Distinguishing and Managing Acute-Onset Complex Tic-like Behaviors in Adolescence

McGuire, Joseph F.; Bennett, Shannon M.; Conelea, Christine A.; Himle, Michael B.; Anderson, Seonaid; Ricketts, Emily J.; Capriotti, Matthew R.; Lewin, Adam B.; McNulty, Devin C.; Thompson, Laurie Gayes; Espil, Flint M.; Nadeau, Sarah E.; McConnell, Melanie; Woods, Douglas W.; Walkup, John T.; Piacentini, John

doi:10.1016/j.jaac.2021.07.823

Cited by 8 publications

(16 citation statements)

References 5 publications

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“…Some models for understanding rapid onset functional tic-like behaviors suggest that predisposing traits may include genetic factors, early life events, introspective awareness, and social cognitive traits (for further discussion, see the following references: [ 5 , 23 ]. Acute contributions can include psychosocial stressors (e.g., anxiety, and depressed mood), social isolation, and life stressors (e.g., abrupt transitions in educational programs and/or academic demands).…”

Section: Managementmentioning

confidence: 99%

“…In cases in which social media content is exacerbating and/or worsening tics and/or tic-like behaviors, it would be prudent to reduce access to social media (along with other factors that exacerbate symptom expression) for a period of time. As patients learn skills to effectively manage tics and tic-like behaviors in treatment, access could be reintroduced in a graduated manner [ 23 ].…”

Section: Managementmentioning

confidence: 99%

“…As McGuire and colleagues wrote, “Spikes in atypical presentations of tic-like movements [and vocalizations] are not new and will likely recur. Thus, characterizing the phenomenology, investigating mechanisms underlying symptom onset, tracing the symptom trajectory to understand long-term outcomes, and developing effective treatments is of increasing importance” [ 23 ]. The Tourette Association of America (TAA) commissioned this article reviewing what is known about these cases and how to distinguish them from primary tic disorders including TS.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of Functional Tic-Like Phenomena

Malaty

Anderson²,

Bennett

et al. 2022

JCM

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Over the past 3 years, a global phenomenon has emerged characterized by the sudden onset and frequently rapid escalation of tics and tic-like movements and phonations. These symptoms have occurred not only in youth known to have tics or Tourette syndrome (TS), but also, and more notably, in youth with no prior history of tics. The Tourette Association of America (TAA) convened an international, multidisciplinary working group to better understand this apparent presentation of functional neurological disorder (FND) and its relationship to TS. Here, we review and summarize the literature relevant to distinguish the two, with recommendations to clinicians for diagnosis and management. Finally, we highlight areas for future emphasis and research.

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Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and Management of Functional Tic-Like Phenomena

Malaty

Anderson²,

Bennett

et al. 2022

JCM

Self Cite

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“…These young patients exhibit an unusually rapid onset of complex movements and vocalizations, in some cases reflecting shared exposure to social media triggers, and high prevalence of comorbid anxiety and depressive disorders. A combination of psychoeducation and cognitive behavioural therapy with special emphasis on the identification and management of the antecedents and consequences of these behaviours has been proposed as urgent treatment of choice, but more data are required to appraise response on a large scale [63,68].…”

Section: Resultsmentioning

confidence: 99%

“…behaviours has been proposed as urgent treatment of choice, but more data are required to appraise response on a large scale [63,68].…”

Section: Covid-19 and Functional Movement Disordersmentioning

confidence: 99%

Relationship between COVID‐19 and movement disorders: A narrative review

Schneider

Hennig

Martino

2021

Euro J of Neurology

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, 2019-nCoV) emerged in December 2019 and spread into a worldwide pandemic. More than 260 million people worldwide have been verifiably infected with Sars-CoV-2 (as of December 2021), with more than 5.2 million deaths. The number of human coronavirus disease 2019 (COVID-19) cases continues to rise as countries roll out their vaccine programs. There is a broad range of clinical presentations of COVID-19, including neurological manifestations [1]. It is estimated that 10%-30% of COVID-19 patients develop neurological symptoms in the acute phase, which may be the presenting sign. Neurological manifestations of COVID-19 include cerebrovascular disorders, including ischemic stroke and macro/microhemorrhages, encephalopathies and (meningo-)encephalitis, para-/postinfectious immune-mediated complications such as Guillain-Barré syndrome, movement disorders, and neuropsychiatric complications [2-4]. In parallel to the

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Internet Inspired Self-Diagnosis: A New Phenomenon Calling for an Old Approach

Rettew

2024

Journal of the American Academy of Child & Adolescent Psych

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Distinguishing and Managing Acute-Onset Complex Tic-like Behaviors in Adolescence

Cited by 8 publications

References 5 publications

Diagnosis and Management of Functional Tic-Like Phenomena

Diagnosis and Management of Functional Tic-Like Phenomena

Relationship between COVID‐19 and movement disorders: A narrative review

Internet Inspired Self-Diagnosis: A New Phenomenon Calling for an Old Approach

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