I have been around drug and alcohol rehab for over 30 years. Tremors are usually only connected with withdrawl. My friend,"also BP" just started with severe tremors. People, for the most part think of Parkinsons. They have DX"D him with Parkinsonian tremors as a side effects of the Psych meds he takes. It took ten years to stabalize him so his Psychiatrist is very reluctant to change his meds. The meds to help with the tremors doesn't do anything for him. As far as alcohol and drugs and the shakes, no alcoholic, shaking from withdrawl is going to sit down and have lunch with anyone, same goes for a drug addict, so I highly doubt anyone is going to think of you as a alcoholic or drug addict because of the shakes.