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Essential tremor is a condition that causes involuntary shaking. While it usually develops in middle age, it can start much earlier. Shari Finsilver was aware of her hands shaking as a child. When I was about 11 years old, I noticed in art class that I was never able to draw a straight line, she says.
These are the most common causes of shaky hands. Lack of sleep may also contribute to anxiety. If this is not the case, you may want to evaluate any prescription or recreational drugs that you use. I remember trying an MAOI once, and my hands got shaky, I was sweating like mad, and got really anxious.