Talk:Tic

Latest comment: 9 months ago by SandyGeorgia in topic "Most common cause"

Rewrite needed edit

what about when a counter strike server says "100 tic" what does that mean I don't believe that has anything to do with this.

Is anyone actively involved with this page? There is a lot of information here which just doesn't apply to tic disorders in general, Tourette's in particular, so I can't figure out what condition some of it was written for? I unlinked the Tourette syndrome entry from this article, as the information here does not describe Tourette's. I wrote a lengthy section on tics in the Tourette syndrome article, but it really belongs here. In fact, shouldn't this be an entry on tic disorders, encompassing transient and chronic tics as well ? Looking for input from others, but really think this article should have a major overhaul, using the information describing tics from the Tourette's page. Sandy 01:07, 5 February 2006 (UTC)Reply

No one has responded, so I am going to begin removing the most obviously inaccurate information, and will begin to rebuild the article at a later date. Sandy 02:32, 6 February 2006 (UTC)Reply
  • I'm here. What do you need to know? As an "infornographer" and one with tics myself (though somewhat minor), but do we really have to solely rely on Tourette? Now, what I can do is use some personal experience and observation on myself to write in a little more, but I'm here for open communication. Colonel Marksman 22:43, 19 April 2006 (UTC)Reply
Hi, Colonel. Nice to "meet" you. Since the original question on 5 February (above), I revamped the entire article. Not sure what you mean by "rely solely on Tourette?" Tic disorders are all thought to be part of the same spectrum, so hopefully that message is conveyed, and the article focuses on tics and tic disorders, as distinguished from stims and stereotypies ? The Tourette syndrome article also goes into secondary causes of tics, which are not related to Tourette's and referred to as tourettism: maybe some of that info needs to come into this article as well. Perhaps more discussion of the distinction between tics from the spectrum of tic disorders, versus tics from tourettism (secondary causes), and movements that aren't actually tics, rather stims or stereotypies. What sorts of changes, additions did you have in mind? Sandy 12:01, 20 April 2006 (UTC)Reply
  • LOL. I was talking about the References. All the references refer to "tourette syndrome". If tics are loosly or not at all related to tics, (or simply are not the same) shouldn't there be better references? Colonel Marksman 16:26, 20 April 2006 (UTC)Reply
ah, I see! Actually, the Kevin Black article is a good one about tics, in spite of the more comprehensive title, which includes TS. When you wrote above, "if tics are loosely or not at all related to tics", did you mean, not related to TS? I'm not aware of any sources which would reference that, since most medical articles indicate that all tics disorders are thought to be on the same spectrum, with TS being the more severe end of the spectrum, trasient tics being the milder, chronic tics in between. Unless you're speaking of tics due to secondary causes, or referred to as tourettism, and in that case, we probably could bring over more of the wording from the TS article which explains the other, secondary causes of tourettism. Is that what you're referring to? Sandy 22:37, 20 April 2006 (UTC)Reply
  • I dont supose anyone knows enough about secondary causes of tics to write in more detail about it do they? I know that some drugs can cause tics, which is what I was looking to find out, but there is no mention of secondary causes at all. If I find out and can find some useful references I might actually add it in. BlackDice572 (talk) 19:46, 19 November 2008 (UTC)Reply
  • I've started at Tourettism; someday, I may finish it. It's already linked in this article, and specifically mentioned, under Differential diagnosis.

    Tourettism refers to the presence of Tourette-like symptoms in the absence of Tourette syndrome, as the result of other diseases or conditions, known as "secondary causes".

  • SandyGeorgia (Talk) 20:09, 19 November 2008 (UTC)Reply


klazomania edit

Why is klazomania described in this, and in its own article as "compulsive shouting," and also as a tic? It can't be both "compulsive" and a tic! I know that's it's etymology, but nowadays we make a very clear and principled distinction.205.212.73.217 12:50, 31 May 2007 (UTC)Reply

Notes edit

Can anyone explain the difference between the "notes" and the "reference" sections? WhatamIdoing (talk) 03:47, 27 November 2007 (UTC)Reply

That's such a funny question: it was perfectly clear a year ago, and then someone changed WP:GTL to a way that no longer makes sense. Oh, well. SandyGeorgia (Talk) 03:58, 27 November 2007 (UTC)Reply

No heading edit

There is some confusion in media portrayals of tics. For example, in comedies, a person with muscle tics may haplessly raise their hand at an obviously inappropriate time and suffer the consequences. This is implausible: tics are semi-voluntary actions to alleviate the feeling of an unwanted, premonitory urge. One would not thrust his or her arm in the air as in Alien hand syndrome. (Hmmm? I have involuntary movement in my left arm... is there a citation for this theory?)

