I do have TN but mine is a very mild case. It could be the drugs you take for it are causing these side effects. Lack of sleep can also cause craziness. What kind of treatment are you receiving? I remember some of my symptoms seemed really strange, like my eyes darting about involuntarily. I had adverse reactions to most of the drugs used to treat it, and so I had to stop taking them. I manage pretty well, but my symptoms are not that bad. I focused on stress reduction. I have a supportive environment at home at work. I knit a lot which for me is like meditation. I also hit on some non-medication techniques that help my pain, usually quite by accident. For example, it helps if I pucker up as if for a kiss.