Editing Essential tremor (section)

===Treatment approaches===
Currently, most treatments and therapies available for essential tremors are only treating symptoms since there is no cure available. Medical treatments for tremors are based on shared decisions between patients and their providers. The choices of treatments depended on tremor severity, affected body parts, and the impacts of tremor on the patient's physical, psychological, and quality of life.<ref name=":0">{{cite journal | vauthors = Rajput AH, Rajput A | title = Medical treatment of essential tremor | journal = Journal of Central Nervous System Disease | volume = 6 | pages = 29–39 | date = January 2014 | pmid = 24812533 | pmc = 3999812 | doi = 10.4137/JCNSD.S13570 }}</ref> People with mild tremors that do not interfere with daily activities and psychological well-being do not require pharmacological treatments. People with persistent tremors which impact daily functions and social interactions should be treated with the appropriate pharmacological therapies.<ref name=":0" />

==== Non-pharmacological Treatment ====
"Focused Ultrasound" is a treatment that was approved for coverage in the U.S. in 2022 for those with Medicare insurance.  Totally non-surgical, the treatment process is performed on a conscious patient and takes 2 to 3 hours.

The first approach in helping people to improve tremor symptoms is the discontinuation of triggering and exacerbating factors like medications including certain antidepressants, anti-epileptics, beta-agonists; or substances like caffeine.<ref name=":1">{{cite journal | vauthors = Hopfner F, Deuschl G | title = Managing Essential Tremor | journal = Neurotherapeutics | volume = 17 | issue = 4 | pages = 1603–1621 | date = October 2020 | pmid = 32915385 | pmc = 7851235 | doi = 10.1007/s13311-020-00899-2 }}</ref> In addition, getting adequate sleep and utilizing relaxation techniques can also help improve and reduce tremor symptoms in individuals who reported an increase in tremors following physical activities.<ref name=":1" />

Since tremors can affect different parts of the body (like limbs, head, chin/jaw, and vocal),<ref name=":2">{{cite journal | vauthors = Wagle Shukla A | title = Diagnosis and Treatment of Essential Tremor | journal = Continuum | volume = 28 | issue = 5 | pages = 1333–1349 | date = October 2022 | pmid = 36222768 | doi = 10.1212/CON.0000000000001181 }}</ref> different non-pharmacological therapeutic techniques are available that can support patients with the management of tremors including occupational therapy, speech therapy, and psychotherapy.<ref name=":1" /> Occupational therapy provides support to help people manage everyday tasks more easily through different approaches and interventions.<ref name=":2" /> Speech therapy is helpful in people with vocal tremor to help manage and maintain the vocal changes associated with tremor symptoms. Psychological impacts like embarrassment and anxiety are also important concerns of many people with ET which can lead to social isolation and depression. Psychotherapy can be very beneficial and play a key role in helping people to improve the mental health of ET people.<ref name=":2" />

==== Alcohol ====
Alcohol had been known to help provide short-term relief of tremor symptoms in some people, however, the therapeutic effects of alcohol on ET had not been studied in many clinical trials. It has been proposed that alcohol can help reduce tremors through the agonism mechanism of the gamma-aminobutyric acid GABAergic.<ref>{{cite journal | vauthors = Ondo WG | title = Current and Emerging Treatments of Essential Tremor | journal = Neurologic Clinics | volume = 38 | issue = 2 | pages = 309–323 | date = May 2020 | pmid = 32279712 | doi = 10.1016/j.ncl.2020.01.002 }}</ref> Since GABA can decrease neural activity, it is believed that alcohol can increase the activity of GABA which then can reduce involuntary muscle movements or tremors. However, the duration of action of alcohol on ET is around 3–4 hours, alcohol also had been associated with the rebound of tremor, not to mention the risk of development of long-term alcohol consumption and abuse.<ref name=":0" /> The use of alcohol as a possible treatment for ET is not recommended by healthcare providers.