She can't help it.
It's a symptom of Parkinson's Disease.
I know that some people have attributed this to seizures, but I have a different theory. I think the key word in your statement is "inauthentic." Hillary is not a very warm person, and does not have much of a sense of humor. Consequently, when she attempts joke around or look like she's having fun, it's obvious that her facial expressions and body language are not genuine. As a result, it ends up looking bizarre instead.