Facial tics in children. Is a nervous tic dangerous in a child and how to deal with it? The child began a nervous tic: what to do

Violent movements, called tics, are a type of hyperkinesis. The appearance of a nervous tic in a child can alarm many parents. Involuntary mimic contractions or twitches of arms, legs and shoulders cause real panic in suspicious mothers. Others do not pay due attention to the problem for a long time, considering this phenomenon to be temporary.

In fact, in order to understand whether a nervous tic in children goes away on its own or requires treatment, you need to know the causes of its occurrence, as well as determine the type. Only on the basis of this can one understand the need for medical intervention.

Nervous tics in children, depending on the causes of occurrence, are divided into 2 types: primary and secondary. By type of manifestation, they are motor and vocal. The first type is familiar to many people firsthand.

These include normally coordinated, short-term, repeatedly repeated actions:

extension or flexion of the fingers;
frowning or raising the eyebrows;
grimacing, wrinkling of the nose;
movement of arms, legs, head or shoulders;
twitching or biting the lips;
twitching or blinking of the eyes;
expansion of the nostrils or twitching of the cheeks.

The most common are various facial tics, especially eye movements. Motor hyperkinesis of large parts of the body occurs much less frequently, although they are immediately noticeable, as are vivid voice actions. Involuntary mild vocal manifestations go unnoticed for a long time. Parents consider them pampering and scold children, not understanding the reason for inappropriately made sounds.

snorting, hissing;
sniffing, sniffling;
rhythmic coughing;
various repetitive sounds.

In addition to division on the basis of manifestation and the primacy of the causes of occurrence, nervous tics have two more classifications:

According to the severity - local, multiple, generalized.
By duration - transient, up to 1 year, and chronic.

The degree of manifestation and duration often depend on the manifestation factors. The causes of occurrence are different, and some of them threaten the life of the child.

The reasons

Adults do not always pay due attention to the appearance of a tick in a child, attributing its occurrence to fatigue or excessive emotionality. This may be true only for mild primary hyperkinesis.

Primary tics are often caused by seemingly minor situations and do not always need medical attention. The causes of secondary hyperkinesis are very serious and require an urgent response.

Primary ticks

Tics of this type are not associated with other diseases and occur due to specific psychological or physiological factors. They directly indicate a disorder of the nervous system and in some cases can be eliminated without specific treatment.

Psychological

Often, parents can notice the appearance of a tick in a child at 3 years old. With a high degree of probability, its appearance at this age indicates the primacy of the disease. Children are experiencing a psychological crisis of independence called "I myself!", Which puts a strain on the psyche. It is age-related crises in children that are often provocateurs of tics.

Parents take note! The most frequent appearance of a tick in a child of 7-8 years old falls on September 1. New responsibilities and acquaintances can overload the fragile psyche of first-graders, causing subsequent tic hyperkinesis. Schoolchildren moving into the 5th grade are exposed to similar stress, which contributes to the appearance of primary tics in children 10-11 years old.

In addition to the crises of growing up, there are other psychological reasons:

Emotional shock - fear, quarrel, death of loved ones or a pet.
Features of education - excessive severity of parents, excessive demands.
Psychological situation - attention deficit, conflicts at home, in kindergarten or school.

Physiological

At the heart of the appearance of such causes there is a direct connection with the biochemical processes in the body. Some of them can also be easily eliminated by treating them without medical help. Others cannot be eliminated without the simultaneous creation of a favorable psychological environment in the family and environment. This species includes a hereditary predisposition associated with the transfer of genes responsible for the increased activity of the extrapyramidal system.

Attention! The presence of hyperkinesis in one or both parents increases the likelihood of their occurrence in a child by 50%. It is important for such children to ensure proper nutrition and peace in the family. It is also desirable to observe the daily routine and minimize stressful situations.

Other physiological factors may also have an illusory hereditary influence. These are family habits that negatively affect the psyche of the child. They are associated with lifestyle, nutrition, drinking regimen and poor hygiene.

Hyperkinesis can occur for the following reasons:

Deficiency in diet of calcium and magnesium.
An excess of psychostimulating drinks - tea, coffee, energy drinks.
Incorrect daily routine and lack of sleep.
Insufficient level of lighting in the evening.
Physical overwork or prolonged stress from computer games.

Secondary tics

Not all parents know what to do if a child has a nervous tic, they attribute all types of hyperkinesis to nerves and are unaware of the possible consequences. In the case of secondary tics, neglect can be dangerous. They develop under the influence of various diseases of the nervous system or aggressive influence on it.

They can pass on their own only in 2 cases - if they arose under the influence of medications or as a result of minor carbon monoxide intoxication. In other cases, it is required to eliminate the original disease, although sometimes this is not possible.

The reasons for the appearance may be:

, cytomegalovirus.
Trigeminal neuralgia.
Congenital or received traumatic brain injury.
Encephalitis and streptococcal infections.
Acquired and genetic diseases of the nervous system.

In primary and secondary nervous tics, the symptoms are quite similar. Therefore, it is difficult to suspect serious diseases without other concomitant manifestations or a specific diagnosis.

Symptoms

Any attentive parent will notice the signs of a nervous tic. Muscle twitching in the area of increased innervation or a constantly emitted sound, especially appearing when the child is agitated, are the only symptoms.

Interesting! If a child simply blinks his eyes often, then this does not always mean that he has motor hyperkinesis. The tic always repeats at regular intervals, it has a specific rhythm. Simple blinking is irregular, but can be excessively frequent due to eye fatigue or too dry indoor air.

The combination of visual and vocal manifestations, as well as multiple motor hyperkinesis, require more attention from parents. With such symptoms, it is better to visit a neurologist and undergo additional diagnostics. The presence of a local or multiple tic in combination with a high temperature or lethargy of the child requires urgent medical attention.

Diagnostics

A single occurrence of short-term hyperkinesis should not be ignored, but should not cause panic among parents. For an additional examination, you need to consult a doctor if the child has multiple hyperkinesias or local tics that regularly appear throughout the month.

The doctor will evaluate sensory and motor functions, check for hyperreflexia. Parents should be prepared to answer questions about recent traumatic experiences, the child's diet, medications, and daily routine. Based on the results of the examination, it is possible to prescribe such tests and examinations:

General blood analysis;
Analyzes for helminths;
Tomography;
Ionography;
encephalography;
Consultation with a psychologist.

Even before going to the doctor, parents can learn how to treat a nervous tic in a child. Timely started non-drug treatment in some cases allows you to do without medical help.

