Some children involuntarily, unconsciously move certain organs. These tics, which the people of our society are more sarcastic and sometimes misunderstood, are more common in the following organs:
The downward movement of the lower eyelid in the facial muscle.
An over-opening and closing movement of the eyelid.
Tics that occur in the eye and cheek muscles (It is a movement that can even cause a fight because it is misunderstood – It is perceived as a sexual invitation).
In the neck muscle, in the form of stretching and turning the neck (It is a movement that attracts attention and is imitated with sarcasm).
In the nerve muscles, in the form of coughing.
In the nasal muscle, in the form of sniffing.
In the throat muscle, in the form of swallowing and swallowing.
In the throat muscle, in the form of hiccuping and clearing the throat.
On the shoulder, shrug.
On hands, snapping fingers, waving arms.
On the legs, shaking the knee and feet.
Playing the ears.
Raising and lowering eyebrows etc.
Tics are clear signs of internal tensions or conflicts. Sometimes, a person can explain that he is trying to get rid of a tension in his inner life with every shrug of his neck, his eyebrows moving his eyes. Sometimes the person becomes conscious of the inappropriateness and inappropriateness of the tic and wants to get rid of it, makes an effort, but the tension increases as he resists the tic. Unless he has tics or habit spasms, he falls into a state of being unable to relax. As emotion, sadness, and fatigue increase, tics increase. Resistance may increase tics (ÇAĞLAR, Doğan. “Mismatched Children and Their Education”).
Repetitive, involuntary and aimless movements in the muscles are called tics. Tics can be in the form of blinking, sniffing, twitching, shrugging and different facial expressions. It can also be in the form of throat clearing and coughing. A child may have more than one tic. They decrease during sleep, appear with stress, increase. If it lasts for more than a year, it is called a temporary tic, and if it lasts for more than a year, it is called a chronic tic. It is most common at the age of 6-7 years. It is more common in boys.
It is rare in children aged 6 years, more common in children aged 8-12, especially boys.
Children often imitate someone, and it can also develop as a tic by repetition.
The child also hides thoughts that he knows are bad, but excludes them with subconscious impulses. He does not fight, but the gesture of waving his hands and arms is representative of this.
Simple tics such as blinking can be seen in preschool. This disappears in pre-adolescence. Tics disappear in adolescence. There are also some that reach adulthood. It is most common on the face and neck. We see tics over the eyelids, usually in the following places and shapes. Tics that occur in the facial and cheek muscles with blinking. blinking is the most common tic. Because to avoid all kinds of danger, don’t move your head (An unconscious avoidance is blinked to avoid seeing an event that has happened. Tics that occur in the neural root and neck muscles are interpreted as a reaction) Tics that occur in the form of sniffing and coughing over the top, although it is not necessary. Throat Swallowing or acting as if swallowing, lip tics. Finger Shrugging, sobbing as if clearing, forcing throat clearing Frequent eyes in an unconventional way Shaking knees or feet cracking Cracking ears, raising eyebrows frequently, waving arms, separating lowering. It’s more of a tic that accompanies fortune-telling.
PERSONAL CHARACTERISTICS OF TICKS
According to Kanner, distinctive personality traits in tics are evident in the following areas. They are too sensitive and sensitive. They show uneasiness in obvious ways. Self-conscious, self-aware. They are too greedy. Selfishness Avarice and capriciousness They are spoiled and easily boiled over. They are over-excited, easily angered, spoiled. It’s easily too much. they are in a state of tiredness and frustration.
