What Are the Most Common Causes of Tics in Children?

Children's tics-brilliant syndrome, also known as multiple tics, is also a clinically common behavioral disorder syndrome in children. It is characterized by involuntary twitching of the muscles of the eyes, face, limbs, and trunk with abnormal pronunciation of the throat and obscene language. Syndrome. It is characterized by frequent squeezing, winking, frowning, pouting, shaking his head, shrugging his shoulders, twisting his neck, and making unusual noises in his throat, like clearing his throat or coughing. bad language. Symptoms often fluctuate and can be induced and exacerbated by a cold, fever, or nervousness. About half of the children are accompanied by ADHD. Day long affects memory, lags behind in learning, and children with severe illness are forced to suspend school due to interference with classroom order.

Childhood tic disorder is an exercise or vocal muscle spasm that often occurs in childhood. It is mainly manifested as involuntary, rigid movements, such as frequent blinking, making strange faces, shaking heads, shrugging, making coughs, and clearing voices .

Introduction to children with tic disorder

Children's tics-brilliant syndrome, also known as multiple tics, is also a more common clinical behavior disorder syndrome in children. It is characterized by involuntary twitching of the muscles of the eyes, face, limbs, and trunk with abnormal pronunciation of the throat and obscene language Syndrome. It is characterized by frequent squeezing, winking, frowning, pouting, shaking his head, shrugging his shoulders, twisting his neck, and making unusual noises in his throat, such as clearing his throat or coughing. A few children have uncontrollable curses, saying bad language. Symptoms often fluctuate and can be induced and exacerbated by a cold, fever, or nervousness. About half of the children are accompanied by ADHD. Day long affects memory, lags behind in learning, and children with severe illness are forced to suspend school due to interference with classroom order.

It is most common in those who are 4-7 years old, and there are still seizures in 12-16 years old. The incidence is more male than female, about 3: 1-4: 1. According to clinical observations, girls have an earlier onset than boys, and treatment is slower than boys. .

Children's tic disorder has a long course, recurrent episodes, and a few to puberty resolve on their own, and most of them gradually worsen. The symptoms can continue to adults, affecting normal life and learning, and need timely treatment.

Causes of tic disorder in children

It may be the result of multiple factors.

At present, it is often advocated that those with a disease course of 1 month to 1 year are called transient tic disorder, and those with a course of more than 1 year are called chronic tic disorder. In chronic tic disorder, motor tics and vocal tics should not occur at the same time. The incidence of the disease is about 1% to 7%, and 4% to 23% have been reported. It is more common in preschool and early schoolchildren. There are more males than females, and the male to female ratio is about 3 to 4: 1. Generally it can heal in a short time or heal after treatment. The stubborn ones can extend for several years and even extend to adults. ^[1]

Constitutional factors for children with tic disorder

Children with certain neuropsychiatric types are prone to the disease, such as neuroticism, timidity, hyperactivity, emotional instability, sensitivity to people and stubbornness. And this disease is often accompanied by headache, abdominal pain, constipation, enuresis, etc. of unknown cause, so it is speculated that children with tic disorder are related to children's physical factors.

Children with tic disorders

Certain mental stimuli can induce this disease, such as excessive learning requirements, excessive blame, family discord, emotional neglect, or certain tensions in the environment, etc. These factors can cause children to have ambivalence, such as tics. External manifestations of psychological conflicts. In addition, excessive restrictions on children's activities can also be a cause of this disease.

Children's tic disorder habits and imitations

Children's initial tics may be due to conditional evasion reactions, such as blinking when there is a foreign body in their eyes, or mimicking the tics of others, and they develop habits over time.

Children with tic disorder other

Some sudden illnesses, such as upper respiratory infections and minor brain damage can also be one of the causes. Some people think that the disease is a transient bad habit during the development of children.

Prevention of tic disorder in children

For children with tic disorder

1. Check before marriage. When choosing a spouse, try to pay attention to the presence of mental illness such as epilepsy and schizophrenia, and avoid marriage with close relatives.

2. Marriage at the right age. Don't get married early, get pregnant early, don't get too late, get pregnant late, and avoid birth defects.

3, as far as possible to deliver. In order to avoid birth trauma and reduce the possibility of brain injury, natural delivery should be as natural as possible, because the proportion of children with ADHD is higher in clinics.

4, pregnant women should pay attention to cultivate temperament. Keep a good mood, be calm, avoid cold and heat, prevent diseases, and use drugs with caution.