Treatment

It is often enough to eliminate the factors that cause them to treat primary tics. In addition to this, you can use physiological and folk methods that contribute to the rapid recovery of the nervous system. Secondary hyperkinesias require specialized treatment or cannot be eliminated at all.

Folk ways

Actual folk remedies will be various sedative infusions and decoctions. They can be used instead of drinking or given separately.

Can be used:

chamomile tea;
drink from hawthorn fruits;
infusion of anise seeds;
decoction of meadowsweet with honey;
collection with valerian, motherwort or mint.

If a child is calm about herbal teas, then it is better to replace all stimulating drinks with them, offering to quench their thirst with decoctions or natural lemonade with honey and mint. The exclusion of ordinary tea and coffee in combination with sedative infusions can quickly reduce the load on the nervous system.

Worth knowing! Timely treatment with folk remedies for psychological tics can be very effective. Hyperkinesis due to malnutrition or secondary tics cannot be overcome with sedative preparations and other folk methods.

You can also apply a warm compress of fresh geranium leaves 1-2 times a day. They need to be crushed and applied to the place of increased innervation for one hour, covered with a scarf or scarf. This method should not be used for more than 7 days.

Alternative treatment

Unusual methods of treatment or special Chinese techniques may seem ineffective only at first glance. Relaxing procedures aimed at calming the nervous system are acceptable to relieve stress.

These include:

massage;
acupuncture;
electrosleep;
aromatherapy;
water treatments.

A visit to the bathhouse, swimming in the pool and a relaxing massage can relieve tension in and of themselves. Electrosleep and aromatherapy have not only a calming effect, but also subsequently contribute to an increase in resistance to nervous strain.

Nervous tic of the eye can be eliminated by acupressure. You need to find a small hole on the superciliary arch, located closer to the center and press it with your finger, holding it for 10 seconds. After that, repeat the procedure at the outer and outer edge of the eye, pressing on the orbit, and not on the soft tissues.

Medical

Treatment with the use of drugs is associated with the causes of occurrence. Secondary tics are treated only after overcoming the disease that caused them or together with it, and primary ones according to the examination.

The list of medicines is wide (only a doctor can prescribe):

sedatives - Novopassit, Tenoten;
antipsychotropic - Sonapax, Haloperidol;
nootropic - Piracetam, Phenibut, Cinnarizine;
tranquilizers - Diazepam, Sibazol, Seduxen;
mineral preparations - Calcium glucanate, Calcium D3.

It sometimes takes a long time to cure a nervous tic in a child. It is much easier to provide prophylaxis in advance, this is especially true for primary tics.

Prevention

The most effective measures to prevent nervous tics in children are healthy relationships in the family, proper nutrition, adherence to the daily routine and adequate exercise.

It is worth spending more time outdoors, be sure to play sports and teach your child to splash out negative emotions correctly, as well as reduce the amount of time spent playing video games. Timely treatment of helminthic invasions also helps to prevent the appearance of nervous tics.

It is important to remember that it can be a nervous tic and requires a timely response. Eye hyperkinesias in children are very common and in most cases are easily eliminated immediately after the onset.

Parents should be aware of age-related crises and educate their children in the right attitude to changing circumstances. Multiple or prolonged tics, especially in combination with other symptoms, require additional examination and should not be ignored.

Tiki- lightning-fast involuntary muscle contractions, most often of the face and limbs (blinking, raising the eyebrows, twitching the cheek, corner of the mouth, shrugging the shoulders, wincing, etc.). By frequency tics occupy one of the leading places among neurological diseases of childhood. Tics occur in 11% of girls and 13% of boys. Under the age of 10 tics occur in 20% of children (i.e. every fifth child). Tics appear in children aged 2 to 18 years, but there are 2 peaks - these are 3 years and 7-11 years. A distinctive feature of tics from convulsive muscle contractions in other diseases: child can reproduce and partially control tics; tics do not occur during voluntary movements (for example, when taking a cup and while drinking from it). The severity of tics can vary depending on the time of year, day, mood, nature of the activity. Their localization also changes (for example, in child involuntary blinking was noted, which after a while was replaced by an involuntary shrug of the shoulders), and this does not indicate a new disease, but a relapse (repetition) of an existing disorder. Tick amplification usually occurs when child watches TV, stays in one position for a long time (for example, sitting in class or in transport). Tics weaken and even disappear completely during the game, when performing an interesting task that requires full concentration (for example, when reading an exciting story). Once child loses interest in their activities tics reappear with increasing force. The child may suppress tics for a short time, but this requires great self-control and subsequent discharge.

Psychologically, children with tics are characterized by:

attention disorders;
impaired perception;
in children with severe tics, violations of spatial perception are expressed.
In children with tics, it is difficult to develop motor skills and coordinated movements, the smoothness of movements is impaired, and the performance of motor acts is slowed down.

Tick classification:

motor tics (blinking, twitching of the cheek, shrugging the shoulders, straining the wings of the nose, etc.)
vocal tics (coughing, sniffing, grunting, sniffing)
rituals(walking in circles)
generalized forms of tics(when one child there is not one tick, but several).

In addition, distinguish simple tics , capturing only the muscles of the eyelids or arms or legs, and complex tics - movements occur simultaneously in different muscle groups.

The course of ticks

The illness can last from a few hours to many years.
The severity of tics varies from almost imperceptible to severe (resulting in the inability to go outside).
Tick frequency varies throughout the day.
The effectiveness of treatment: from complete cure to ineffectiveness.
Associated behavioral disturbances may be subtle or severe.

Causes of tics

There is a widespread point of view among parents and educators that "nervous" children suffer from tics. However, it is known that all children are “nervous”, especially during periods of the so-called crisis (periods of active struggle for independence), for example, 3 years old and 6-7 years old, and tics appear only in some children. Tics are often associated with hyperactive behavior and attention deficit disorder (ADHD - Attention Deficit Hyperactivity Disorder), low mood (depression), anxiety, ritualistic and obsessive behavior (pulling out hair or winding it around a finger, biting nails, etc.). Besides, child with tics usually does not tolerate transport and stuffy rooms, quickly gets tired, tired of sights and activities, sleeps restlessly or falls asleep badly. The role of heredity Tics appear in children with a hereditary predisposition: Parents or relatives of children with tics may themselves suffer from obsessive movements or thoughts. It has been scientifically proven that tics:

easier provoked in males;
boys have more severe tics than girls;
in children tics appear at an earlier age than their parents;
if child tics, it is often found that his male relatives also suffer from tics, and female relatives from obsessive-compulsive disorder.

