I’m so sorry you’re still going through this, OP - I commented on another post of yours about the sleep issue, having been through something very similar. I truly know how desperate you must be feeling at this point. I also have health anxiety. I know the bias it creates in medical professionals. I was once referred for CBT for health anxiety because of my “excessive concern” over stomach pain. It turned out to be a tumour growing in my appendix. It took 2 years for me to back myself enough to pay for a private scan which showed my massively dilated, abscessed appendix. My GP was very apologetic, but that didn’t in any way make up for those 2 lost years. I now have to be scanned every year in case the tumour spread. For those doubting that the medical profession treats anxious women poorly, please trust me, it’s a thing and being concerned that it’s on your medical notes is in no way irrational. I don’t think it can be undone, but I am now not afraid to be very clear that I am very self aware about my anxiety and am honest about the extent to which it is affecting me with any given issue. I have found that approach helps me to work more in partnership with medical professionals around my health anxiety - it’s then acknowledged, but I don’t accept them ascribing everything to anxiety without proper consideration and investigation. But all that said, OP, from my experience I would say that the sleep jerk thing as we discussed in your previous post comes from a place of deep anxiety. I have been there and it’s awful. There is a very genuine fear that your physical and mental health could be destroyed by the lack of sleep, which in turn makes it impossible to sleep. It’s a truly grim anxiety catch 22. The things that got me through my crisis were beta blockers, which you’ve been given and which will help (the abrupt change between anxiety awake heart rate and sleep heart rate is one of the things that prompts the jerking - it’s too big a drop and the brain panics that you’re dying, basically), and exercise, which will mop up your surplus adrenaline which is also predisposing you to the jerking. This is good advice from your GP. The final thing is to believe that there is nothing else wrong with you, and that’s hard. Everything is screaming that something must be really wrong, or if it’s not really wrong yet it soon will be if you can’t sleep. But I have been exactly where you have been and as hard as it was for me to accept after the tumour incident, it was anxiety, and the hideous sleep deprivation just made me feel crap and made me somewhat irrational - it didn’t cause me to have a heart attack, or a full on psychotic break, or any of the other things I was fearing. Your experience is totally consistent with mine and scary though the constant jerks are, they don’t reflect anything other than that your anxiety is running at a level incompatible with dropping off to sleep in a straightforward way. I seriously considered admitting myself to hospital and begging them to give me a general anaesthetic. I thought that only that, with the fact that someone would be monitoring my vitals, would enable me to break the cycle. But once I got over that period of crisis, I generally sleep well. I would never have believed that would have been the case but please trust me, you can, with the tools you have been given, very quickly get back to normal sleep. If it would help to message me feel free to. I’ve been through some scary times in my life but that sleep thing was right up there in the list, and as this essay hopefully shows!, I am genuinely gutted that you are having to go through this and would love to try and help you. Please try to hold on to the fact that you aren’t alone in this, and it does pass. If you can, take the beta blockers, pop out for a walk, and keep telling yourself that you are safe and this will pass. I have been and will be thinking of you and sending you strength.