5. Create a warm and harmonious family living environment. Make children spend their childhood in a relaxed and happy mood. Do nt blindly look at Jackie Chan, deprive the child of a happy childhood, and cause unnecessary trauma.

6, pay attention to reasonable nutrition. Make children develop good eating habits, not partial or eccentric, and ensure adequate sleep. Strengthen physical exercise, strengthen physical fitness, and prevent the occurrence of diseases.

Children with tic disorder

1. Reasonably arrange the child's work and rest time, and do not make the child overworked and allow him to maintain adequate sleep;

2, in the family or life, avoid using language to directly express the symptoms of children;

3. Do not remind when the child is twitching, it is best to ignore it;

4. Encourage children to build self-confidence, self-esteem, and relieve mental stress;

5. Avoid letting children do strenuous exercise, it is best not to participate in military training, long-distance running and competitive sports activities or heavy physical activities;

6, should not study for too long;

7. Carefully choose children's toys. Try to avoid letting children play with lead-painted toys, especially not to keep them in your mouth. ^[2]

Main manifestations of tic disorder in children

It is mainly involuntary movements, and the affected part and duration vary from person to person. The most common type is a sudden, short, repetitive, stereotyped group of muscles or a small group of muscles, which manifests as blinking, squeezing, squeezing, Doing motion tics like shrugging, shrugging your shoulders, turning your neck, nodding, shaking your head, turning your body, shaking your arms, etc., can also be vocal tics like coughing and clearing your voice. In general, it is exacerbated during emotional stress, decreased when concentrated, and disappears during sleep. In a certain period, the same symptom is often the main thing, and sometimes it can be converted into another group of muscle tics, that is, the variability of symptoms. Children often have psychological problems such as hyperactivity, difficulty in concentrating, and poor sleep. The main clinical manifestations of tics in children are twitch muscles and vocal tics, which are characterized by rapid simultaneous muscle twitches.

Eye muscle twitches: manifested as raising eyebrows, frowning, blinking, squinting, rolling eyes, staring, etc .;

Facial muscle twitches: manifested as grinning, pouting, shrinking nose, acting strangely;

Neck muscle twitches: manifested as nodding, shaking his head, twisting his neck, shrugging his shoulders, etc .;

Upper limb twitch symptoms: manifested as shaking hands, raising arms, twisting arms, rubbing fingers, fists;

Lower limb twitch symptoms: manifested as shaking legs, kicking, lame feet, rotation, even walking in a dangerous posture, abnormal gait, etc .;

Torso twitch symptoms: manifested as chest lift, waist twist, and body twist; abdominal muscle twitches are not easily detected by parents;

Throat vocal tics: manifested as abnormal sounds, such as dry cough, clearing throats, roaring, or spitting, or stuttering, verses, improper stress, involuntary profanity, cursing, swearing, etc .;

Other behavioral abnormalities: repetitive, rigid language and movements, compulsive behaviors, jab movements, impulsive touch movements, and even imitating others, obscene behaviors or uncontrollable indecent movements; self-injury or hurting behavior may also occur Such as bumping your head, biting your lips repeatedly, biting your pencil, sucking your fingers, digging your skin, damaging items, and infringing others.

Some of the above groups of symptoms appear at the same time, some people have a group of symptoms first, after a period of time change a group of symptoms or add a group of symptoms, or symptoms alternate. Consciousness at the onset of tics, can be controlled briefly with consciousness, symptoms disappear after falling asleep, and aggravate when feeling nervous.

Specific symptoms of tic disorder in children

Specific manifestations of tics in children with tic disorder

Through the study of a large number of clinical patients, expert Jiang Yanqing's tics said: In children with tics, twitch sounds appear as abnormal sounds. Can occur alone or concurrently with other muscles, the incidence rate is 79% ~ 98.5%. The most common parts that cause twitching of speech are the throat muscles, which make popping, purring, dry coughing, or throat clearing when twitching; followed by tongue flapping, booing, squeaking, rattling, and nasal The tics are nasal spray, asthma, nasal vocalization or choking sound. It is manifested in inarticulate speech, ambiguity, abnormal sounds and speech delay, uneven tone strength, etc. when speaking. Language barriers and loud noises often appear at the end of a sentence or when a pause is needed.

Specific manifestations of sensory tics in children with tic disorder

Individual children with tic disorders exhibit sensory tics before the onset of tics, including itchy throat, uncomfortable eyes, itchy neck, neck pain, dizziness, headache, chest tightness, and something uncomfortable over the shoulder. Itchy throat is more common, accounting for 26%.

