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Jul 15, 2014
Learn about ALS
Since my post here asking about Bulbar Onset, I've been cleared by my PCP and by a Neurologist. I'm still terrified of ALS, and I very likely shouldn't be. My neurologist explained that a lot of people who suffer from severe anxiety manifest symptoms very similar to ALS/MS/MND/Myopathy/Etc because of the somatoform nature of anxiety, depression, and stress. To paraphrase a post I read elsewhere from a neurologist, it's like when your body goes into a fight/flight mode when facing down a vicious dog. Your muscles tense, your breathing changes, all to give you the best odds of facing that animal and surviving or fleeing quickly. If you're constantly in a state of panic because of anxiety (GAD, OCD, Hypochondria, PTSD), it actually wears down on you physically. This is what causes cramps, breathlessness, and so on. Now, somatoform disorders actually have the lovely ability to take a thought and manifest that into a physical (somatic, hence somatoform) response. You read about fasciculations a lot on the internet, suddenly you get them... either they were always there as normal muscle twitches but you suddenly notice them due to hyper-awareness, or your mind is essentially creating them.

We come here to know. It's a need to find an answer, or even get a little advice and reassurance. But remember, these are people suffering from an untreatable disease and their caregivers who have to be there while they go through it. If you DO post something, please be kind and cordial. Ideally, don't ask at all - go to your doctor. Only a doctor (who has at minimum 12 years experience understanding medical issues and symptomalogy) can order the tests or diagnose your problems.

I leave you with this - people with Hypochondria do get sick. They do get ALS, and they do get MS, and they do eventually die of something. Two things in life are guaranteed - death and taxes! Being concerned about a new, random thing happening to your body isn't a bad thing... we have an entire massive health-care industry built around answering the question of what goes bump in your body. Use it! :D

To the PALS and CALS here, I hope this gives you guys another barrier against us anxiety-ridden folk ;) Hopefully, you'll never have to see any of us return with the "Diagnosed with ALS/MND" tag.


From the "Anxiety Zone" forums. A very useful post by Pan. I'll repost the full text below in bold.

I have devised this thread as some guidance for those people who have visited this forum and are concerned about specific symptoms that are effecting them and, in particular, those who are worried that these symptoms are an indication of neurological conditions such as Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS) & Motor Neurone Disease (MND).

The first thing that must be realised is that NOBODY on an internet forum can ever diagnose you or truly give you any reassurance that you do not have these conditions. Should anybody experience any signs or symptoms that are new to them they should ALWAYS approach their doctor in the first instance in order for these to be examined. In the vast majority of cases a GP will be able to advise you that these symptoms are benign but some doctors will often refer you to a neurologist for their opinion, if this should happen it is not value laden as regarding a possible diagnosis but rather would be the standard format for how you present to the doctor.

This thread is good news, it is good news because it has had to be written, it is good news because hundreds, maybe thousands of people have logged onto this board and countless other anxiety forums totally convinced that they are suffering from a neurological condition despite being told by health care profesionals that this is not the case. All these people ask the same questions and all these people have the exact same worries as you are having now. If this is you, if you have been to the doctor, maybe even a neuro, maybe even two neuro’s, maybe even had an MRI, maybe even two MRI’s, well, you get the picture, if you have been told by your health care profesional that you are healthy but you are struggling to believe this you may find some help from this thread.

So, you have come to an anxiety board. I guess that is because your doctor has told you that you are suffering from anxiety. Actually, my guess would be that your doctor has told you that you are suffering from ‘just’ anxiety and, if you are lucky, you may have been given some leaflets, you may have had some books recommended and you may even have been given some medication.

