I have many similar questions about the relationship between stress and BFS. When I'm nervous I notice many hands will shake a little. Rather than thinking stress caused my BFS, I have considered the twitches has raised my level of stress. It's not strange that you notice the fasciculations at night; I seem to get them at night and from what I can gather from the forum, many others do as well. In the down time you think about ALS, MS, and what would happen if you got sick. My family doctor acted like I was nuts, but he humored me with a MRI, which was negative. When you are busy you don't seem to notice the twtiching. I had convinced myself I had something for a very long time. Two trips to the neuro and I was still skeptical. My most disturbing symptom was a little tremor in the hands, one sometimes both hands and finger twitches. Both caused an uncomfortable feeling, and I noticed while holing a light item it would shimmer. At first I noticed the fork dance just barely, the more I watch it the more it seemed to dance around. As a nurse I was self-conscious that my hands would shake during a procedure. Out at dinner I did not want others to think i was ill, even though no one noticed it but me, not even my wife who I tried to show every time it happened.The trips to the neuro were enlightening. One thing for sure he did not seem to care about my finger or hand symptoms. I did not understand at first, and i thought he was just a goof. After reading "BFS in a nutshell" It was a littler more clear. He has seen als, ms, and parkinsons many times. I imagine he could see problems from the way a person walked in the office. I passed the neuro exam; touched the nose and several other little excercises. I could sqeeze his hand hard enought to cause him discomfort. He smiled and said, " I think you are going to live.Even now that I'm not consumed with the feeling of dread, I still become unsettled by the twitches. An alcoholic drink seems to help with stress, but it fires up the twithces and you have to deal with that. I am taking 100mg of co-Q10 in the morning and 250mg of mag. at night. It may be a placebo but it seems to be helping. There're doing some clinical trials with coQ10, so there may be something to it.Don't be surprised that they refuse to call it BFS. Some doctors don't think it real, some barely know anything about it. I have similar issues with my feet, mostly the left foot after running. You're not alone. Talk to your Doctor about anxiety medications..ativan or valium. Neurontin is being used for many things now the way flagyl was the miracle antibiotic a few years ago. Anyone who has used flagyl can tell you about the profound anti-inflamatory properties. Anyway, some are saying neurontin will calm down the fasics and restless leg syndrome.