Childhood Tourette Expressions

The characteristic of children with tic disorder is to express obscene words in a rare, high-pitched tone, without reason, in the most inappropriate places and places. Bad language is common at the beginning or end of a conversation, and it involves sexual mating, excretion, and profanity. Some people abroad use computers to simulate the form of profanity in children with tics. Analysis shows that the most probable cause of profanity may be related to "brain function loops", which makes high-probability series of relevant text similar to profanity appear and generate a lot of profanity. Patients with this disease have good self-awareness, but have almost no control over profanity. Sometimes, in order to control the appearance of profanity, a series of swear words are presented. In order to prevent profanity, patients often revise the text or disguise themselves to relieve embarrassment. There are also offensive language and offensive behavior. Bad language is a patient's mind repeatedly thinking about a certain bad language, but not expressing it. The profanity behavior is to express profanity content with gestures or venting profanity, and the manner or gesture of gesture expression is related to individual culture and education.

Children with tic disorder mimicking

Among children with tic disorder, some patients have imitated phenomena. The most common form of imitation is to imitate human language phenomena, as well as imitate nasal sounds, calls, and special sounds on television. There are also repeated calls to the entire sentence of the conversation or repeated calls to their names. There are also people who repeatedly perform foolish and witty moves such as greetings. Howling, spontaneously repeated "V" gestures that symbolize victory, etc. Therefore, it causes the behavior disorder of tics.

Children with tic disorder

Studies of children with tic disorder were earlier in the world. In 1985, it was reported that mental instability was present in most cases of tic disorder in children, and that mental changes were inevitable. Other reports suggest that about 85% of children with tic disorder have mild to moderate behavioral disorders, and behavioral disorders are an integral part of the disease. Experts found in research that children with tic disorders mostly have behavioral problems, but their severity is different, and those with mild symptoms only show restlessness, hypersensitivity, irritability or behavioral withdrawal. At the other, there are obsessive-compulsive symptoms, attention deficits, hyperactivity, disruptive behavior, learning difficulties, sleep disorders, etc. that are difficult to get rid of.

Harm of children with tic disorder

First, there will be serious obstacles to your child's education. Because the child's tics and involuntary vocalization lead to distraction, severe tics make it difficult for the child's eyes to focus on the book. Some children work hard to control their vocal tics during class. They cannot concentrate on the teacher's lectures, and their academic performance will lag behind. Discrimination or ridicule by classmates and teachers makes children more unwilling to go to school, and even hate school and truancy.

Second, there is a certain impact on the child's personality development. The age of 4 to 12 is an important period for children to develop their self-awareness and develop from "natural persons" to "social persons." At this stage, children's psychological development is characterized by their self-awareness in their interactions with adults and peers. Form a certain opinion and evaluation of yourself, such as whether you are smart or stupid, beautiful or ugly, etc. Younger children lack the ability to independently evaluate themselves, and most of this self-evaluation comes from outside sources, such as teachers, peers, and parents. Positive or negative evaluations from the outside world during this period will have an important impact on children's self-awareness and personality formation. If parents are often scolded, teachers criticized, and students ridiculed at this stage, children's physical and mental development will be greatly harmed. And the psychological characteristics and personality tendencies formed in childhood are the core components of a person's personality and will affect a person's life. Without timely and effective psychological intervention for children with tic disorder, not only will it be difficult to establish self-esteem, self-confidence, form a sound personality, but it will also easily produce antisocial psychology. Some children develop into a disorder of conduct when they are adolescents.

Third, if the child is not treated in a timely and effective manner, especially if the tics are not controlled, it will seriously affect his interactions with classmates and peers, resulting in a sense of inferiority, social withdrawal, immature behavior, social disorders, stuttering, and character Disciplinary issues have seriously affected their social interaction and interpersonal relationships.

Behavioral problems in children with tic disorder

OCD Children with tic disorder obsessive-compulsive disorder (OCD)

According to the research findings, the incidence of tics in children with tics is 30% to 70%. Obsessive-compulsive disorder includes ideas or obsessive behaviors. Compulsive ideas and obsessive behaviors are characterized by recurring stereotyped behaviors or ideas. Obsessive-compulsive ideas have obsessive suspicion, obsessive recall or obsessive associations. Obligatory behaviors include obligatory counting, obsessive behavior. Examination, forced hand washing, or forced ritual action. Tic disorder associated with obsessive-compulsive disorder can be manifested as repeated simple actions, (such as repeated hand washing and repeated opening and closing, etc.) repeated unintended actions (such as forced touching of objects, symmetrical placement of objects, etc.), inspection rituals (Such as checking locks and closing windows multiple times), ritual actions to remove dirt on the body or objects, frequent counting, repeated writing, etc. Obsessive-compulsive concepts and behaviors increase with the duration of the disease.