I would like to see information on tics that develop in adulthood, as my own tics didn't start until I was 30. — Preceding unsigned comment added by 24.1.22.78 (talk) 11:26, June 4, 2008

Society and culture section edit

This section consists of only one sentence, although the sentence does contain a wikilink. Should it perhaps be changed to "See Media portrayal of tics?" As it stands now it's totally inadequate. DQweny (talk) 07:48, 21 October 2009 (UTC)Reply

The section could be expanded, but eliminating a sentence in favor of a link is not optimal; I've reverted. SandyGeorgia (Talk) 12:46, 21 October 2009 (UTC)Reply

Casuses of tics edit

What are the cause of tics? I have tics myself. My diagnosis is Asperger syndrome with tics. I have the impression that anxiety, stress, nevrosis, but also positive excitment might cause an increased amount of tic. Tics are often related to a feeling of physical and psycholocial discomfort in my case. For instance tight cloths might lead to mee making tics. Any comments on that? --Oddeivind (talk) 13:15, 16 February 2010 (UTC)Reply

OCD Tics edit

I don't think all tics with OCD are compulsions. I get tics, twitches, spasms, etc. which my doctor says is due to my OCD. I can't control any of them, by which I mean I don't have a conscious decision to do so, like when I watch my hands. It's like a sneeze or a gag reflex. Totally uncontrollable and involuntary. 98.217.230.157 (talk) 01:13, 20 November 2013 (UTC)Reply

Treatment edit

What to do about it? 92.40.88.22 (talk) 14:42, 2 May 2014 (UTC)Reply

It is also called "Nervous twitch" by many people. — Preceding unsigned comment added by 92.40.88.22 (talk) 14:44, 2 May 2014 (UTC)Reply

External links modified edit

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Leg Bouncing edit

I'm not an expert, but I thought that the all too common "tic" of leg bouncing might be related to this article, but there is no mention of it. The Internet seems to indicate that it is a separate issue. Could someone who knows edit the article and say either that leg bouncing is or isn't a tic, and if it isn't refer to an article that does talk about it? Thanks Kellycoinguy (talk) 22:43, 14 November 2019 (UTC)Reply

Tic syndrome edit

asking what it is 2600:6C50:787F:E20B:1094:CBD1:B61A:9D68 (talk) 06:31, 10 July 2022 (UTC)Reply

Best I can tell, that is terminology furthered by Google in its current use; they seem to be using it to refer sometimes to tic disorders and sometimes to Tourette syndrome. This is not how the medical literature uses terminology.
Historically (that is, in very old articles) it was used to refer to tic disorders and other hypothetical conditions, and there are some current case reports hypothesizing a tic syndrome related to headaches (see PMID 27059878). As those are only sporadic case reports, the hypothetical condition would not meet the threshold for a Wikipedia article.
Modern medical literature refers to tic disorders if they fall short of meeting criteria for Tourette syndrome. Both require tics; see tic disorder. It also makes good sense is some physicians prefer the term tic syndrome to tic disorder (see example at Boston Children's Hospital), as it is less stigmatizing, and there is no rquirement in the DSM that people with tics having impairment in functioning (eg, may not be or feel "disordered". But this usage of the words tic syndrome is so uncommon that including it in Wikipedia articles would not be warranted, and could just be confusing: tic disorder is the common term. SandyGeorgia (Talk) 15:13, 10 July 2022 (UTC)Reply

"Most common cause" edit

Re

The most common cause is Tourette syndrome

introduced in this edit by Whispyhistory and cited to this source:

  1. First, Whispyhistory, thank you for updating the citations in this article, which I haven't paid enough attention to since (!!) 2006!
  2. Next, pls read Tourette syndrome for a discussion of the word involuntary and why I removed that here. Tics are not involuntary; they are a semi-voluntary response to an unwanted urge, and that reality is why CBIT works as a treatment.
  3. Finally, I suggest we remove the sentence about "most common cause".