Parental Behavior Despite the important role of heredity, developmental characteristics and emotional and personality traits child, his character and ability to resist the influence of the outside world is formed within the family. An unfavorable ratio of verbal (speech) and non-verbal (non-speech) communications in the family contributes to the development of behavioral and character anomalies. For example, constant shouting and countless remarks lead to the restraint of free physiological activity. child(and it is different for each baby and depends on temperament), which can be replaced by a pathological form in the form of tics and obsessions. At the same time, children from mothers raising child in an environment of permissiveness, remain infantile, which predisposes to the occurrence of tics. Tick provocation: psychological stress If a child with a hereditary predisposition and an unfavorable type of upbringing, he suddenly encounters an unbearable problem for him (a psycho-traumatic factor), develop tics. As a rule, the surrounding child adults do not know what triggered the appearance of tics. That is, for everyone except himself child, the external situation seems normal. As a rule, he does not talk about his experiences. But at such moments child becomes more demanding of loved ones, seeks close contact with them, requires constant attention. Non-verbal types of communication are activated: gestures and facial expressions. The laryngeal coughing becomes more frequent, which is similar to such sounds as grunting, smacking, sniffing, etc., arising during thoughtfulness, embarrassment. The throaty cough is always aggravated by anxiety or danger. Movements in the hands appear or intensify - sorting through the folds of clothes, winding hair around a finger. These movements are involuntary and unconscious (a person may sincerely not remember what he just did), intensify with excitement and tension, clearly reflecting the emotional state. Teeth grinding during sleep may also appear, often combined with bedwetting and nightmares. All these movements, having arisen once, can gradually disappear by themselves. But if child does not find support from others, they are fixed in the form of a pathological habit and then transformed into tics. Parents often say that, for example, after a severe sore throat, their child became nervous, capricious, did not want to play alone, and only then appeared tics. Often, the onset of tics is preceded by acute viral infections or other serious illnesses. In particular, inflammatory diseases of the eye are often complicated by subsequent blinking tics; long-term ENT diseases contribute to the appearance of obsessive coughing, sniffing, grumbling. Thus, for the appearance of ticks, a coincidence of 3 factors is necessary:

hereditary predisposition
Wrong upbringing(the presence of intra-family conflict; increased demands and control (hyper-custody); increased adherence to principles, uncompromising parents; formal attitude towards to kid(hypo-custody), lack of communication)
Acute stress causing tics

Mechanism of tick development

If child internal anxiety is constantly present, or, as the people say, “restless in the soul”, stress becomes chronic. In itself, anxiety is a necessary defense mechanism that allows you to prepare for it before the onset of a dangerous event, speed up reflex activity, increase the speed of reaction and sharpness of the senses, and use all the body's reserves to survive in extreme conditions. At child, often experiencing stress, the brain is constantly in a state of anxiety and anticipation of danger. The ability to arbitrarily suppress (slow down) unnecessary activity of brain cells is lost. Brain child does not rest; even in his sleep he is haunted by terrible images, nightmares. As a result, the body's adaptation systems to stress are gradually depleted. Irritability, aggressiveness appear, academic performance decreases. And in children with an initial predisposition to a deficiency in the inhibition of pathological reactions in the brain, harmful psychotraumatic factors cause the development of tics.

Tics and behavioral disorders

In children with tics, neurotic disorders are always noted in the form of low mood, internal anxiety, and a tendency to internal “self-digging”. Characterized by irritability, fatigue, difficulty concentrating, sleep disturbances, which requires the consultation of a qualified psychiatrist. It should be noted that in some cases tics are the first symptom of a more severe neurological and psychiatric illness that may develop over time. That's why child with tics should be carefully examined by a neurologist and psychologist.

Tick Diagnostics

The diagnosis is established on the basis of an examination by a neurologist. At the same time, video filming at home is useful, because. child tries to suppress or hide his tics while talking to a doctor. Psychological examination is required child to identify his emotional and personal characteristics, concomitant disorders of attention, memory, control of impulsive behavior in order to diagnose tics variant of the course of ticks; identification of provoking factors; as well as further psychological and medical correction. In some cases, a neurologist prescribes a number of additional examinations (electroencephalography, magnetic resonance imaging), based on a conversation with parents and the clinical picture of the disease, and a consultation with a psychiatrist. Medical diagnoses Transient (transient) tic disorder characterized by simple or complex motor tics, short, repetitive, hardly controlled movements, and mannerisms. Tics occur in child daily for 4 weeks but less than 1 year. Chronic tic disorder characterized by rapid, repetitive, uncontrollable movements or vocalizations (but not both) that occur almost daily for more than 1 year.

Treatment of tics

1. To correct ticks, it is recommended first of all rule out precipitating factors . Of course, it is necessary to observe the sleep and nutrition regimen, the adequacy of physical activity. 2. Family Psychotherapy effective in those cases when the analysis of intra-family relations reveals a chronic psycho-traumatic situation. Psychotherapy is useful even with harmonious family relationships, because it allows to kid and parents to change negative attitudes towards tics. In addition, parents should remember that a timely spoken kind word, touch, joint activities (for example, baking cookies or a walk in the park) help to kid cope with the accumulated unresolved problems, eliminate anxiety and tension. 3. Psychological correction .

Can be carried out individually- for the development of areas of mental activity lagging in development (attention, memory, self-control) and reducing internal anxiety while working on self-esteem (using games, conversations, drawings and other psychological techniques).
Can be carried out in the form of group lessons with other children (who have tics or other behavioral features) - for the development of the sphere of communication and playing out possible conflict situations. At the same time, child it becomes possible to choose the most optimal variant of behavior in a conflict (“rehearse” it in advance), which reduces the likelihood of exacerbation of tics. four. Medical treatment ticks should be started when the possibilities of the previous methods have already been exhausted. Medications are prescribed by a neurologist depending on the clinical picture and additional examination data.
- Basic therapy for tics includes 2 groups of drugs: anti-anxiety (antidepressant) - Phenibut, Zoloft, Paxil etc.; reducing the severity of motor phenomena - TIAPRIDAL, TERALEN etc.
- As an additional therapy, drugs that improve metabolic processes in the brain (nootropic drugs), vascular drugs, and vitamins can be connected to the basic therapy.
The duration of drug therapy after the complete disappearance of ticks is 6 months, then you can slowly reduce the dose of the drug until it is completely canceled. Forecast for children who have tics appeared at the age of 6-8 years favorable (i.e. tics pass without a trace). The early onset of tics (3-6 years) is typical for their long course, up to adolescence, when tics gradually decrease if tics appear before the age of 3, they are usually a symptom of some serious illness (for example, schizophrenia, autism, brain tumors, etc.). In these cases, a thorough examination is required child.
See the article "Hyperactive child”, No. 9, 2004

Electroencephalography (EEG) is a study that allows, using electrodes placed on the head, to record the electrical potentials of the brain and identify the corresponding changes.

