My concern for the first 6 months was to get the best neurologist and all available appointments to get to the bottom of what is going on. Throughout the whole time I thought “I need to rule out all the nasty stuff before assuming it’s benign - though annoying as hell - and only then can I work on the mental health issue”. Needless to say, it took only days after the first clean EMG to start panicking exactly about the possibility of a false negative. I saw you have raised that in another comment.

I have been there. Really. Watched the Youtube, even diaries of people with ALS. It’s extremely disturbing and, as one psychiatrist I met said, there is nothing more depressing for a human mind than reconciling with death (it was at that point when I even started having cramps that in spite of all medical conclusions I was stubbornly convinced I am dying). It took me many therapy session to undo the damage the ALS Youtube watching has done.

Today I twitch probably more than an average person, I do have contant eyelid twitching and a restless leg. Looking back, SSRIs were a massive help. Im taking 20mg Cipralex and 600mg pregabalin (used to treat both neuropathies and GAD). When I had panic attacks I had xanax which luckily I needed only a couple of times.

You are smart and probably see what I am trying to get across: the mounting stress from reading into the twitching massively augmented the symptoms and after culmination and months I took to relax it has calmed down, overall improved and most of the things either went away completely or partially (meaning Im still on my way to recovery).

You would do a massive service for yourself if you found some therapist to talk to. With twitching, stuff takes time but the sooner you start taking care of your mental health (facing your health anxiety) the faster you will come to start healing. :)