19 Unmistakable Red Flags Your Body Might Be Battling Essential Tremor

17. Difficulties With Speech and Facial Expressions

Essential tremor is most commonly associated with hand or head movements, but it can also affect the muscles responsible for speech and facial expressions. Many individuals experience vocal tremors, causing their voice to sound shaky, quivering, or unstable. This can make it difficult to maintain a steady volume, causing fluctuations in loudness and pitch. Some individuals struggle with clarity, as their words may sound slurred or hesitant. This is often mistaken for nervousness, aging, or even intoxication by those unfamiliar with the condition. In addition to vocal tremors, some individuals experience subtle, involuntary movements in their lips, jaw, or facial muscles. These movements can affect articulation, making it harder to pronounce certain words clearly. Facial tremors may also cause unintended expressions, such as a slight quivering of the lips or twitching around the eyes, which can further impact social interactions.

18. Changes in Sleep Patterns

While essential tremor symptoms often diminish during sleep, many individuals still experience secondary sleep disturbances that can affect overall well-being. The physical fatigue from managing tremors throughout the day can lead to restlessness at night, while mental stress and anxiety about worsening symptoms may cause difficulty falling or staying asleep. Some individuals report experiencing light, fragmented sleep, waking frequently during the night, or struggling with racing thoughts related to their condition. Fatigue can also exacerbate tremors during waking hours, creating a frustrating cycle. When the body is overtired, muscle control weakens, and symptoms may feel more pronounced, making daily tasks even more difficult. Sleep deprivation can also contribute to increased irritability, reduced focus, and a greater susceptibility to stress—all of which can make tremors worse.