Magnetic resonance imaging (MRI) is one of the most informative diagnostic methods. tics(not associated with X-ray radiation), which allows you to get a layered image of organs in different planes, to build a three-dimensional reconstruction of the area under study. It is based on the ability of some atomic nuclei, when placed in a magnetic field, to absorb energy in the radio frequency range and radiate it after the cessation of exposure to the radio frequency pulse.

There is an opinion that children suffering from tics lag behind in their studies, are somewhat scattered, and cannot concentrate their attention for a long time. But it is not always the case. Among those who know what teak is firsthand, there are excellent students, athletes, and professional young dancers. Perhaps they will make history. But now they are children. And the fact that they are prone to tics prevents them from living: they become complex and even ashamed when they begin to blink often and often and slightly twitch their shoulders or otherwise show neurological problems.

information Children from 2 to 18 years of age experience tics. This is one of the leading neurological diseases of childhood.

General information about ticks

It occurs approximately equally in both girls and boys (11% to 13%). Before the age of ten, almost one in five children experience one or more of the following tic manifestations:

eyebrow raising;
startle;
twitching of the corner of the mouth, etc.

Parents of children who are prone to tics should be prepared for the fact that the aggravation of the disease occurs at the age of three or between seven and ten years. The nature of tics and the place of occurrence depends on various factors: season, mood, occupation. If the child is particularly passionate about something, for example, an interesting game or an exercise that requires attention, the tics are muffled, but if you sit too long in one position, an aggravation immediately sets in.

To distinguish a nervous tic in a child from muscle contractions during seizures caused by other diseases, it is necessary to know that the child can control the manifestations of a neurological problem. For example, if he wants to take a pencil and draw a straight line under the ruler, he will succeed.

important Another specific feature of this disease is that you can either get rid of it forever or not find a cure. In a word, in order to fully deal with a nervous tic, you need to clearly understand the causes of its occurrence.

Classification of tics in children

There are the following types of teak:

vocal (associated with sound accompaniment: groaning, etc.);
motor (with the involvement of muscles: blinking, etc.);
generalized (combining several ticks);
ritual (associated with actions: pulling the earlobe, etc.)

The specificity of the tick lies in the fact that this disease can manifest itself in a very dual way at different moments. For example, the duration of the disease is unpredictable: it can occur for several hours and never happen again, or it can stretch for many years. It can manifest itself very slightly, even almost imperceptibly, and sometimes be accompanied by a form in which a person does not have the opportunity to go out to people. Express yourself in different ways during the day: sometimes appear often, sometimes rarely.

Symptoms and Causes

A nervous tic in children, as a rule, is combined with hyperactive behavior and impaired concentration, accompanied by obsessive behavior, which indicates the symptoms of this disease:

"play" with strands of hair;
nail biting;
twisting-untwisting the edges of clothing.

information Children with tics most often do not fall asleep well, sleep restlessly, experience discomfort in closed crowded rooms.

A significant role in the diagnosis of tics is given to hereditary predisposition. The conducted studies made it possible to assert that the disease is provoked, if we are talking about heredity, easier in boys, and at an earlier age than in parents.

It should be added that a lot depends on the climate in the family. If parents intelligently combine the "carrot and stick" method, then neurological problems will bypass the child. There are cases when tics occurred against the background or other diseases. For example, vision problems led to blinking, respiratory diseases - to coughing or sniffing.

The above allows us to name the main causes of a nervous tic in children:

heredity;
wrong upbringing;
stress;
consequences of other diseases.

Treatment of a nervous tic in children

important Whatever preceded the onset of tics, they should not be left untreated. Inaction can lead to complications, aggravation of the problem.

To get started, you need find out the cause and, if possible, try to eliminate it.
The next step is effectively to connect psychotherapy. Even in prosperous families, consultations of psychologists and psychiatrists will not be superfluous, at least they will help change the very attitude towards tics: they exist, you need to fight them, but you can’t get hung up on them.
It will be very useful in the general complex of treatment psychological correction, which can be considered as a very important remedy for nervous tics. Psychological correction can be carried out both individually and in a group:
- With an individual approach attention, memory develops, you can help the child cope with internal anxiety and at the same time raise self-esteem. Effective techniques are role-playing games, conversations, drawings.
- Group lessons allow the child to feel more confident, because he sees: this is not only his problem, there are other people who understand him very well. Communicating with them, playing out conflict situations under the supervision of a specialist, children learn to find the right solutions, as if they are “rehearsing” some kind of life situation that may occur in life, and in response to it there is already a “homemade preparation”. This reduces the likelihood of exacerbation of tics.

Medical therapy

If the methods mentioned above are exhausted, and there are no desired results, then it is necessary to connect drugs.

information A nervous tic in children requires an integrated approach to eliminate the problem, and drug therapy should continue for another six months after the complete disappearance of tics.

In this case, the following can be applied:

antidepressants ("Fenibut", "Zoloft", "Paxil", etc.);
Tiapridal, Teralen and similar drugs will help reduce pronounced motor manifestations;
nootropic or vascular drugs that will improve the metabolic processes of the brain;
vitamins will not be superfluous.

A neurologist should help the child cope with the problem, who, having studied the clinical picture, will prescribe the correct treatment with drugs.

If the disease declared itself from 3 to 6 years, then usually monitoring and treatment requires a long time - up to puberty.
Occurrence interval 6-8 years old called "favorable" for dealing with tics - they pass without returning.
Parents who notice neurological problems in their child should be especially vigilant. up to 3 years.
dangerous This can be a wake-up call for serious illnesses such as schizophrenia, brain tumors, and other less common conditions. The child needs to be seriously examined to rule out these diagnoses.

Doctors repeatedly emphasize that they can help parents raise a healthy child if the parents themselves want it. The question of nervous tics confirms this idea time and time again. Stably balanced psychological climate in the family is the prevention of neurological disorders in children.