Children with tic disorder and ADHD

According to clinical data, the incidence of tic disorder with ADHD in children is 25% to 50%. Mainly manifested as inattention, hyperactivity, impulsive behavior, ADHD symptoms usually appear before tics, about 2-3 years earlier, and are common symptoms in children with severe tics.

Children with tic disorder have learning difficulties

The incidence of learning difficulties (LD) in children with tic disorder is 25% to 50%. Learning difficulties mean that children's academic achievement in one or several aspects is significantly lower than the expected level of intellectual potential when the learning opportunities are appropriate. Part of the child's learning difficulties is the effect of tics. Such as: uncontrollable twitches and pronunciation, affecting concentration, severe limb twitching makes it difficult for the patient's eyes to stare at the book, and the contempt and ridicule of the teacher and classmates make the children tired of learning. Obsessive-compulsive disorder can interfere with the attention of children with tic disorder can also cause learning difficulties. The main reason for learning difficulties is that children with tic disorder are accompanied by ADHD, that is, attention deficit disorder. The learning difficulties of patients with tic disorder are reversible, and their academic performance improves as their condition improves.

Children with tic disorder sensory deficits

According to data at home and abroad, children with ADHD have varying degrees of sensory deficits, which have been tested by experts in this center using various methods, and the results are basically the same. It is suggested that children with this disease have defects in space, motor and graphic skills.

Tic disorder in children

Studies have shown that some children with tics show emotional disorders (ED), which are often accompanied by depression and anxiety.

Children with tic disorder memory and attention deficits

According to our experts, 30 children with tic disorder were tested with Halstead Children's Neuropsychological Complete Scale, suggesting that they have spatial memory deficits. The experts found that by performing event-related auditory evoked potentials and Knoxcube tests, children with tic disorder had special attention deficit and visual attention span damage.

SD) Children with tic disorder sleep disorder (SD)

The incidence of sleep disturbances in children with tic disorder accounts for 12% to 44%. Sleep disturbances include difficulty falling asleep, restless sleep, dreams, dream language, night terrors, nightmares, sleepwalking, enuresis and molars, and reduced REM sleep time. Sleep disorders mostly occur in boys with tic disorder and ADHD behavior. They are more common in younger children and tend to disappear with age.

Children with tics and anger

In the family of tic disorder, there are obvious personality traits that are irritability, damage to property and murder. Experts from this center have found that this is related to the severity of tics, and the irritability and murder are now divided into 4 levels. Level 0: No irritability and murder.

Level I: Shows irritability, yelling, overturning things, etc., but does not involve acts of damaging property or attacking others.

Grade II: Patients often vent their anger by destroying property, killing animals, and harming others.

Level III: Legal issues due to irritability and murder.

There are two reasons why patients with tic disorder are easy to forgive and commit :

The first is the external cause, because the patient's involuntary and strange movements were ridiculed or ridiculed by others, the patient himself lost control of the body.

The second is the internal cause: the patient's central nervous system's high dopamine can make the patient show irritability and irritability without external stimulation.

Chinese medicine believes that: The liver is the officer of the general, and the decision is made. A strong liver fire can easily cause uncontrollable anger, which can lead to swearing or murder.

Therefore, irritability and aggressiveness in patients with tic disorder are manifestations of their condition, and they should be actively treated with drugs, which cannot be resolved with stress or violence.

Child with tic disorder indecent behavior

Tic disorder has less obscene behavior than other related behaviors, and about 6% of tic patients have this behavior. Indecent behavior often co-exists with obscene language. Some patients often use obscene gestures or other gestures instead of obscene words to show dirty behavior. This behavior often occurs in families. Patients directly perform obscene activities against their loved ones or other family members. Children who have experienced tics like to touch their mother's breasts.

Introverted personality in children with tic disorder

The Eysenck Personality Questionnaire (EPQ) was used to test and analyze 300 children with tic disorder. The results showed that introverted personality and high level of psychological defense were the main personality and psychological characteristics of children with tic disorder.

