All involuntary movements, including tremor,
are worsened by emotional or physical stress, anxiety, fatigue and coincidental
illness. In the presence of uncontrolled
stress, Parkinson’s in general is unmanageable and, in the same situation, ET
will also be uncontrollable. Stimulants
such as caffeine, coffee, chocolates, recreational drugs and alcohol withdrawal
will worsen tremors.
It is essential that these facts are
explained. It is also important that the
doctor and specialist nurse are fully aware of these factors, and the need for holistic management of the individual,
rather than just adding in more medication.
Unfortunately holistic
management requires time and that is one commodity which is in short supply in
most therapeutic environments.
