I am a soon to be 53 year old male with a myriad of physical/emotional symptoms that have been present for quite some time and I am wondering if it could be tms or something physical that the doctor's have missed. My symptoms started years ago, but have progressively gotten much more severe. Physically, my body trembles/shakes 24/7. My head never feels right (hard to explain the feeling....always feels full and lightheaded). I break into clammy sweats. I have digestive issues and am always very tender/sore in my muscles from mid-chest/back up. I have had several tests performed including upper gi endoscopy, colonoscopy, abdominal ultrasound, complete thyroid workup along with other blood work, ekg, a sleep study etc. I do have mild sleep apnea, Barret’s Esophagus and a fatty liver. Other than that, the tests have come back normal. Emotionally, I am on that “Fight or Flight” edge every second of the day. I’m always anxious, nervous, scared that I’m dying, etc. I feel down a lot of the time and detached from the world. With all of the physical symptoms that I experience daily, it’s very hard to not believe there is something horribly wrong physically. Any advice/guidance you can provide would be greatly appreciated as I am at the end of my rope.