Hello  my daughter will be five in March, but in the past 2 years I've been asked by numerous  people about why she shakes and if I had noticed and they wondered what it meant. I have no idea and didn't think too much of it. A few theories are lack of food- energy, blood circulation, and  recently after a teacher approached me I took her to the doctor who could find nothing, The  teachers have since kept an eye on it and have again approached me with a different theory that it is when she is using fine motor skills as in writing her name that she starts to shake.. What does this all mean she is also tired a lot and does not eat the healthiest of diets as she dislikes fruit and veggies. I give her diet supplements with the best interest at heart but would like further advice and information,, Her concentration could be better and her listening skills are appalling. Many thanks and can you help PLEASE.

Thank you for your email. I understand your concern for your daughter. From the information you have given me it appears that your daughter's shaking could be anxiety at having to complete fine motor tasks. It is essential however that you have your daughter checked out by a professional paediatrician to rule out any physical causes. If your daughter is in fact shaking because she is feeling stressed and worrying about her fine motor tasks, then it is important to meet with her teacher, the principal of the school and a child psychologist to develop a plan to help her relax and manage the stress she is possibly feeling. It may be necessary for her to have some occupational therapy as well to boost her confidence and give her helpful tools Initiate conversation with her at home about how she feels about writing her name and drawing and reassure her that you are proud of her and  you don't expect her to produce perfect work.  Let her express her feelings and offer to help her. Avoid criticising her fine motor work and if she is being self critical explain to her that she is still very young and learning. Part of learning is trying things in different ways and making mistakes.   Continue offering her healthy foods to eat and include omega-3 fish oils in her diet which help with concentration. However, do not make food an issue. In addition, ensure she is sleeping for 10-12 hours a day. Please let me know how your meeting with the paediatrician goes. Best wishes