I was diagnosed with familial essential tremors in July 2024 (my dad and that side of the family had it). I am 54. It does get worse as you age. My doctor joked and said I will see you in ten years. So, for me, I can manage on my own without medications. Anxiety makes it worse, and caffeine makes it worse, so I cut out coffee, which seems to help, and I switched to tea, but eventually I will need to cut all caffeine. I notice it more with exercising and holding posture, but I just need to accept that or take medication. I ruled out other things that can cause shaking before I went to a neurologist. It is frustrating because so many conditions can cause shaking. We don't have a comprehensive testing system in the US where you can rule out everything. Unless you are an executive, of course! For me, knowing and knowing how to treat something is better than not knowing, but everyone is different in that way. If it were me, I would get tested for Parkinson's because that's another progressive condition, but there are medications that reduce the tremors. Good luck.