So I'm curious if you are seeing a doctor for this. Has a neurologist checked you out? I only have minor awareness about the (negative) myoclonics my child has, a generalized seizure (thought some can be focal) that is controlled by medication. That's my favorite part.. controlled by medication. Still has occasional partials but the generalized types are under control. I know not all myoclonics are seizures but the tired and sleepy aspects sound a lot like seizures. And the way you say you need a jerk - I have described my child's seizures as building anxiety and then after a partial seizure, it's like the seizure washes away the emotional weirdness and things are better for a while before the process would start over.