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Re: Do I have TD, etc, Tics, and somatiform » Deneb

Posted by yxibow on June 16, 2006, at 23:36:38

In reply to Re: Do I have tardive dyskinesia or something?, posted by Deneb on June 16, 2006, at 22:16:15

> I think I've had a psychogenic tic before. About two years ago I developed this side to side tic of my head. It got worse when I thought about it and when I was alone. I would feel this tension right before the tic and then I would move my head.
>
> I don't think it was the Zoloft that caused it. My tic went away when I forgot about it.

As they say, the more you pound your head against the wall... No, I'm not trying to be snide, you're right, the more you think about things the more they can happen, good and bad. Its conceivable as many as 1/3 of patients get results from their medication even though it is a placebo.

> I don't think my current tremor is psychological. That head tic was probably psychological.
>
> Anyone ever had a psychogenic tremor or tic before?
>
> Deneb*

There are a lot of "psychogenic", which I will explain later as somatiform, although I may be reading into your case from my own experince, things, such as a rare condition called psychogenic polydipsia, where people feel compelled to drink water far beyond the norm. I have had some minor thirst issues though I think they were partially medication caused. Again, the more you think about it, the more it happens.


The psychogenic tic you describe may be a form of somatiform disorder, which I currently suffer from an awful variety that has stretched beyond 4 years though with psychotherapy and medication it is in a "guarded", i.e., mostly suppressed but not gone, state.


Basically somatiform disorders (and if you read old literature they will talk about malingering, which it isnt -- I can tell you that patients with somatiform disorders do not want their pseudoseizures and other sorts of things that happen when anxiety manifests itself in the physical).


Long story short, it is probable 9-11 triggered a PTSD reaction that manifested a somatiform disorder where brightness and contrast (i.e. traffic lights, etc, especially poor quality big box store fluorescent lights) distract me more than the average person.

(If one asks the obvious, yes, I have had an MRI and multiple eye exams and a bevy of other relevant bloodwork)


Its like there isn't much of a stopping mechanism for the distraction, that if you pointed out to someone, they'd say oh, yeah, that's bright, and not think about it.


But tic disorders are a common part of the OC spectrum disorder system, which may be connected with somatiform disorders too. Orap (pimozide), an older line antipsychotic has been used in tic disorders, especially tourette's, although it is not without its side effects.

 

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