On 3, I realize the cited source says this, but we aren't obligated to include content when it is questionable. Tic disorders not meeting diagnostic criteria for TS are orders of magnitude more common than TS, and they (obviously) include tics. Jankovic is a well-recognized overall Parkinson's and differential diagnosis movement disorders specialist, rather than specifically a TS specialist. Perhaps he meant the most commonly recognized or some such; who knows. But he published a rather gross and spectacular misstatement about TS in an NEJM article years ago (I am iPad editing from car now, but can return with that source later if someone wants it), that was the subject of letters to the editor pointing out the error, which is why I tend to cite him in his area of expertise (tourettism, differential diagnoses and other movement disorders like Parkinson's) and seek other sources on TS per se.

I have never encountered this statement before, and considering the epidemiology of tic disorders relative to TS, it simply makes no sense. Any objections to removing it? Colin or Ajpolino, any ideas? SandyGeorgia (Talk) 19:19, 26 May 2023 (UTC)Reply

Sure @SandyGeorgia:... removed until checked in other sources. Whispyhistory (talk) 19:43, 26 May 2023 (UTC)Reply
Certainly the AACAP page suggests transient tics affect up to 10% of children, compared to Tourette <1%. The NHS tics page implies the same without giving numbers to it. I haven't found a rock-solid source with numbers for tics, persistent tics, and Tourette syndrome, but I'll look a bit more before giving it up for the day.
As to the more general phenomenon of sources saying wrong things: yes it's certainly a problem, exacerbated by the fact that textbook chapters tend not to include citations for their claims. We're certainly not obligated to repeat claims that we know or suspect to be false. But it's always a challenge to decide where to substitute our best judgment over some published expert(s) + their (possibly inattentive) editors. Ajpolino (talk) 19:44, 26 May 2023 (UTC)Reply
More to suggest the mainstream view is as SG suggests above: Mittal 2020 suggests tics are seen in ~20% of children, with Tourette's in 1%. Singer 2019 (sorry, paywall) slots tics at 6-12%, and Tourette as <1%. Shaw and Coffey 2014 (paywall again) is more explicit Other tic disorders are more common than TS... Provisional (formerly, transient) tic disorder is the most common; prevalence rates indicate occurrence in up to 20% of school-age children. Ajpolino (talk) 19:58, 26 May 2023 (UTC)Reply
Awesome, Ajpolino, thank you so muuch ... all of what you found is what I know to be the case from scores of sources, but as I'm not home, I didn't have time to dig it up. I so appreciate the help. And thanks Whispy for the removal. By the way the NEJM misstatement years ago by Jankovic was the statement that TS occurs at the intersection of tics, ADHD, OCD and behavioral disorders. That is concocted bologna, printed by the NEJM :) [1] SandyGeorgia (Talk) 20:26, 26 May 2023 (UTC)Reply
That Venn diagram mistake that Sandy remembers this author making, combined with this mistake, makes me think this source author is careless in their thinking or writing. Perhaps also English is not their best language?
I think the problem here is the mistake a lot of medics/writers make in thinking that because we can give something a name, we've identified a cause. Often, all we've really done is move you from one classification bubble to another. We have names for these disorders but the fact that we keep jiggling the classifications and their diagnostic criteria suggests they are man-made entities and not solidly mapped onto clear cut diseases (like "you have Covid-19"). We don't know the cause of transient tics, so those 10% of children have tics of no known cause. The writer thinks he knows the cause of the 1% of children with certain chronic tics -- TS -- but that's just a label, not a cause. We don't know the cause of TS and we don't really know why people with TS tic. In his mind he's comparing 10% children with transient tics of no known cause (10% x 0% = 0%) with 1% of children with tics that he thinks are all "caused" by TS (1% x 100% = 1%) and 1% > 0%.
Or maybe he missed out "chronic"? Though he's still wrong about it being a "cause". Colin°Talk 14:52, 29 May 2023 (UTC)Reply
You may be right about his "best language". But, I think here it's more of him having the conviction of certain personal views wrt TS, that journal editors tend to miss because he does have a strong reputation in other areas. I don't hesitate to use Jankovic for the areas where he is da man. But wrt TS, he seems to personally believe it to be something other than what the mainstream literature/DSM supports; he said so somewhere during the NEJM issue. This occurs sometimes because of ascertainment bias, where tertiary and specialty clinicians never have the opportunity to see run-of-the-mill TS and tic disorders, rather only see clinically referred "worst" cases. SandyGeorgia (Talk) 15:31, 29 May 2023 (UTC)Reply