Tourette Syndrome: Know The Basics

“Dropping F Bombs”

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Tourette’s disorder, or Tourette syndrome

(TS) as it is frequently called, is a neurologic syndrome. The essential feature of Tourette’s are multiple tics that are sudden, rapid, recurrent, non-rhythmic, stereotypical, purposeless movements or vocalizations.

 
 What are the symptoms of Tourette syndrome?
 
  • Both multiple motor and one or more vocal tics are present at some time during the illness, although not necessarily simultaneously
  • Occurrence many times a day nearly every day or intermittently throughout a span of more than one year
  • Significant impairment or marked distress in social, occupational, or other important areas of functioning.
  • Onset before the age of 18.

 Symptoms can disappear for weeks or months at a time and severity waxes and wanes.

  

What are the first tics that may be characteristic of Tourette’s syndrome?

Usually, the facial tic, such as rapid blinking of the eyes or twitches of the mouth, may be the first indication a parent has that their child may have Tourette’s syndrome. Involuntary sounds, such as throat clearing and sniffing, or tics of the limbs may be an initial sign in other children.

  

Are any other symptoms associated with Tourette’s syndrome?

Approximately 50 percent of patients meet criteria for attention deficit hyperactivity disorder (ADHD) and this may be the more impairing problem. Approximately one-third of patients meet criteria for obsessive-compulsive disorder (OCD) or have other forms of anxiety. Learning disabilities are common as well as developmental stuttering. Social discomfort, self-consciousness and depressed mood frequently occur, especially as children reach adolescence.

 

Yelling and irrational

What causes these symptoms?

Although the cause has not been definitely established, there is considerable evidence that Tourette’s syndrome arises from abnormal metabolism of dopamine, a neurotransmitter. Other neurotransmitters may be involved.

 

Can Tourette’s syndrome be inherited?

Genetic studies indicate that Tourette’s syndrome is inherited as an autosomal dominant gene but different family members may have dissimilar symptoms. A parent has a 50 percent chance of passing the gene to one of his or her children. The range of symptomatology varies from multiple severe tics to very minor tics with varying degrees of attention deficit-disorder and OCD.

  

Are boys or girls more likely to have Tourette’s syndrome?

The sex of the child can influence the expression of the Tourette’s syndrome gene. Girls with the gene have a 70 percent chance of displaying symptoms, boys with the gene have a 99 percent chance of displaying symptoms. Ratios of boys with Tourette’s syndrome to girls with Tourette’s syndrome are 3:1. 

  

How is Tourette’s syndrome diagnosed?

No blood analysis, x-ray or other medical test exists to identify Tourette’s syndrome. Diagnosis is made by observing the signs or symptoms as described above. A doctor may wish to use a CAT scan, EEG, or other tests to rule out other ailments that could be confused with TS. Some medications cause tics, so it is important to inform the professional doing the assessment of any prescribed, over-the-counter, or street drugs to which the patient may have been exposed.

  

What are the benefits of seeking early treatment of Tourette syndrome symptoms?

When a child’s behavior is viewed as disruptive, frightening, or bizarre by peers, family, teachers, or friends, it provokes ridicule and rejection. Teachers and other children can feel threatened and exclude the child from activities or interpersonal relationships. A child’s socialization difficulties will increase as he reaches adolescence. Therefore, it is very important for the child’s self-esteem and emotional well-being that treatment be sought as early as possible.

  

What treatments are available for Tourette syndrome?

Not everyone is disabled by his or her symptoms, so medication may not be necessary. When symptoms interfere with functioning, medication can effectively improve attention span, decrease impulsivity, hyperactivity, tics, and obsessive-compulsive symptomatology. Relaxation techniques and behavior therapy may also be useful for tics, ADD symptoms, and OCD symptoms. 

  

How does Tourette syndrome affect the education of a child or adolescent with Tourette syndrome?

Tourette syndrome alone does not affect the IQ of a child. Many children who have Tourette syndrome, however, also have learning disabilities or attention deficits. Frequently, therefore, special education may be needed for a child with Tourette syndrome. Teachers should be given factual information about the disorder and, if learning difficulties appear, the child should be referred to the school system for assessment of other learning problems.

  

What is the course of Tourette syndrome?

Some people with Tourette syndrome show a marked improvement in their late teens or early twenties. However, tics as well as ADD and OCD behavior, may wax and wane over the course of the life span.   

  

Reviewed by Charles T. Gordon, III, M.D., 2003

 

For more help go to: http://www.nami.org/   and  http://www.tsa-usa.org/

 

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Living as a Sexual Abuse Survivor

The problem of childhood sexual abuse is not new. Millions of adults bear the emotional scars, and continue to secretly carry the emotional burden, of abuse that occurred twenty, thirty, or even forty years ago. It is common for clients in their 40’s to come to counseling and say “I have never told this to anyone before…”.