The unformed psyche of the child is very vulnerable in response to various kinds of stress. It can be constant quarrels between parents, and their frequent prohibitions on the freedom of action of the baby, which will bring up an insecure person, and an inadequate reaction of the elders to the faults of the crumbs and the like.

If there is no natural predisposition in your family, then you can prevent a nervous tic that will cause complications in the child later. Take care of the psyche of your baby, do not provoke the development of fears, do not frighten anything, do not let phobias develop, do not let a mentally unhealthy person grow up. A nervous tic is only an external manifestation of these causes.

Any short-term involuntary simple movement that occurs due to the contraction of one or more muscles on an erroneous command of the brain is called hyperkinesis. If the inappropriately performed movement becomes fast, repetitive, this phenomenon is called a tick.

Not only the muscular apparatus, but also the vocal apparatus can be affected. Along with movements, smacking, pronouncing some sounds, etc. are possible. A person understands that these manifestations are inappropriate, but he is unable to cope with them. The problem is becoming more and more common, manifesting itself in every fourth child under the age of 10 years.

Among neurological diseases in childhood, it occupies one of the leading places. What is it - a nervous tic in a child? What are the causes of eye twitches, hacking and coughing, shoulder movements, and other symptoms? How to get rid of it, how to treat babies and what is the treatment for older children?

Causes of development depending on age

The mechanism by which tics occur is complex and has not been definitively determined in many respects. All researchers agree that both genetic and psychological factors are involved. Possible organic damage to the brain in the perinatal period is assumed.

In order for a nervous tic to appear, at least three factors must coincide:

Predisposition, or heredity. Often, with tics, it is discovered that the father or grandfather had the same problem, and the mother or grandmother suffered from obsessive-compulsive disorder.
Wrong upbringing. Increased control and uncompromisingness of parents, lack of communication, intra-family conflicts and a formal attitude towards the child provoke problems.
Severe stress or severe viral illness, surgery.

Usually initially the child has increased anxiety, which leads to chronic stress.

Frequent small stresses also lead to this. The baby's brain goes into constant expectation of danger and does not rest even in a dream.

The mechanisms adapting to stress are gradually depleted, and if the baby had a predisposition to insufficient brain inhibition of pathological reactions, a traumatic factor can cause the onset of a tick.

In infants, immediately after birth, a tremor may occur, in which physiological twitches of the legs and / or arms, lower jaw, and lips occur. Anything becomes an occasion: colic, crying, bathing, changing clothes, hunger. All these manifestations usually disappear without a trace within the first three months of life.

You should start to worry when the head also starts to twitch. This is already a pathology, which usually increases with time. Tremor can occur on any part of the body; as the baby grows, it becomes more intense and longer.

Inexperienced parents of babies are often frightened, seeing a deviation in almost every movement, and begin to sound the alarm. Behind all this, most often there are no pathologies, the baby outgrows. For peace of mind, it is enough to consult a pediatrician.

Main types, signs, description

Tics are classified according to several indicators:

The way the tic manifests itself is a clear characteristic, understandable even to a non-specialist. As an example, there are several types of nervous tics in children:

Such manifestations, having arisen once, can gradually disappear by themselves. But if the child does not find support in the environment, all this turns into a pathological habit and gradually transforms into a tick. Often this happens after severe viral diseases.

Exacerbations of the problem begin in autumn and winter, which is associated with an increasing mental load during schooling. In summer, remission often occurs (attenuation of symptoms).

Complex manifestations

Several muscle groups are involved in a complex tic: abdomen, back, limbs, neck, facial, vocal. In most children, nervous tics begin with blinking of the eyes. Gradually join the lifting of the shoulders, the establishment of the gaze, turning the head, moving the limbs. This makes it difficult for the child to perform written buildings while learning.

May be accompanied by coprolalia (cursing), echolalia (repetition of single words), or rapid slurred speech (palilalia). In the latter case, the last word in the spoken sentence is repeated.

The clinical picture usually becomes more complicated from top to bottom: first, the muscles of the face are involved in the process, then the problem captures the shoulders and arms. Later, the torso and legs join uncontrolled movements.

The most severe form is Tourette's syndrome, described in the 19th century as a disease of multiple tics.

The clinical picture combines obsessive-compulsive disorder with attention deficit, vocal and motor tics.

There is a disease with a frequency of 1 case per 1 thousand boys or 10 thousand girls. The first time the problem manifests itself at the age of 3-7 years is twitching of the shoulders and local facial tics.

One type of tick is replaced by another. After a few years, vocal tics join, sometimes the disease begins with them. It all depends on the age and characteristics of the body. The consciousness of the child during tics is completely preserved, but he cannot control these movements.

The peak of manifestations occurs at the age of 8–11 years. From excessive movements, muscle pains can appear, for example, in the cervical spine due to frequent and strong turns of the head. Throwing the head back sharply can cause the child to hit a hard object behind him, resulting in injury.

During exacerbations, children have a problem with self-care, and they cannot attend school. At 12-15 years old, the disease enters the residual phase - the final one, in which the process stops, residual symptoms are observed in the clinical picture.

This is manifested by local ticks. If Tourette's syndrome was not complicated by an obsessive-compulsive disorder, then in the residual phase a complete cessation of tics may occur.

Watch a video about Tourette's syndrome in children:

How to save a baby from pathology

The duration and nature of the course of the disease is affected by the age at which the disease began to develop:

up to 3 years is a symptom of an existing complex disease (brain tumor, autism, etc.);
in the interval from 3 to 6 years - the problem usually drags on until adolescence, then begins to gradually decrease;
in the interval from 6 to 8 years - a favorable prognosis, the problem will pass without a trace.

The main principle of therapy is an integrated approach, taking into account the individual characteristics of the body and the course of the disease. First, during a conversation with the parents, the doctor finds out the possible causes of the problem, ways of pedagogical adjustment are discussed. Drug therapy is not immediately resorted to.

And what to do if the child has convulsions at a temperature, you will find out.

What can be done at home

First of all, the identified provoking factors are eliminated. The severity of tics decreases as the requirements for the child are reduced. It is necessary to observe the daily routine, adjust the diet, removing from it products that do not carry any benefit (soda, fast food, etc.), establish adequate physical activity.

If intermittent traumatic family situations are identified, family therapy may be needed. Any joint activity (cleaning the apartment, cooking, baking a pie), a kind word said in time will help the child get rid of internal tension.

The easiest way to calm down the nervous system is by evening walks, swimming, warm baths with essential oils of lavender and lemon balm.