Introverted personality is one of the causes of tics, and it is the result of evolution in the pathological process of the disease. The introverts in the first line tend to have more psychological pressure than the extroverts. Due to the existence of this difference, the accumulated psychology of the former The energy is not properly vented, and the pathway is changed, instead, it is caused by various types of motor tics, compulsive symptoms, and tics. In order to maintain the psychological balance of the subconscious, with the development of the disease, the pressure will be greater. The patient cannot be understood and sympathized by others, but is reprimanded, punished, disgusted, and even hostile. The child develops and exacerbates the inferiority complex. Emphasizing introspection, the degree of self-attention also gradually increased, the motivation to correct tics was strong, the results were counterproductive, and the personality psychology was more introverted.

Children with tic disorder

Children's tic disorder with hairiness

Trichotillomania is classified as an impulse disorder, which means that it is not possible to remove your own hair and restrain it, resulting in a significant loss of hair invention, and patients with tics have occasional pilates. Some experts believe that pilates and tics may be Is a disease, plucking is a special manifestation of tics.

B Children with tic disorder B tic disorder with epilepsy

Patients with tic disorder can be accompanied by seizures. The relationship between the two is not clear. Some experts believe that the two may have a common neurophysiological anatomy. Involuntary tics in children with tic disorder occur mainly when awake, but often disappear during sleep. If the child has small limbs or facial convulsions or even systemic convulsions during sleep, routine electroencephalography should be performed. If a painful discharge synchronized with the clinical episode is recorded, the diagnosis can be confirmed and anti-epileptic drugs should be given at the same time as the treatment of tics.

C Child tic disorder C tic disorder with schizophrenia

It was found in the study that psychiatric abnormalities (such as perception, delusion of victimization, and relationship delusions) and physical disturbances occurred during the course of tics, indicating that patients with tics have schizophrenia (schizophrenia). Its pathogenesis is not clear, and the basis of schizophrenia and its mental disorders may be related to hyperfunction of dopamine.

D Children with tic disorder D tic with migraine

The TCM expert group found in research that the incidence of childhood migraine in the tics-brilliant group accounted for 26.6%, which was significantly higher than that of ordinary children (4% ~ 7.4%). It is thought that tic disorder with migraine may represent a subtype of the disease. The main cause is based on neurotransmitter disorders related to serotonin metabolic dysfunction, which is basically the same as the mechanism of migraine. So tics and migraine appear in some children at the same time, probably because they have similar metabolic abnormalities. When children with tic disorders seen in the clinic have migraines, they should think of their accompanying symptoms.

E Tic E in Children with Abdominal Pain

The tics are characterized by involuntary twitching of multiple muscle groups. The trunk muscles include chest and abdominal muscles. Due to the constant contraction of muscle groups, relaxation and frequent exercise, it is difficult to control with consciousness. When muscle groups are tired, they do not stop twitching. A large amount of lactic acid is produced, which cannot be dissipated and decomposed in time, which stimulates the intramuscular nerve and causes soreness.

The same principle, muscle group twitch can also cause corresponding muscle group soreness, such as chest pain, neck pain, upper and lower limb pain. Mild cases do not require special treatment. In severe cases, the child can lie flat, take a deep breath to relax, and the parent or doctor can gently massage the pain.

The untreated child with tic disorder may have affected his adulthood.

Relationship between the onset of childhood tic disorder and the condition

Children's tics are mild, and we classify them as 3 levels. Grade : slight tics, does not affect learning and life. Grade II: Severe tics. Grade III: Severe tics and affect patients' lives. We found in the study that the severity of the patient has a great relationship with the age of onset. The average age of onset is 6.9 years, and the symptoms increase from age to as the age of onset increases. Those with grade with ADHD have the earliest onset and the average age is 4.65 years old; the average age of grade III is 8.14 years old, suggesting that the later the age of onset, the more severe the tics, and the more active treatment is needed.

Rare symptoms

Nudity : A small number of patients with tics have nudity. 16% are males and 6% are females. Experts in our hospital classify nudity as four levels: 0: no nudity.

Grade I: Touching the sex organs.

Level II: Bare in front of family members at home.

There is also nudity and nudity in front of the public.

Enuresis: Many patients with tic disorder have enuresis in the later period, accounting for about 36% (28/77). Traditional Chinese medicine believes that the kidney is the innate foundation and the kidney is the main congenital organ. If the kidney is congenital, the enuresis is present.

Aggressiveness and naive behavior: After investigation and research, we found that the behavior and social problems of patients with tic disorder were compared, and it was found that a group of older people with social problems were more common.

Anxiety, depression, disciplinary problems, mania, phobia, stuttering are 5-20 times higher than the normal control group.

A few people have self-harm behaviors, including: self-harm appearance syndrome.