So, what took you to the doctor? Was it the tingling? The pins & needles? That damned annoying twitching eyelid that just won’t let up? Was it that weird thing when you keep seeing the flashing in your periphiral vision? The strange sensation in your throat where you just can’t swallow? The constant muscle aches and cramps? The constant small joint aches and cramps? Do you have that weird internal vibrating feeling? Was it the percieved weakness in all your major limbs? What about the foot drop you have been noticing, the clumsiness, finding the car keys in the fridge? Was it the chronic constant fatigue, that feeling when you wake in the morning like you haven’t actually gone to bed? What about the myclonic jerking, that bizarre moment when your whole body jerks like you have had an electric shock? Was it that constant twitching in your calf muscles that looks like you have a bag of worms under your skin? It could have been the parathesia, the feeling on your skin where one moment it feels sunburnt and the next minute it feels soaking wet? Maybe it was the atrophy, you know, the muscle loss in your bicep, your thigh that is so obvious to you but what frustratingly nobody else can see? What about………are you bored? I’m bored!

So, you have had some of those right? Maybe like me you are unlucky enough to have had every one of them…not much fun is it! When you first started getting these weird and wonderful symptoms cropping up I bet one of the first things you did was run off to the all powerful internet and consult that all knowing oracle, the good lord GOOGLE. If you did this, if you searched for your symptoms on a search engine on the internet, congratualtions, you have taken the first step on developing this weird and wonderful anxiety disorder known as Health Anxiety. The reason we Google is because of a basic human need at a time of stress, we are scared and we want reassurance, the problem is nothing you ever read on the internet will give you the reassurance you need, you will unwittingly discard the plethora of evidence that tells you that you do not have a neurological illness and instead will latch onto and inflate those things which seem ambigous, why would you do this? I suggest that at this point it may be adavantagous for you to look in the Genaralized Anxiety Disorder folder on this forum and see the negative thought processes and over generalization and catastrophising that defines GAD, it just may ring some bells for you.

So, by the time you have gone to the doctor you are pretty much resigned to the fact that it is MS or if you are really unlucky ALS. You picture yourself in a wheelchair, the kids looking at you with pity as you can’t play sports in the park with them anymore, you picture your partner standing by you and caring for you but all the while you feel the resentment, they never signed up for this, you picture the scene in four years time, confined to a hospital bed with your family and friends round you with the fruit and flowers…..BUT WAIT!

Oh joyous news, the doctor has said you don’t have MS, you don’t have ALS, what you have is anxiety, well, just anxiety….oh believe me there is a BIG difference. You have got out of jail free! The doctor has examind you thoroughly, he has taken your history, he knows the patterns, he has seen people with MS and ALS and you are not one of those. With a skip and a step you are on your way, same time next year doctor, yep, no worries…so with a happy heart and an increased vigour you are off out of the surgery door to continue with your life that had been on hold up to then. MS, ALS how could you be so silly eh?

…and then it begins! Right, the doctor said this is anxiety, I’m not anxious though, why do I still have these symptoms if I’m not anxious….something just isn’t right here. The more you think about it the more it seems obvious, hold on, I saw the doctor on Friday afternoon, I bet he was just thinking about the weekend and wanted to get rid of me. I’m sure that the doctor should have done more tests than he did you know, crikey, I’m sure when I told him the numbness was down just the one side he didn’t listen to that, that bit is crucial and he never heard it. Hold on, this freakin eye twitch is getting even worse and I’m not even anxious, where is the telephone? What is that doctors number?……welcome to the loop!

If any of the above seems familier to you, believe me, you are not alone…as strange as it may seem the fixation on being convinced you have a neurological condition after being told that you are in actual fact suffering from anxiety in very common.

Firstly, you need to realise that both MS and ALS are rare disease’s. Not only are they both rare disease’s but they also tend to effect spefic groups based on ethnicity, age and sex so we are talking about rare disease with partial excluding factors. In contrast, anxiety is an incredibly common and debilitating condtion that effects people both physically and mentally.

Anxiety is generally percieved to be a mental condition, when we are anxious we are anxious in our head and this can kick in the flight or fight syndrome which in turn causes the physical reactions. These reactions are generally thought to be a racing heart and palpitations, sweating, increased adrenaline etc etc. Now, this is all well and good but how does this fit in with those symptoms that mirror MS etc so effectivly.