TYPES OF TICKS
Tics 4 Soft and transient tics: It is possible to examine these tics as types. they are often representative of a reaction to the child’s high tensions at home and at school. These tics can be relieved when tensions disappear. Serious, chronic tics: These are few in number. They consistently show resistance to corrective measures. The mechanisms that cause these tics have not been definitively discovered until the day when this Giles tiki-tourette: Giles found it. for this name. Tourette tiki is generally characterized as compelling hard hitting of the voluntary muscles of the face, neck, hands and feet, the use of obscene speech, the repetition of words and phrases heard, and the repetition of passing movements that are seen suddenly. The disease begins before the age of 10 with abnormalities of motor movements. Then the repetition of words and phrases, then the obscene speech begins. It occurs with the same frequency in boys and girls. It is equally affected in both sexes. As their family history of this type of tics is examined, it is seen that there are those who show distinct emotional, mental and mental disorders in their descendants. Movements are caused by strong emotional stimuli or sounds. It usually disappears during sleep. Occasionally, these tics are relieved, especially during febrile illness. In most cases, the physical and mental condition is normal. But some patients suffer from mental disorders and mental psychoses. Before the onset of symptoms, the patient is usually in a state of agreeing that everything is perfect, down to an obedient and very well-behaved patient. Behavior and personality change with the onset of the disease. Postencephalitis: If the symptoms have not decreased despite the corrective measures, the diagnosis of the disease has not been made. The movements closely resemble psychogenic tics, they are rarely seen in the chronic stage of encephalitis. They can be similar to simple eye twitching. Sometimes they last for years and can disappear suddenly. Movements are mostly influenced by psychological factors and may possibly be due to organic causes.
CAUSES OF TICKS
There are mostly psychological reasons for the formation of tics. Tics are often a reflection of internal tensions or conflicts. The person tries to get rid of these tensions thanks to his tics. The more you try to prevent tics, the more they increase. As emotion, sadness, and fatigue increase, tics increase. At the beginning of the psychological factors that cause tics, there are fear, irritability, anxiety and tension that start and continue at an early age. Experiencing quarrels, insecurity, uneasiness in the environment. Being in conflict with the environment. Experiencing situations such as extreme fear, enthusiasm, fatigue, anger, pain all of a sudden can cause tics in children. Examples of tics caused by psychological factors: A 9-year-old girl told a psychologist about her experiences in the family as follows. “My brother bothers me a lot. He’s hitting me. In turn, my father blames me. My father comes home late. I’m afraid my father won’t come. My parents fight often.” Situations such as fear, uneasiness and anxiety experienced by the child in the family caused him to develop tic in the mouth and nose. A 6-year-old boy with eye and neck tics, who started school early, took his 10-year-old brother as an example. He wanted to play with his brother’s playgroup, joined the group but could not adapt. This disappointment in his family and school environment caused him to develop eye and neck tics.
This cause of tics may be representative of an incomplete movement. For example, the child cannot express his impulses such as being aggressive, hurtful, and aggressive. These subconscious desires are represented by the child’s constant hand gestures. One of the causes of tics may be that involuntary repetitive movements become a habit over time and then automatically repeat. For example, blinking may initially be a reaction to eye discomfort or fatigue, but later on may become automatic and cause a tic. Shrugging can be a habitual and automatic tic when trying to get rid of the discomfort of a starched shirt. While shrugging and raising an eyebrow is a rejection sign at first, it becomes a habit and can turn into a tic. One of the causes of tics is imitation. While imitating the parents, friends, and teachers around the child, they can also acquire their behavioral flaws. A tic may develop in a child who imitates these movements over time. A prolonged physical irritation to the area or organ where the involuntary contraction occurs may cause tics. These physical irritations include long-term uncorrected visual disturbances, runny nose, and neck pain.
The treatment of tic disorder, which is accepted as a mental disorder, requires a multifaceted approach. Counseling for the family, psychotherapy for the child, and behavioral therapy may be necessary. It can be treated with medication.
Some tics are usually temporary. If our child has such a problem:
Sources of the problem should be investigated.
Finding and eliminating the child’s conflicts in the family, at school and with their relatives and their causes are appropriate and radical measures.
Child imitation should be avoided.
The child’s attention should not be drawn harshly.
The child should not be criticized.
They should not be compared to their peers.
He should not be forced to be successful in the field in which he has no talent.
Insults, scolding and beatings can increase the problem even more.
Parents should not tell the child’s face that they are ashamed of this situation.
He should not try to adapt the child to his own desires and wishes.
At school, the child should communicate effectively with the teacher.
If necessary, the school should be changed.
It should be ensured that they do not make fun of their friends by talking privately.
If necessary, a sedative or tension-reducing medication should be taken with the advice of a doctor.
The organic factors that may cause tics should be handled carefully and, if any, such disorders should be treated. If the causes of tics are psychological, necessary psychological treatment should be given to children through play therapy, psychotherapy, and to adolescents through group therapy, psychodrama or psychotherapy.
All rights of the article titled “Children with Tics and Treatment Methods for Tics” belong to its author, Psk.Dnş.Abdullah TOPAL.