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Essential tremor
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==== 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 = 1603β1621 | 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 = 1333β1349 | 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" />
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