Rus Articles Journal

And goodness knows, why he blinks?

the Frequent reason of the address to the children`s neurologist and the psychotherapist are tics (tikozny giperkineza) which represent the sudden, involuntary, violent, abrupt, repeating movements. They usually arise at the age of 5 - 8 years, and by 4 - 6 times tics meet at boys more often, than at girls.

In an origin of tics genetic and immune mechanisms, pathology of the period of pregnancy and childbirth, and also psychosocial factors play a role. Always it must be kept in mind a possibility of influence of several factors influencing at each other.

Psychological factors (adverse domestic surroundings, separation from one of parents as a result of disintegration of a family, the bad relations in children`s collective) play a role of the provoking or strengthening factor. At some children the disease develops after the first days of occupations at school, against a school adaptation stress (“tics On the First of September“). Episodes of a sudden fright often occur among other stressful situations separation from one of parents as a result of disintegration of a family. At some children tics arise after a long intellectual overload which can be considered as a chronic stressful factor.

the Distinctive feature of tics is their insuperable character. Any attempt to suppress by effort of will inevitably leads emergence of a tic to increase of tension and alarm, and violent commission of desirable motive reaction gives instant relief. Tics considerably amplify under the influence of emotional incentives - alarms, fear, confusion.

can be Tiki`s

motive (motor) and voice (vocal). Motive tics remind the purposeful movement; the most frequent of them is a blinking, a nakhmurivaniye of eyebrows. Less often turns by the head or tilting of the head meet back (remember shtabs - the captain Ovechkin performed by Armen Dzhigarkhanyan from the movie “New Adventures of Imperceptible“ or Lelik from “A diamond hand“ performed by Andrey Mironov). Vocal tics are shown by bawling out of senseless sounds or words. In hard cases vocal tics can be shown in the form of a koprolaliya (pronouncing aggressive, offensive or socially inadequate words or phrases).

the Combination of motive and vocal tics is called Turett`s syndrome. It is known that similar manifestations were noted at Mozart.

the Current of tics has wavy character with the periods of improvement and an aggravation. At children, for example, the period of improvement can be observed during vacation. Some patients note seasonal fluctuations of intensity of symptoms.


Approximately in half of cases at children with tics note manifestations of a syndrome of deficiency of attention with a hyperactivity (SDVG). And tics are noted approximately at every third child with SDVG. At these diseases there are a lot of general links of pathogenesis. Tics are more often noted in cases of prevalence of a hyperactivity and impulsiveness (but not a carelessness). Usually manifestations of SDVG are noted earlier, and tics join later. Frequent satellites of tics are the dysgraphia and a dyslexia. Besides at children with tics various obsessiya - the persuasive movements, thoughts, desires are quite often noted.

with tics children`s neurologists and psychotherapists are engaged in

in Treatment of children. It is the best of all to address to the specialized center where there are neurologists, psychotherapists, psychologists. Before an initiation of treatment it is better to make the electroencephalogram.

to Children with tics should observe a day regimen. It is necessary to exclude whenever possible unusual negative and positive irritants. Tics often amplify during watching television, especially at the turned-off electric light. The matter is that bright flickering light is capable to provoke changes of bioelectric activity of a brain. Therefore watching television to children with tics has to be most limited within 1 - 1,5 month. The same restrictions concern computer games.

features of psychological correction at children with tics Exist. A main objective in such cases is not so much reduction of giperkinez, how many improvement of social adaptation. As children with tics are characterized by a low self-assessment and the increased uneasiness, it is necessary to encourage patients, to inspire in them self-confidence. It is also necessary to explain to parents of such children that tics are not any. It is very important psychologically as the patient`s family often notice that he can sometimes constrain a tic. As a result one begin to consider a tic as an illness, others - dissoluteness. It does not make sense to constrain tics, it is also impossible to focus attention of the child on giperkineza.

a Special role in treatment of tics is played by psychotherapy. The following psychotherapeutic techniques are applied to treatment of tics: behaviouristic (behavioural) methods of therapy, hypnotherapy, autogenic training, simvolodrama. Use of a method of biological feedback will allow the child to learn to relax and reduce not only tics, but also a psychoemotional pressure.


In treatment of tics use the tranquilizers and neuroleptics having the calming effect. As tics are often combined with a carelessness and school problems, in complex treatment various nootropic preparations which positively influence the highest integrative functions of a brain are used. The concrete preparation for treatment of your child will be recommended by the neurologist.

I still: for improvement of a condition of the child important that parents were whenever possible quiet and cheerful.