What does tremor feel like with generalised anxiety disorder?

You may feel a fluttering or vibrating sensation inside, even when little movement is visible. The hands, legs, jaw, or voice can shake, and muscles may feel tense or tired. Tremor may increase during worrying, conflict, crowds, or anticipation, then ease as the body settles. Other experiences can include a pounding heart, faster breathing, sweating, restlessness, and difficulty concentrating. Tremor also occurs with medicines, caffeine, low blood glucose, thyroid problems, and neurological conditions, so a new or persistent symptom deserves assessment.

Sit somewhere safe and slow your breathing by making the out-breath longer than the in-breath. Relax your shoulders, drink water, and eat if you have missed a meal and can do so safely. Reduce caffeine and note what was happening before each episode. If worry is frequent, a clinician can assess Generalised Anxiety Disorder and discuss talking therapy, self-management, or medicine. Do not change prescribed treatment without advice.

Get emergency help for sudden one-sided weakness, trouble speaking, severe chest pain, fainting, severe breathlessness, a new seizure, or confusion. Arrange prompt medical review when tremor is new, steadily worsening, present at rest, or accompanied by weight change, fever, marked weakness, or a new medicine.

Ask what may be triggering the shaking, whether your medicines or caffeine contribute, and how anxiety will be assessed. Describe whether the movement is visible, how long episodes last, and whether they occur with worry, rest, exercise, or missed meals.