Hi, I'm a 19 year old female and have had involuntary movements for about three and a half years. Initially, these were very difficult to deal with and interfered in my daily life. However, they diminished over time but are still present. Although the movements decreased, I developed involuntary vocalizations about two years ago. Both are still present and noticeable but I handle them. I am worried now because I've noticed that my right arm doesn't swing when I walk, I have had changes in mood, I recently had a case of sleep paralysis, and my hands sometime shake when I'm not doing anything. The doctors I've been to have said that I don't have Tourette's and my original diagnosis of JME has been ruled out. What do you think might be the problem?