A large kindred affected by TS and identified two family members with TTD who are very likely obligate carriers of the TS gene. These tics are more noticeable during stressful, fatiguing or emotional times. Tics appear to get worse with emotional stress and do not occur during sleep. Tics increase in frequency and severity with stress, during relaxation after physical exercise, idleness, fatigue, exposure to heat, and use of dopaminergic drugs, such as steroids, caffeine, and CNS stimulants. Tics usually diminish with performance of engaging mental or physical activities or with consumption of marijuana, alcohol or nicotine. Some people can control the tic urges so that they only tic in the privacy of a safe place, such as their home. Tics are severe to cause problems in school or occupational functioning, then behavioral techniques are recommended. Tics may be precipitated in with ADHD when they are given methylphenidate (Ritalin).
Causes of Transient Tic Disorder
Common Causes and Risk factors of Transient Tic Disorder
- Drugs ( methylphenidate ,pemoline and amphetamines ).
- Emotional factors.
- Biological factors.
- Neurological disorders.
- Chemical factors.
- Environmental factors.
Signs and Symptoms of Transient Tic Disorder
Common Sign and Symptoms of Transient Tic Disorder
- Eye blinking.
- Migraine headaches
- Hair pulling.
Treatment for Transient Tic Disorder
Common Treatment for Transient Tic Disorder
- Nicotine chewing gum appears to reduce tics.
- Medications are used as primary treatment of tics. Neuroleptic medications ( antipsychotics ), such as haloperidol (brand name Haldol ).
- Educating the patient and family about the course of the disorder in a reassuring manner.
- Completion of necessary diagnostic tests, including self-reports (by child and parents); clinician-administered ratings; and direct observational methods.
- Comprehensive assessment, including the child's cognitive abilities, perception, motor skills, behavior and adaptive functioning.
- Collaboration with school personnel to create a learning environment conducive to academic success.
- Selective serotonin reuptake inhibitors (SSRIs), which include such medications as fluoxetine (Prozac) and sertraline (Zoloft), can be used to treat tics.