Watch a video about how a nervous tic manifests itself in a child, what are the symptoms and treatment of the disorder in children of primary school age:

How can a doctor help

The diagnosis is established by a neurologist after examining the child. It will be good if parents prepare to shoot the problem at home, because during communication with the doctor, the picture may be “blurred”.

The child should also be examined by a psychologist and assessed for his emotional characteristics, degree of attentiveness, ability to remember and ability to control impulsive behavior.

Psychiatric consultation, magnetic resonance imaging or electroencephalogram may be needed. The doctor may advise you to take a course of psychological correction individually or in group sessions.

Specially trained specialists will correct the emotional or mental sphere that is late in development, using games, conversations or drawing, and will work on the child's self-esteem.

A teenager in a group will be able to beat possible conflict situations with peers and, having rehearsed in advance, choose the best option for behavior, which will increase the chance of avoiding an exacerbation of a tick.

Treatment with medications is resorted to only when previous methods of therapy have exhausted themselves without giving results.

Drugs are prescribed by a neurologist, self-medication is strictly prohibited.

After the complete disappearance of the tick, the medication continues for another six months, then the doses are gradually reduced, up to complete cancellation.

What medications are prescribed

Antipsychotics may be prescribed, which have analgesic, anticonvulsant,, antihistamine, sedative, antipsychotic actions. These are Fluphenazine, Haloperidol, Pimozide, Tiapride, Risperidone.

Auxiliaries are connected to the main course: to maintain general well-being (vitamins), vascular drugs and nootropics that improve metabolic processes in the brain.

If obsessive-compulsive disorder is also present, then antidepressants are added to the treatment.- Fluoxetine (Prozac), Clomipramine (Clofranil, Clominal, Anafranil).

When choosing a drug for a child, the convenience of titration (dosing) of the drug is taken into account. The most convenient are drops (Risperidone, Haloperidol) - using a liquid form, it is convenient to measure the required supporting volume, avoiding unjustified overdoses. This is very important when prescribing long courses.

Folk remedies

As an easily accessible remedy, it is easiest to use motherwort tincture, giving it to a child at bedtime. You can buy a few herbs and make your own fees:

Grass cudweed, thyme, valerian and chicory roots, chop heather leaves. Mix by adding to 1 part of chicory 2 parts of the remaining components. Brew a tablespoon of the mixture, like tea, in a glass of boiling water for about half an hour. Give the child three times a day from 50 to 150 ml, depending on age. This infusion quickly relieves stress and soothes.
To 3 parts of pharmacy chamomile, add 1 share of valerian root and 2 parts of mint and lemon balm. Brew in the same dosage as in the previous recipe. Take in the morning before meals and at bedtime from 50 to 150 ml, depending on age.

Massage and exercise

With nervous tics, massage has proven itself in the best way, since it is an effective remedy. But the features of the procedure depend on the type of disorder. The essence of all manipulations is to relax the necessary part of the body.. Light stroking, rubbing, kneading are performed.

Sharp strong impacts, toning muscles, are not allowed, the goal of all movements is relaxation. To improve the blood supply to the brain, the collar zone is massaged.

Improving blood circulation in the brain improves the condition of the entire nervous system.

Perfectly relieves muscle tension and underwater massaging shower. Usually a course of 10 sessions is prescribed, you need to complete it completely, even if you feel better sooner. Exercises, in particular, Strelnikova's breathing exercises, are of great help.

Therapeutic stretching with weights will also be effective.. With the help of a complex selected by a specialist, it is possible to change muscle tone and form the correct functioning of the brain. Thanks to biofeedback between muscles and brain neurons, it is possible to change existing behavioral programs.

The alternation of stretching and relaxation has a beneficial effect on the entire body.

Loads should be directed not to the elasticity of one muscle, but to the entire body, the spinal column, shoulder and hip joints.

Features of the treatment of infants

For infants with pathological tremor, massage is mandatory to avoid such serious consequences as hyperglycemia, pathological changes in intracranial pressure, hypocalcemia, and cerebral hemorrhage. Children's therapeutic massage for a nervous tic in a child up to a year old can be used from 1.5 months of age. Massage relieves muscle spasms, stabilizes the nervous system.

To conduct a massage course, contact a specialist or at least go through a few initial sessions with him. By learning simple techniques, you can massage at home on your own.

Movements are used simple (stroking, rubbing, kneading, vibration). Learn how to do them right. Look at what areas on the body of the baby should be avoided (lymph nodes, heart, liver and spine).

For infants up to 3 months, the procedure should not exceed 5 minutes, for older children, the time can be increased, but the duration of the session should not exceed 20 minutes.

The main criterion during the massage is the behavior of the child. If he behaves restlessly or is capricious, the procedure is stopped.

Prevention of not only tics, but also any psycho-emotional problems - a friendly, calm atmosphere in the family, a balanced diet. diet all foods and drinks that excite the nervous system (coffee, tea, chocolate, cocoa) are limited.

Spending time at the computer and in front of the TV should be limited to half an hour a day, and devote all free time to sports, needlework, and walks.

The psychological aspect is very important, all parents should remember this, therefore, at every opportunity:

listen to the opinion of the baby;
avoid overwhelming tasks
praise the child if deserved;
refer a vulnerable child to a psychologist.

You need to be patient with the child and engage in his upbringing, and not let development take its course. The state of the child's physical and mental health largely depends on the relationships that develop with peers in kindergarten and school, on the fulfillment by parents of their duties, on their attitude towards themselves and towards each other.

In a comfortable microclimate, everyone's self-esteem increases, which excludes the appearance of neuroses and similar conditions that can lead to the formation of a nervous tic.

If it so happens that the tic nevertheless began, one should not wait in the hope that it will pass by itself. Contact your doctor immediately.

What to do if you notice manifestations of a nervous tic in a child, how to cure the pathology, you will learn from this video:

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Often, parents, especially young ones, cannot understand what is a symptom of a disorder in the behavior of children, and what is considered the norm, and this not only frightens them, but also causes a lot of anxiety. If a child suddenly begins to lick his lips often or blink, many parents start to panic, but in fact, a nervous tic in children is a fairly common problem, but it cannot be left unattended.

What is a nervous tic and how does it outwardly manifest itself in children

A nervous tic is an involuntary spasm of the muscles, in which they make an irregular, but stereotyped movement. Such spasmodic movements often occur in stressful situations and may be exacerbated.. As a rule, several types of such a condition are distinguished in children, differing in the severity of the course, as well as in the need for therapy.

