Why do I get nervous and tremble whenever something happens?

Shaking or trembling when encountering stressful situations may be caused by emotional stress, physical fatigue, anxiety disorder, hyperthyroidism, or essential tremor. Symptoms can be improved through emotional regulation, rest, relaxation techniques, and medication. If trembling becomes frequent or worsens, or is accompanied by palpitations or insomnia, prompt medical attention is recommended.

1. Emotional Stress: When facing stressful events, the sympathetic nervous system becomes overactive and adrenaline secretion increases, leading to muscle tension and trembling, often accompanied by rapid heartbeat and shortness of breath. It is recommended to relieve emotions through deep breathing and distraction techniques, avoiding excessive focus on stress-inducing stimuli.

2. Physical Fatigue: Chronic sleep deprivation and overexertion can reduce bodily function and impair nervous system regulation, making trembling more likely during stressful situations. It is advised to ensure adequate sleep, avoid excessive workload, and take appropriate rest to restore physical condition.

3. Anxiety Disorder: Prolonged psychological pressure can lead to chronic anxiety. When faced with events, anxiety intensifies, resulting in uncontrollable trembling, often accompanied by restlessness and unfounded worries. Under medical guidance, medications such as paroxetine hydrochloride tablets, sertraline tablets, or lorazepam tablets may be used to alleviate symptoms.

4. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates metabolism and increases nervous system excitability, causing trembling and anxiety during stressful events, along with palpitations, heat intolerance, and excessive sweating. Patients may use medications such as methimazole tablets, propylthiouracil tablets, or propranolol tablets under a doctor’s supervision to relieve symptoms.

5. Essential Tremor: The cause is unknown but may be related to genetics. Symptoms worsen with emotional fluctuations, manifesting as mild trembling in the hands or head, which becomes more pronounced during stress. Patients may follow medical advice to use extended-release propranolol tablets, alprenolol tablets, or gabapentin capsules to improve symptoms.

Maintain a regular sleep schedule and sufficient rest, engage in moderate exercise such as walking or yoga to regulate mental and physical health, eat a balanced and nutritious diet, and learn emotional self-regulation techniques to reduce anxiety and tension, thereby supporting overall improvement in well-being.