Functional tics

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Obtaining a diagnosis of Functional Neurological Disorder (FND) can be extremely confusing and overwhelming.  A team approach is required to clearly identify needs and to outline the steps needed to move forward. Specialists may include neurologists, psychiatrists, psychologists, social workers, and physical therapists. Occupational therapists (OTs) also enable patients to gain independence and wellbeing through a habit reversal program based on CBIT. Patients learn direct actions that they can do to manage the tics, as well as stress management and coping skills to prevent new symptoms.

Stress leading up to FND may have accumulated over many years or may be the direct result of one traumatic event. During the pandemic there has been a huge increase in tween and teen girls experiencing tics. Many report feelings of loss, anxiety, loneliness, and uncertainty about their futures. Those who have also watched videos with false content related to tics often have a form of FND sometimes called TikTokTics. These tics are easy for specialists to recognize because the movements tend to mirror those viewed on screen. Therapist see the same tics over and over and hear the same vocalizations and very specific words. A number of these patients also demonstrate similar odd behaviors such as throwing eggs while baking. Frequently those with TikTokTics find both alarm and humor in their tics. They also find companionship by posting their own videos and engaging in online forums to discuss their symptoms, often exacerbating the situation.