Among the types of ticks, there are 2: primary and secondary, while primary can be:

Chronic motor character;
Transient;
Tics associated with Gilles de la Tourette syndrome.

Transient tics

They arise under the influence of impulses of the central nervous system of an electrochemical nature and represent muscle spasms. Most often, such tics occur on the face, in the area of \u200b\u200bthe eyes, on the arms, torso or on the neck.. Tics are temporary and do not pose a health risk. This condition can last for about a year, with tics appearing intermittently without warning symptoms, but in most cases the problem disappears completely after a few weeks.

Outwardly, transient tics appear:

Private grimacing.
Constant licking of the lips, as well as protruding the tongue from the mouth.
Frequent coughing.
Blinking of the eyes and frequent blinking, twitching of the outer corners of the eyes.

Such manifestations are considered motor and simple.. In rare cases, complex signs can also be observed, for example, involuntary palpation of objects, as well as constant throwing (stroking the head from the forehead to the back of the head) of the hair back when pulling the eye.

The main properties of transient tics in children can be called:

No definite rhythm.
Short duration of spasms.
Their spontaneity or manifestation in stressful situations.
A high frequency of spasms, as a rule, they go one after another.
A change in the intensity and nature of muscle movements, which usually occurs with age.

Children are able to suppress such manifestations, but for a short period of time.

Tics of a chronic nature

This category includes tics, the manifestations of which persist for more than a year, but they are quite rare, especially in children. Gradually, such manifestations may weaken, become more smoothed., but often persist for life, intensifying with stress.

Some scientists call chronic tics a mild form of a disease called Tourette's syndrome, but most often they are distinguished into a separate special group.

As a rule, the first manifestations of Tourette's syndrome are observed in children under the age of 15 years., while tics can be not only motor, but also vocal, manifested by peculiar vocal phenomena in the form of grunting or barking, meowing and other sounds against the background of twitching of the eye muscles. Motor phenomena can also appear in the form of falls, jumps, jumps on one leg, imitation of any movements.

The disease has a hereditary etiology and occurs 5 times more often in boys than in girls.

Manifestations of secondary tics are usually associated with a malfunction of certain organs. In this case, muscle twitches of the eyes and face are observed in the presence of encephalitis, meningitis, schizophrenia, autism, and Huntington's disease. At the same time, external signs are often similar to the manifestations of tics of the primary category, but various symptoms of the underlying disease are added to this.

Causes of a nervous tic in children

As a rule, the triggering factor for the appearance of tics in children is a stressful situation associated with changes in life, in the very way of existence. For example, when moving, changing the usual composition of the family (when younger children appear in the family, parents divorce, the appearance of a stepmother or stepfather), when habitual conditions change.

The reason for the appearance of a nervous tic can even be the first trip to kindergarten or the transition from kindergarten to school.

At the same time, if parents had similar manifestations in childhood (or remained in adulthood), then in children the risk of developing a nervous tic increases significantly. Almost anything can serve as a start to the disease, including uncontrolled TV viewing, as well as constant games on the computer.

Doctors often forget that that the cause of tics is many diseases of the eyes themselves rather than a hereditary or psychological factor. For example, dust gets into the baby’s eye or an eyelash falls, which causes discomfort, pain and irritation of the mucous membrane, as well as a natural desire to rub the eye. At the same time, the baby begins to blink intensely, and if the situation repeats often, then the usual spasmodic movement is also formed in the process.

In the future, when the foreign body is removed, muscle contractions can continue for a long time. Some diseases also lead to this, therefore, if any eye twitches appear, it is important to contact an ophthalmologist first of all.

Epilepsy attacks are accompanied by convulsions, while the motor activity of all the muscles of the body changes under the influence of signals coming from the brain. Epileptic seizures and outbursts can have varying degrees of severity, and various situations can lead to their occurrence, in particular, stress, certain diseases, a state of suffocation caused, for example, by a strong closeness around, as well as an increase in body temperature, including cause of the heat.

Chorea is an uncontrolled stereotyped movement of any part of the body. that occurs in various situations, for example, in case of carbon monoxide poisoning or any medications, as well as in the presence of hereditary nervous diseases, injuries and certain types of infections. Such movements are involuntary and cannot be controlled.

Medical diagnostics

If nervous tics are not related to eye disease, then their diagnosis, as well as further treatment, will be handled by a neuropathologist, in this case, a children's one. You should contact your doctor immediately if:

The tic in a child is very pronounced.
The tick is plural.
The condition causes severe physical discomfort to the baby.
The condition provokes difficulties in the field of social adaptation of the baby.
Tic has been observed for more than one year.

At the appointment, the doctor may ask a few questions to clarify the situation and clarify the whole picture of the condition. For example, about when the tick appeared for the first time, in what situation it happened, about the existing history, about possible heredity. As diagnostic measures, the doctor can assess not only the general condition of the child, but also his motor activity, as well as sensory functions and reflexes.

As additional studies, general blood tests, helminth analysis, ionograms, as well as electroencephalography and MRI (magnetic resonance imaging) are often prescribed.

In some cases, additional consultations of other specialists may be required, in particular: an infectious disease specialist, a geneticist, a psychotherapist, an oncologist, a toxicologist.

What to do if a child has a nervous tic

If the tic that has appeared causes the child emotional or physical suffering, he should be helped by using a few simple tricks to quickly eliminate the muscle spasm that has arisen.

It is important to distract the baby from the problem. This method is very effective and allows you to eliminate the tick for a while. You can involve the child in the game or come up with any interesting activity for him, but you can’t distract him with a cartoon or a computer game.

Any activity that is interesting for the baby creates a zone of special activity in the brain, emitting special impulses, thanks to which the nervous tic quickly disappears. But, unfortunately, such a measure gives only a temporary result, and when the session is completed, the tic can very quickly begin again.

To quickly eliminate a nervous tic, you should:

Press lightly on the superciliary arch area with your thumb or forefinger, approximately in the middle. In this place passes the nerve that controls the upper eyelids. The finger should be held for about 10 seconds.
Then, with the same force, it is necessary to press on the areas of the corners of the eyes, best of all at the same time, holding for 10 seconds.
After that, you should ask the baby to close his eyes tightly for about 5 seconds, while the eyelids should be as tense as possible. After a minute of rest, squinting should be repeated twice.

Such activities allow you to quickly relieve muscle tension, but the effect will be temporary and can last from several minutes to 2 to 3 hours.

