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Tics, Tourette’s, OCD, Movement Disorders

Not as common as other neurodevelopmental disorders among children, and adults are what are called hyperkinetic disorders. In clinical research, tics, Tourette’s OCD and movement disorders are classified as hyperkinetic disorders. Hyper = too much, kinetic = movement. Hyperkinetic disorders are problems of the basal ganglia in the brain. The basal ganglia turn on and off THOUGHT AND MOVEMENT.

Tics and Tourette’s

Tics are involuntary, repetitive, non-rhythmic body movements or vocalizations. People with Tics cannot stop the movement from happening. Tourette Syndrome is similar except that there will be a vocal component and the individual will usually feel an unwanted urge prior to the bodily tic or vocalization occurring. Tics and Tourette’s can occur with or without other neurodevelopmental disorders such as ADHD.

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder is an anxiety disorder where serious consideration is taken for diagnosis. People with OCD have irrational fears and thoughts that impede on their daily living. The term OCD is used frequently among children with special needs whether they have a diagnosis of it or not, therefore it is something we address.

Neurologically, OCD is a problem of the basal ganglia, just that different subnetworks are involved. The prefrontal cortices and frontal lobes are not developed in children with neurodevelopmental disorders and it is the prefrontal cortices that ultimately tell the basal ganglia to go or not to go. Underdeveloped prefrontal cortices = OCD, or OCD-like tendencies. The difference between OCD and OCD-like issues and Tics and Tourette’s is that people with OCD feel compelled to continue thinking their obstructive thoughts movements. Obsessions are thoughts, compulsions are movements, people with OCD can have one or the other or both.

Regardless of the hyperkinetic disorder, our concerns are what areas of the brain are not working well, and can we activate them to increase function? We also address diet, and lifestyle changes at home, school and recreational activities. We run routine, advanced and cutting-edge lab work to further find areas to address and maximize results. As well, we help advise children’s team of people that care of him/her (including the teachers and care staff at school) on what we recommend can be done to further benefit the patient.

“Thinking is the evolutionary internalization of movement,” – Rudolfo Llinas MD, PhD

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Tics, Tourette’s, OCD, Movement Disorders Kansas City | (816) 741-4711