What you are describing sounds like a task-specific tremor, often called a primary writing tremor. This is a highly manageable condition and nothing to worry about. To help manage it, doctors often prescribe beta-blockers, such as propranolol, to be taken shortly before you need to sign documents to calm the physical symptoms. Other medical options include medications like primidone or, occasionally, targeted botulinum toxin injections to relax specific hand muscles. Non-medical strategies, like using thicker or weighted pens and practicing relaxation techniques, are also highly effective. I recommend consulting a neurologist to discuss these options and find the best approach for you.

It sounds like you are going through a difficult time, but please be reassured that these symptoms are very common and highly treatable. For anxiety, nervousness, and repetitive thoughts or words, healthcare providers often prescribe Selective Serotonin Reuptake Inhibitors (SSRIs) such as sertraline or escitalopram. For physical symptoms of nervousness, beta-blockers like propranolol can be helpful. Sleep difficulties often improve once the underlying anxiety is treated.\n\nBecause these medications require a prescription and careful personalization, it is very important to consult a doctor or psychiatrist. They will safely guide your treatment, which often works best when combined with supportive talk therapy.