One of the common neuro-psychiatric diseases in childhood is Tic Disorder.
Tics, which families often misname as 'obsessions'; These are sudden, fast, non-rhythmic, repetitive and purposeless motor movements and sounds. Although it is most commonly known as blinking and shrugging, any voluntary motor movement or vocalization produced by the body can be seen as a tic.
Tics; They are divided into various classes according to their types, frequency, duration and complexity. Although many genetic and biological factors are blamed for the formation of tics, there are also environmental factors that cause and aggravate them. A special group of bacterial infections, seasonal change, fatigue, psychosocial stress, fear, emotional traumas and events that cause strong positive emotions for the person are environmental factors that increase tics.
It is generally quite common in childhood, between the ages of 10-15. It is known that it worsens between the ages and disappears or decreases in young adulthood. Sometimes families; They suspect that their children do this on purpose, stating that the tics do not occur at school or in any other environment, but at home. Of course, children do not do this on purpose, but unlike other movement and muscle diseases, tics can be suppressed for a short time when they cause discomfort. It can also be suppressed in activities that require deep focus and in environments where there is intense social pressure. After this control, which becomes stronger with age, an increase in the intensity of tics is observed.
Another feature of tics is; After the age of 8-10, as awareness increases, the patient feels maturity in the muscle groups where tics will occur. He understands that a tic attack is coming with the feeling of itching, pressure and restlessness. This is a feeling experienced in more intense and complex tics.
Tics can be seen together with other psychiatric disorders, as well as other diseases. Among these diseases, Attention Deficit Hyperactivity Disorder is the most common. Then there are Obsessive Compulsive Disorder, Learning Disorders, Anxiety Disorders, Depressive Disorders and Sleep Disorders.
The tic disorder itself and accompanying psychiatric problems negatively affect the patient's quality of life, social and academic functionality and success. It is important to seek expert help. The first and most important step of treatment; Learning the process well is improving coping skills. In cases where tics restrict daily life, drug treatment under the supervision of a doctor comes to the fore.
Suggestions for the family;
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Know that this condition is an illness and support your child.
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Guide with patience and compassion, as punishments and intense emotional pressure will increase tics.
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Reduce screen exposure.
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Maintain sleep hygiene and order and do not compromise on this issue.
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Guide them to sports.
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With school. Collaborate.
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