your family. Stay off the computer looking for an answer because there is no cure for BFS. Remember that the doctors you went to see are the experts, not google and not anyone else on ANY other forum! All the internet opens you up to is more ways to get scared when really you saw the doctor that can tell you whats NOT wrong with you (ALS). Anxiety is always waiting in the back of your mind to find a way to come out. If you give yourself ways to look up info that does not pertain to you then the anxiety will NEVER go away. This is a good site but there are also many posts of concerned individuals that read things on the internet and can get others into a panic (not intentionally). Read the positive and skip the negative. Remember NONE of us on here have been diagnosed with ALS. We have symptoms of a disorder that mimics a FEW symptoms of ALS but thats where the similarity ends. So keep positive, enjoy life and do the things you love to do. Get out of the house and visit with some old friends. In time this will all slow down and you will not even care about it anymore. Just hang in there, I promise you will understand what I am saying soon...it just takes time and we all have to find out way of of the anxiety this causes.Best of luck to you...if you need anything just send me a PM. I have tons of info thats from the neuros and my test results. Sean