Dealing with Panic Disorder Without Medication

Hello everyone. This is my first post here, but I have been reading the forums for a few days now.

I've just come through dealing with panic disorder. My doctor put me on Xanax, which worked at first, but then turned on me. I developed a tolerance for it, and would start going through withdrawal in between doses. After nearly going crazy with that, I decided to stop taking the stuff. With the help of my doctor and the benzo.org.uk forums, I was able to slowly wean myself off of the Xanax. It wasn't fun, but I made it through. About a month or so ago I finally began to feel like my old self again.

Throughout my withdrawal from Xanax, I'd get an occasional twitch here or there that would come and go for a day or two. Since other people on the benzo.org.uk forums mentioned the same thing happening to them, I chalked it up to benzodiazepine withdrawal and didn't let it bother me too much. Then, this week happened.

For the greater part of this week, my left thumb has been twitching off and on. I'll feel something odd in my hand, and when I look at it, it looks as though something is moving underneath the skin. That will last about 5-10 seconds, and then it will stop. Anywhere from 10 minutes to several hours later, the same thing will happen again. During my benzodiazepine withdrawal, this type of thing would last a day, maybe a day and a half, but this has been going on for about a week now.

A couple of days ago, I started really letting it get to me. I became more and more worried about it at work. At home that night, I managed to calm myself down enough to go to bed. But while in bed, I noticed that my whole left hand was shaking! It didn't shake all the time, just in certain positions. Needless to say, I didn't get much sleep that night. My hand got better in about an hour or so, and then by morning, it was completely fine.

I went to the doctor today, and he didn't seem to be too worried about it. He said that it wasn't normal, so he wanted to get it checked out, but that he wasn't too worried about it being MS or anything like that. He ordered some blood tests to make sure I wasn't suffering from some sort of vitamin deficiency. He said that if the blood work came back normal, he'd think about referring me to a neurologist. He told me several times not to worry, and that was reassuring and all, but it's still all kinds of scary.

He also told me to ask if either of my brothers had ever experienced the same sort of thing. He didn't really explain why he wanted to know that though.

Some things to consider:

I am a 25 year-old male.

I am overweight (320 lbs, 6' 2"), but I do exercise regularly.

I have an on again, off again relationship with R. J. Reynolds (cigarettes). About 2.5 weeks ago, I came off of a two month long quit. Since then, I have smoked about 3 or 4 cigarettes a day, on days that I smoke (most weekdays).

The night before my hand started shaking, my wife and I played racquetball with a guy who was a much better player. We played for longer than usual, and much, much harder than usual. I was fantastically exhausted that evening, and the next morning I was sore all over. Then that night, the night after the racquetball game from hell, my hand started shaking.

So, what do you all make of my situation? Any comments about the doctor visit? Have any of you gone through a similar situation? Any advice you could give would be very much appreciated.

Thank you for your time.
 
A lot of other people on these boards have had twitching/cramping in their hands. Have you noticed any weakness in these areas? Did the doctor do any strength tests? Try testing your grip in that and against the other hand. Don't worry, you're going to be ok! 25 is very young to have ALS, and twitching isn't even really a symptom of MS, at least not until the disease is very advanced.
 
I used to play city league volleyball and if I was going through a flare my left arm would shake to the point I couldn't write after I was done playing. It's more of an endurance issue. If you are checked out and it appears to be BFS there are all sorts of things you can experience. I know, I've twitched, buzzed, cramped, ached and the works for 11 years and I'm still ticking! Just take it easy on the exercise until this and the anxiety calms down and it probably will!

StacyDance
 
ALS usually starts in an asymetrical limb, such as one hand, or one foot. If you notice your grip in one hand is starting to affect you in the sense that you are unable to do things that you used to do, such as opening doors, bottles etc then that would be more of an indication of weakness, NOT that that would mean you had ALS, a lot of people on this board have had that before. Also, the symptoms of ALS are NOT "OFF AND ON." They are persistantly and progressivly worse and worse. There are no good days and bad days, it gets nothing but worse.

No problem, I'm only returning the favor that was done for me when I was in your shoes. :D)
 
Welcome to the website. Yes, jerks, twitches and shakes are all symptoms of BFS so are cramps, tremors, perceived weakness, buzzing, vibrations, pain in the joints...

Your doc took quite a bit of blood, so first things first let's see that it all comes back normal. Secondly, you should make an appointment with a neurologist. The neuro will be able to assess whether there is any weakness and if you have any cause to be concerned. Truthfully I don't think you do but a neuro and the blood work should go along way to ease your mind. I would recommend reading BFS in a nutshell, it can be found on this website, that should truly answer many of your questions.

By the way, people with "bad things" can't muster up the strength to play a raquetball game from hell. I would truly take that as a good sign ;)
Kit
 
It's finally time for my first neurologist appointment tomorrow, and I am a bit scared. If something's wrong, I want him to find it, but on the other hand, maybe I'd rather just not find out.

Anyway, thanks for all the advice.

Over the last week or so, I would say things have improved...I don't feel completely normal, but having dealt with panic disorder, Xanax withdrawal, and now this, I'm wasn't holding out hope for that happening anytime soon anyway. ;)

The twitching in my thumb has almost stopped completely. It spazzed out a bit last week when I had a cold and then got a migraine, but that was very short lived. However, even though my thumb doesn't twitch anymore, it still feels off sometimes. I'll try to explain it as best I can:

It doesn't hurt, it's not numb, I can still move it, and from what I can tell, my grip with it is as strong as it has ever been, but it still feels "off." Sometimes I notice it when I grip things, like when I hitch up my pants (I need a better belt), and other times it feels vaguely stiff...like maybe it was slightly swollen...it's not swollen, but it has a similar feel, like you can move it just fine, but it feels different when you do. Sorry, I realize this explanation is positively all over the place, but I'm afraid it's the best I can do.

Again, thank you all for your help.
 

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