Children are, by nature, innocent, trusting, and vulnerable. When a child is abused, the abuse is NEVER the child’s fault, but children — in an attempt to use their limited understanding of the world to make sense of what has happened to them — almost always believe that they either caused or deserved the abuse. Many of them carry their misguided sense of shame and guilt into adulthood. Many successful, seemingly well-adjusted adults continue to suffer the far-reaching effects of abuse: low self-esteem or lack of confidence, difficulty trusting others, isolation, or alienation, depression, anxiety, anger, chronic relationship problems, difficulty with emotional or physical intimacy, promiscuity, self-injury, alcohol or drug use, or overeating.

A history of childhood sexual abuse does not automatically mean a life full of suffering, however. The extent to which abuse affects an individual varies significantly, depending on the severity of the abuse, the duration of the abuse, and the relational context of the abuse (who the abuser was). Many people who were abused as children struggle with spiritual isses as well as the psychological and emotional ones. They may question how a loving God could allow something like that to happen to a child, may be angry with God for allowing it to happen, or may even believe that God intentionally inflicted the abuse on them as punishment. Part of the healing journey may include looking at these spiritual questions and finding a deeper spiritual understanding of yourself, God, and the world.

Regardless of how childhood abuse has affected your life, you can experience both healing from your past and growth for your future. If you have been silently suffering the pain or shame of past abuse, a confidential relationship with a caring professional counselor can help you find freedom and relief. If painful memories from the past are robbing you of a life of happiness and meaningful relationships, counseling can help you face the past, find healing in the present, and claim abundant life for your future.

Sexual abuse can effect a marriage is so many ways: emotionally, spiritually and sexually. Sexual abuse is traumatic not only for the survivor but also for the survivor’s spouse if he/she doesn’t understand the impact of sexual abuse. I believe sex is a huge part in healing also. Having a healthy sex life after being sexually abused can happen. Separating the abuser from someone who loves you is a part of healing. Un-training yourself from what your abuser taught you is what it takes to make this happen. Your body is just that “your body” and you have the say in what does or doesn’t happen.

My sexual abuse is only part of me, not my whole life anymore. Victims and survivors have to change the way society deals with and handles sexual abuse. The truth shall set you free, the truth of sexual abuse. Once the truth comes out it sets you free of the bondage you have been in for so many years. Stare your sexual abuse straight in the eyes and let it know “you don’t scare me anymore”. It is such an awesome feeling!!

A question to ask oneself is, “Do you see yourself as God sees you?” God sees you as a child He made for a specific purpose and not one of those purpose’s was for any one of His children to be abused in any way, shape, or form. Reach out to Him and let him replace your pain with joy, your shame with sharing, your anger with forgiveness, your ugliness with beauty and your silence with your voice.

Source- New Reflections Counseling:  http://www.newreflectionscounseling.com/

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Men & Women are Different!

There is a difference in the way men experience depression and the women do.  It is quite remarkable to look at both.

How do women experience depression?

Depression is more common among women than among men. Biological, life cycle, hormonal and psychosocial factors unique to women may be linked to women’s higher depression rate. Researchers have shown that hormones directly affect brain chemistry that controls emotions and mood. For example, women are particularly vulnerable to depression after giving birth, when hormonal and physical changes, along with the new responsibility of caring for a newborn, can be overwhelming. Many new mothers experience a brief episode of the “baby blues,” but some will develop postpartum depression, a much more serious condition that requires active treatment and emotional support for the new mother. Some studies suggest that women who experience postpartum depression often have had prior depressive episodes.

Some women may also be susceptible to a severe form of premenstrual syndrome (PMS), sometimes called premenstrual dysphoric disorder (PMDD), a condition resulting from the hormonal changes that typically occur around ovulation and before menstruation begins. During the transition into menopause, some women experience an increased risk for depression. Scientists are exploring how the cyclical rise and fall of estrogen and other hormones may affect the brain chemistry that is associated with depressive illness.

Finally, many women face the additional stresses of work and home responsibilities, caring for children and aging parents, abuse, poverty, and relationship strains. It remains unclear why some women faced with enormous challenges develop depression, while others with similar challenges do not.

How do men experience depression?

Men often experience depression differently than women and may have different ways of coping with the symptoms. Men are more likely to acknowledge having fatigue, irritability, loss of interest in once–pleasurable activities, and sleep disturbances, whereas women are more likely to admit to feelings of sadness, worthlessness and/or excessive guilt.

Men are more likely than women to turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, irritable, angry and sometimes abusive. Some men throw themselves into their work to avoid talking about their depression with family or friends, or engage in reckless, risky behavior. And even though more women attempt suicide, many more men die by suicide in the United States.

Summary

It is imperative that we see the difference, especially if we are helping each other out in this particular area.  We need to “see” depression in order to effectively minister to the depressed.

For me, personally, I see a lot of men with anger, an anger that is constantly moving  just below the surface.  Very often, this anger is like an iceburg, most of it is submerged, but it is real, and is often a way that a man experiences his clinical depression.

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Source for much of this: http://www.nimh.nih.gov/index.shtml