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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Join the War

Prayer for Today:

For All Those Who Battle With Mental Illness 

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“God of Peace, give us the courage, patience, and love to walk beside our brothers and sisters who struggle with mental illness.  Comfort the afflicted, and embolden us to preach the truth about this often confusing illness.  Amen.”

 

I’ve been aware the last few months, that I’ve been needed, to be just one of the many voices for Christians who have a serious mental illness. 

My weapons/tools are the Word of God, his presence and our testimonies.  And of course prayer. There are so many in our Churches, and even more who are outside the Church with needs that are being passed by.  We are obligated to serve these for whom Christ died.  They need to be reconciled to their Savior.  We are the only ones who carry this ‘message of reconciliation. Ask the Lord to use you in this capacity.  To be his hands and feet.  To direct you to those he wants to touch. 

My own heart had to be softened, and my mind required an oil change.  It is not an easy thing, to work this out.  My casual Christian life demands a complete overhaul.  I know this for certain, I still need adjustments. 

Please, do pray for me on this particular issue.  I only want to please Him.  I’m very convinced that the shepherding that Jesus brings will bring a wholeness to the lives of those who know emptiness and depression far too intimately.

 

 

Sheep Who Stray Away

“It is well to be the sheep of God’s pasture, even if we have been wandering sheep. The straying sheep has an owner, and however far it may stray from the fold, it ceases not to belong to that owner.
 
I believe that God will yet bring back into the fold every one of His own sheep, and they shall all be saved. It is something to feel our wanderings, for if we feel ourselves to be lost, we shall certainly be saved; if we feel ourselves to have wandered, we shall certainly be brought back.”
 
–Charles Spurgeon
 
As mentally ill people we seem to be always straying.  We are usually very impulsive, and much more vulnerable to things that don’t seem to bother the “norms.”  But because our need is so much greater we find that grace is also multiplied.  We belong to His flock as much as the ‘wonderful’ sheep do.  We can rest (as well as we can) in Him and in His reputation as a ‘good’ Shepherd.

Coffee, With a Shot of Truth

by Julie Anne Fidler, BB Weekly Contributor

I am sitting across from one of my best friends in a trendy little café, sipping coffee as we always do. We have been good friends for years; we can tell each other things. We can screw up and make amends. We know each other’s heart. We both love Jesus and came back to our faith after an extended period of wandering away. She is single and wants to be married. I am married and want to have children. There is a lot we can relate to, except for one issue.

My friend is depressed. I have never known her not to be. I’ve never known her to be suicidal, but she suffers from mild depression most of the time. It permeates her life and while she doesn’t see it as a nagging issue, I do. We have never had a conversation in which she does not bring it up. To her credit, she handles it well. In fact, I’d say she handles it better than I do a lot of the time. She is a social bug who constantly thrusts herself into activities, whereas I am more of an isolationist when I’m depressed.

No, the issue is not how she handles her depression. The issue is that she does not want to acknowledge her depression is an illness. She is stuck in the place I was in for so long – believing that if she could be a better person spiritually, she would not be depressed at all.  We’ve had “the talk” many times. I’ve told her about my own trials and tribulations and I’ve gone so far as to look up and explain the brain chemistry behind depression. She always insists she can handle it on her own.

It’s a free country and we can’t force anyone to take medication if they don’t want to. I would even go so far as to say that while I think my friend is suffering needlessly, the fact that she is able to “maintain” and lead a productive life shows that medication might not be a dire necessity. I’m hoping that one day she realizes that 25 mgs of something won’t make her any less of a person or any less of a Christian. But it’s not my place to force that pill down her throat.

When does mental illness go from being a nuisance to a life-snatcher?
Throughout my life, I have had my share of strongholds and I would even venture to call some of them addictions. At one point I realized that whenever I was depressed, stressed, or angry I would automatically reach for the wine bottle. 2 Peter 2:19 says, “…people are slaves to whatever has mastered them.” That single verse influenced me to change my behavior, and I believe it can be applied to mental illness, as well.

Jesus Christ came to free us of our sins, but also to free us from all the things this world uses to hold us back and keep us down.  That is the beauty of Christ – we don’t have to wait until eternity to reap the benefits of being Christians. Jesus came to give us life and life more abundantly. That abundant life is, however, a choice.

There are different severities of mental illness. Not everyone needs the same thing. I need insulin for my diabetes, but my husband doesn’t take anything at all. Some choose not to seek help for their problem and that is their prerogative, but when does it cross over into foolishness? When someone asks me how I knew it was time to get help and seek a mental health diagnosis, I tell them I knew it was time when my problems ruled my universe and I lost just about everything and everyone I had. I had become a slave to bipolar disorder, and it had mastered me.

I used to believe that mental illness was in no way a spiritual issue, but I’ve come to realize that it is very much a spiritual issue. God never promised that life would be easy for believers. Come to think of it, the Bible tells us the exact opposite.  But if you examine the Word of God, you will see that the Holy Spirit gives us gifts and abilities that enable to us to have inexplicable joy in the midst of painful circumstances. Are you facing your circumstances with a sense of hopelessness and despair? That’s not from the Lord.

Does your entire life feel hopeless? Do you despair when you should be having joy?  Take a look at 2 Peter 2:19.

“They promise them freedom, but they themselves are not free. They are slaves of things that will be destroyed. For people are slaves of anything that controls them.”

Are you a slave to hopelessness and despair?  Then maybe it’s time to reexamine your views on seeking help.

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Julie Anne Fidler is a contributing writer for Brokenbelievers.com.  She comes with a humble and understanding heart for those with a mental illness.  Her writing gift is valued greatly.  Look for her post weekly, on this blog.
She keeps a personal ministry blog at mymentalhealthday.blogspot.com.  Read more there.