During in age 25 year, I began to notice a change in my handwriting. , I began to find it increasingly difficult to write quickly while taking notes. I would find myself gripping my pen harder and harder, until my index and middle finger would uncontrollably spasm and I would let go. I first tried holding the pen in a different manner and that would help for a while. But pretty soon the muscle spasms would return and I was unable to write again. I came up with some pretty creative ways to hold a pen, including putting it between my index and middle fingers and holding it in a closed fist. But nothing would work for long. I finally couldn t deny that something was definitely wrong with my hand. I was really uncomfortable talking about it, because I couldn t figure out a way to tell people that I just couldn t hold a pen all of a sudden. I had never heard of anything like this and neither had anyone else I knew. I wasn t even sure how to describe it and I began to doubt myself and what I was feeling. But once I finally couldn t deny the problem anymore, I went to doctor. He was puzzled by my symptoms and referred me to an orthopedic specialist. This specialist tested my grip strength and found that I had normal strength in both hands. My reflexes were also normal. He decided the problem was not in my hand at all and referred me to a neurologist. By this time, I was thoroughly frustrated and ashamed. It was nearly impossible to take notes in class, The orthopedic specialist had hinted that my problem was all in my head, which made me feel even less sure of what I was feeling. I was totally sure that the neurologist would have no idea what was wrong with me. Please suggest me an appropriate treatment for aforesaid problem. i have already taken many medicine for this viz. escitalopram, propranolol, alprazolam, pregabalin, multivitamin capsules, ropinirole, mythylcobalomin i am also have take many salts for pain like nimuslide, paracetamol, tramadol, acitomenophen, accelofenac etc. but not yet solved my problem. Regards manan YYYY@YYYY