Treatment of a nervous tic in a child

As a rule, most of the nervous tics of the primary group pass on their own after a certain time, while not having a special effect on the health of the crumbs and without creating serious problems. But if the severity of tics is strong, if they cause discomfort and affect the condition and life of the baby, it is important to carry out treatment, and it should be started as early as possible.

Treatment can be carried out by 3 methods:

Methods of non-drug therapy.
With the help of medicines and medical procedures.
Traditional medicine methods.

The priority direction of therapy is always considered a non-drug approach, which is used independently to eliminate the primary type of tics, as well as as part of complex therapy in the treatment of tics of the secondary category.

The directions of non-drug therapy in this case may be different.:

Individualized psychotherapy, since most of the tics appear precisely due to stressful situations.
Change in family environment, creating favorable conditions for the crumbs. Parents should understand that the manifestation of a nervous tic is not a whim or pampering. This is a disease that requires appropriate treatment, so you can’t scold him for it and demand control over yourself. The baby will not be able to cope with this on his own.
Changing Parental Behavior if needed. It is important that relatives do not try to focus on the existing problem, but treat the baby as an ordinary healthy and completely normal child. It is important to protect the baby from various stresses, provide a calm environment, maintain it and consult a doctor in a timely manner if necessary.

Of great importance is the regime of the day, or rather, its proper organization.. It is important that the child fully rested, especially at night. Time during the day must be properly distributed. The child should wake up no later than 7 hours, while putting him to bed should be no later than 21-00.

After waking up, you need to do exercises and carry out morning water procedures, then be sure to eat a nutritious and healthy breakfast and go to school (kindergarten). Returning home, you should not rush, it is better to walk at a walking pace in order to be in the air for about half an hour.

After lunch, the child should rest, and it is better to sleep, for about 1.5 hours, then walk again on the street for about half an hour, eat an afternoon snack and sit down to do homework if he attends school. After that, he must perform his duties around the house, have dinner, take a walk for half an hour, rest and start getting ready for bed.

Good sleep is an important point, since during this period all systems are restored, including the nervous one. If the sleep pattern is disturbed, if the child is constantly sleep deprived, this causes unnecessary nervous tension and can worsen the situation. On average, children under 14 should sleep for about 10 hours, including daytime rest.

Good nutrition is also of particular importance for the health of the child.. It is necessary to provide the baby with healthy and natural food, from which he will receive all the necessary elements daily. It is important to enrich the diet with foods containing a large amount of calcium, since an insufficient amount of this element contributes to increased muscle spasms.

To medical treatment includes the use of certain drugs, mainly the sedative category, as well as antipsychotics. But, besides this, drugs are also used that improve brain activity, its metabolic processes and blood circulation. It is important that the drugs are mild, not having a serious effect, and the doses of these drugs are minimal.

Most often, in the treatment of nervous tics, children are prescribed Novo-Passit, Cinnarizine, Thioridazine (Sonopax), Phenibut, Calcium Gluconate (or Glycerophosphate), Haloperidol, Diazepam (which can be replaced by Relanium, Sibazone or Seduxen).

Treatment of nervous tics in children with folk remedies

Of course, for the treatment of children, it is best to use folk remedies that have a beneficial effect on the nervous system of babies. The use of sedative herbal preparations, infusions and decoctions of herbs helps to reduce the intensity of the manifestation of nervous tics to a large extent.

Most often used:

motherwort tincture. To prepare it, you should take dry chopped raw herbs (2 tablespoons), pour it with a glass of boiling water and leave for about 2 hours until it cools completely. Strain the finished infusion thoroughly and put it in a dark, cool place outside the refrigerator. Give your child this infusion three times a day, half an hour before meals.. For children under 14 years of age, the dosage is 1 teaspoon per reception, for those over 14 years old, it is necessary to give the remedy for a dessert spoon.
Valerian Root Infusion. Pour the crushed raw materials (1 tablespoon) with a glass of boiling water and heat in a water bath for 15 minutes in a closed container. Infuse until completely cooled (about 2 hours), strain and store outside the refrigerator, but in a cool and dark place. Give the child an infusion 4 times a day for half an hour before meals, as well as before going to bed, 1 teaspoon. But you should not take this infusion for longer than 6 weeks.

Hawthorn infusion. Dry crushed berries (1 tbsp.) Pour a glass of boiling water, leave for 2 hours, strain. Give the child a tablespoon three times a day for half an hour before meals.
Camomile tea. Dry flowers (1 tbsp.) Pour a glass of boiling water, leave for about 3 hours, strain. Give your child ¼ of a glass half an hour before meals three times a day.

Nervous tic of the face and eyes

Most often, according to statistics, in children of different ages, a tick occurs precisely in the area of \u200b\u200bthe eyes and face. In most cases, for some specific reason, tics appear in children of various ages, ranging from 2 years to the time of growing up.

On average, the first manifestation of a tick is observed in the period from 6 to 7 years, which is associated with a change in the situation and the usual life of the child, with his admission to school, to a new children's team, to a society of strangers and strangers (teachers and classmates).

In the preschool period, tic of the face and eyes is much less common than in the group of younger schoolchildren, mainly in overly emotional kids. In almost 96% of cases, the first time a tick occurs before 11 years of age., while outwardly the problem is manifested by twitching of the facial muscles or very frequent blinking.

The intensity of manifestations varies. The peak of the disease, as a rule, occurs in the period of 10-11 years, after which the intensity of manifestations (with a benign development of the disease) decreases, and gradually the manifestations disappear. In some cases, the child may need treatment.

Prevention of the recurrence of a nervous tic

The occurrence of such a violation in a child is impossible to predict. Today, among children, this violation occurs quite often, since the very environment of modern life creates a lot of stressful situations and nervous strain, especially among children living in big cities.

This is due to the fact that in children the nervous system does not yet have sufficient maturity and cannot function in full, so the risk of tics in childhood is very high, especially in cases where there is a genetic predisposition to them. But today this problem is curable.

It is important after therapy to prevent the recurrence of the disease, for which it is necessary:

Ensure that the family maintains a normal psychological environment.
To educate stress resistance in the baby, not to isolate himself from him when problems arise, but, on the contrary, to discuss them with him, to look for a solution together so that the child gets used to adulthood and perceives difficult situations correctly.
Make sure your child gets enough sleep and a healthy diet.
Make sure that he walks every day for a total of at least an hour a day.
Practice meditation or yoga with your child.
Ventilate housing, especially the child's room (be sure to do this before going to bed).
Protect the baby from anything that can provoke the recurrence of tics.