Tic disorder

Tic disorder
Mental Health Nursing
Psychiatric Nursing

1. Tic disorder Dr. Rahul Sharma Associate Professor H.O.D. of Mental Health Nursing Ph. D Coordinator Seedling School of Nursing, Jaipur National University, Jaipur

2. Tic disorder = sudden, abnormal, involuntary rapid, repetitive and purposeless contraction of a small group of muscles involving face,throat and shoulder .

3. Causes = *Psychogenic = example.tension producing behaviour and stress *Neurogenic = complication of encephalitis *Substance abuse (illegal drugs and alcohols) *Physiological = example.fatigue due to illness

4. Clinical manifestation (sign and symptoms) = *Learning difficulty. *Sudden, uncontrollable movements of the legs,arms or body. *Sound such as throat clearing,grunts or groans. * Hyperactivity. *Excessive eye blinking, twitching.

5. Types = 1 Motor tics = Involuntary movements Cause = Contraction of muscles (A) Simple Motor tics = head shaking,eye blinking, sniffing, shoulder shrunging,grimace (B) Complex motor tics = head banging,lip biting , gesture

6. Types 2. Vocal tics = Clearing the throat humming (A) Simple vocal tics = coughing,barking throat clearing. (B) Complex vocal tics = Echolalia,coprolalia(abuse language use)

7. Management = 1. Drug therapy Haloperidol 0.5-6mg(antipsychotic drug) Pimozide 1-10mg Clonidine 0.05-0.25mg 2. Behavioral therapy 3. Individual and family counseling therapy

8. Coprolalia ( abuse language use)=

9. Sniffing=

10. Shoulder shrunging =

11. Grimace =

12. Thankyou ❤️