facial masking or what???
 

i have an increasing problem with my facial muscles while talking...

it is such a strain for me to have any conversation, or to even think, that my face is contorted, much like facial masking...

think of someone looking completely dumbfounded after a big bite of a lemon...kind of a like an over exxagerated "eeeewwwweee"

it is with me all the time...

as with all my symptoms, it is worse when i get cold or anxious or angry or tired or overloaded...all of which happen very easily...

i also get a lot of stiffness in my forearms and contort my wrists to give comfort and this happens naturally without me realizing that i am doing it...both problems - with my face and stretching of my forearms - seem to get worse at the same time...

i am not interested in going out into public...a person very close to me told me it is difficult to talk to me as it is very distracting to them...

i do not talk the same since my injury...my voice is very slow, smokey and raspy, struggling to complete a sentence and i never look anyone while talking to them, the movements are too distracting......i prefer to whisper any time i can...i do not talk with a TV on or any other noise in the room or any other distraction at all...i avoid any conversation at all since it is ridiculously embarrassing...

any suggestions or guidance would be appreciated...

Brainstemmed

I think the Neuro Psychological Assessment will be helpful to identify your functional capacity. It is a relief to find a professional who can confirm the symptoms you are feeling.

This sounds like excess muscle contracture.... the flexing of the wrists toward the midline is a carpopedal spasm.
photos here of various forms:
https://www.google.com/search?q=carp...iw=981&bih=662

The facial muscles also may be spasms. This can come from hyperventilation, or disruptions in calcium metabolism, very low magnesium levels. Parathyroid disease/tumors can cause this.

Low Vit D is also a possibility because it helps with calcium absorption. You should really get some blood work, because this can signal a serious thing. So see a doctor for this. Take some photos too, if you can.