Seriously, it's probably just hypoglycemia. Start keeping track of your meals, and when it starts up. After a week or two, look back at the notes you're taking. Look for a pattern - is it only after 5 hours between food? 8 hours? 2 hours? First thing in the morning only?
If there's no pattern, go to your doctor ( not your therapist), bring in the notes, and say "it's not time related." A decent doc should start looking to other causes.
There might be another bit of data that would be useful, but requires some equipment. If you know someone who is diabetic and has a glucose meter (to check their blood sugar level), see if they could take your blood sugar when you get this hand shaking, and add it to the other data you are recording. This one number, taken at the time of the symptoms, could reveal a lot.
Whenever I get some symptom that I don't recognize, the first question my Doctor asks when I tell her about it, is: "when it happens, did you check your blood sugar?"
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