A small number of patients with tic disorder have uncontrollable, severe, and repeated self-injury behaviors (relatives), with an incidence rate of 17% to 53%. The self-injury behaviors are diverse and manifest as the children biting themselves or beating themselves. Yourself, bump your head, cut your skin, scratch your face, etc. In severe cases, permanent self-harm damage is caused. Self-harm and self-harm behaviors are related to the severity of tics. Self-harm and self-harm behaviors are more common in patients with severe tics.

Characteristics of children with tic disorder

Children twitch quickly with multiple groups of muscles appearing simultaneously.

Children's tics have twitches in the facial muscles, which are mostly blinking, squinting, raising eyebrows, frowning, grinning, nose-scratching, and acting strangely; head and neck muscle twitches are nodding, shaking their heads, raising their necks, and shrugging their shoulders.

Muscle twitches in the trunk are chest lifts, waist twists, and abdominal muscle twitches; upper limb twitches include finger rubs, fists, shakes, raised arms, and twisted arms; twitches in the lower limbs include shaking, kicking, stomping, and even walking Abnormal state.

Throat muscle twitches may have abnormal sounds, such as dry coughs, roars, snoring sounds, or spitting everywhere, or improper stress during pronunciation, or sometimes involuntary scolding.

The above is the tic symptoms of various parts of children with tic disorder. Some people will appear at the same time, and some people will have a set of symptoms first, and change or add a set of symptoms after a period of time. Children with tic disorders have a clear awareness and can carry out short-term self-control. They can reduce or disappear after falling asleep. Colds, diarrhea, fatigue, stress or watching TV for too long can cause tic disorders to worsen or recur in children.

Differential diagnosis of tic disorder in children

Rheumatic chorea (minor chorea) is common in children, caused by rheumatic infections, characterized by dance-like abnormal movements, silent tics, signs of rheumatic infections, and positive laboratory test results. Anti-rheumatic therapy is effective. ^[1]

Myoclonic epilepsy is a type of epilepsy. The symptoms are similar to motor tics, but the symptoms appear with epilepsy-like EEG, and there is no utterance. An EEG test is helpful for diagnosis, and antiepileptic treatment is effective.

Prevention of tic disorder in children

Help children to set a reasonable schedule for rest and rest, not to overwork, to maintain adequate sleep; 2, in the home environment, should avoid directly expressing the symptoms of children with sensitive language;

When neglecting the child, ignore it;

Give more encouragement to children, cultivate children to build self-confidence and relieve stress;

Do not allow children to participate in strenuous sports, such as military training, long-distance running, competitive sports activities and heavy physical activities;

Study time should not be too long;

Communicate with school teachers to avoid giving sensitive language criticism education to children, and to cooperate well with children's education during the treatment period;

Pay attention to the diet during the treatment period, do not eat greasy, cold, high lead content foods, do not eat spicy, seafood, instant noodles, puffed foods during medication, light food should be appropriate, appropriate nutrition;

Seasonal exchange period, especially in spring and autumn is a period of high incidence of colds. Pay attention to children's taking off and dressing, and beware of colds, because colds can easily cause children to relapse or relapse and worsen their symptoms.

Do not watch TV for more than half an hour each day, and do not watch too intense and stimulating pictures. For those with severe illness, avoid watching TV. Avoid using the computer. If you really need to learn, you should not use the computer for more than half an hour at a time. It is strictly prohibited to prevent excessive use of the computer or play games.

During the treatment period, patients should be revisited on time to ensure timely adjustment of medication according to the condition and improve the rehabilitation progress.

Factors affecting children with tics

Aggravating factors: For children with tics, there are a variety of factors that can cause tics to worsen or recur, among which tension, anxiety, low mood, anger, fright, fear, excessive excitement, and excessive fatigue are common. In a crowded environment, when someone notices or is reminded by others, the tics are significantly worse. In addition, they are criticized, blamed, lack of sleep, painful stimuli, and associated infectious diseases such as colds and fever. The tics may also increase. Source processes, such as women's menstrual periods, or other endocrine changes can aggravate tics. Of course, tics can also increase or decrease spontaneously.

Reducing factors: There are a variety of factors that can induce the reduction of tics, among which concentration, relaxation, good mood, extreme excitement, alcoholism, and sleep are more common. Sleep not only reduces tics, but also makes tics disappear. When people with tic disorder are completely devoted to a certain behavior, the tics often disappear temporarily, such as playing the piano, playing computer games, and watching programs of interest.