This is the first of five posts on question to ask about Tic Disorder in the office – on Immunity.
The details matter, and the new science helps unwind the puzzle of Tourette’s and Tics. Interestingly each of these questions appears at first to drive a subset of treatment. At CorePsych we have seen the most successful treatment outcomes from the application of a variety of interventions, sometimes all applied in the same time frames.
- “It has been observed in clinical studies that individuals with Chronic Tic Disorder (CTD), and Obsessive Compulsive Disorder (OCD) are also predisposed to having physical problems that co-exist in addition to the symptoms of the disorder.”
So many of these presentations are associated with “immunity issues” in one form or another. These presentations include:
Attention Deficit Disorder
Headaches and Migraines
Restless Leg Syndrome (RLS)
Deeper Reference: from Columbia University Center for
“A new study by researchers at Columbia University Mailman School of Public Health’s Center for Infection and Immunity indicates that pediatric obsessive-compulsive disorder (OCD), Tourette’s syndrome and/or tic disorder may develop from an inappropriate immune response to the bacteria causing common throat infections. The mouse model findings, published online by Nature Publishing Group in this week’s Molecular Psychiatry , support the view that this condition is a distinct disorder, and represent a key advance in tracing the path leading from an ordinary infection in childhood to the surfacing of a psychiatric syndrome. The research provides new insights into identifying children at risk for autoimmune brain disorders and suggests potential avenues for treatment.”
The subject: pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection ()
PANDAS is on our radar, but we see so many who have been worked up by pediatricians who specialize in pediatric autoimmune conditions, and the children often simply don’t get better with courses of treatment that should correct that strep infectious process.
Immunity and Tic Disorder – Bottom Line
Clearly we have seen improvements in our offices using a variety of tests to determine other potential underlying causes. After PANDAS is ruled out – the order for testing is simple [after we have simply tried adjusting the medications that might be causing the tic disorder]:
Consider This Useful Diagram From Great Plains Labs – Link
Tic disorder is complex, seen quite frequently with ADHD, but will often correct – with the right information…