I personally believe that the reason most people fail to be believe that their symptoms are being genrated by anxiety is because the concept of anxiety is never actually expalined sufficently. A large number of doctors will often expalin to you that you are suffering from ‘just’ anxety and this usage of the term ‘just’ is supposed to make us somehow feel reassured. The problem is that this has the opposite effect, how can a ‘just’ something cause all these real physical symptoms. If anxiety is effecting me mentally how can it make me twitch, buzz and go numb?

For some people anxiety will surface in the tradional panic attack, much seems to be written on this side of anxiety and this is not what we are concerned with here. For a sizable group of people when anxiety starts to manifest itself physically it is through physical sesnations that effect various aspects of our nervous system. This is why the sensations of this physical anxiety so closely mirror the symptoms of a condition such as MS, they actually effect the same part of the body, now, here is the crucial and all important difference, the symptoms of MS are caused by an organic condition which whilst treatable is irreversable and the physical sensations of anxiety are caused by the mind and are of course reversable. In short, you have to understand and accept that the mind can actually generate these physical sensations.

Whilst for many people physical anxiety can strike out of the blue, I am of the opinion that for the vast majority of people anxiety starts to become physical after whay could be many years of bad stress and anxiety management. You may not have even noticed this. We all have an anxiety threshold and the majority of people will probably never approach the blow off point, yes, a sudden and severe stressor could take someone right over the point from the baseline (think Post Traumatic Stress Disorder & Conversion Disorder etc) but most of us operate at an anxiety level that our bodies can handle. The problem is that if we stress ourselves constantly over a period of time, we do not allow our thermostat to reset and one sunny day something will happen, some stressor which can be a bad or even a good event and which we may not even realise the significance of will push us over the limit and it is at this point that our anxiety will effect us physically and more often than not impact on our nervous system.

This also happens to bring us to another crucial factor and what for many is the paradox that holds us back form accepting the anxiety diagniosis, how the hell can this be anxiety when I am not anxious? It makes no sense to me!
What we need to realise is that once we have crossed the anxiety threshold no matter what we do we have to surrender ourselves to our mind and body and accept that we are now operating to a timescale that WE CANNOT CONTROL! We can think we are being as cool as Fonzie but we need to accept that the damage whilst reversible has been done and it is just a case of closing the stable door after the horse has bolted. Our body is now in control of us and the physical sensations will only stop when our body and mind are sufficently recovered.

It is at this point where we commit the ultimate folly, do we do as the experts suggest and sit back and realx and float through this stage? Of course not, we do the total opposite, we monitor our body for every twitch and interpret this as a sign of a misdiagnosis, we become hypervigilant, paranoid, self absorbed…this behaviour just creates more and more anxiety and we do not allow our body and mind the time necessary to recover….we are, in effect, pouring gasoline on the fire and expecting it to go out.

If you read this forum you will find a variety of posts that will offer you suggestions as to why you are suffering from the physical sensations of anxiety. Some people will advocate medication, some Cognitive Behaviour Therapy etc etc but what you will realise is that there is no one right way. I am truly of the belief that recovery is all about acceptance and learning to respond to fear correctly but how we do this is very much an indvidual thing. It could well be that you have issues with GAD and you can see how patterns realting to that disorder resonate with how you currently feel about your health, for example, note how both MS and ALS are diseases with which we lose control of our bodies. It could also be that you have issues with OCD, traits such as reassurance seeking and body and symptom monitoring could suggest this. There may well be suggestions that you could be sufferring from elements of depression, there is as school of thought that believes that the mind will somatise physical sensations when there are aspects of your life that your unconcious is unhappy with etc.

I hope this has helped if you have just visited here convinced you have MS etc and you are feeling scared and confused. You may have noticed I have not mentioned anything specific about MS or ALS and that is because there is no reason do not have those. Your doctor has told you you are suffering from anxiety and therefore you are in the right place. Refrain from researching about diseases you do not have and instead concentrate on dealing with what you have today. Of course, what you have today doesn’t guarantee you won’t have MS or ALS tomorrow and if that thought fills you with fear use your time here wisely and believe me, it becomes a lot more bearable.


Legendary member
Sep 1, 2013
good excerpt for sticky ...
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