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May 23, 2010

Nix Your Tics! Eliminate Unwanted Tic Symptoms by Duncan McKinlay

Nix Your Tics! by Dr. Duncan McKinlay, Ph.D., C.Psych.


From the first line in this how-to book, “Hey Got Tics? Me too. Welcome to the club.”, the reader really feels like a welcomed club member. The club Dr. Duncan McKinlay Psych., created is the Leaky Brakes Club. Leaky brakes is how he explains tics and the other symptoms that often go along with tics. As you read, you are motivated to follow his steps to get rid of bothersome tics one at a time.

I love the way Dr. McKinlay (Dr. Dunc) “has a casual chat” with the TS (Tourette Syndrome) child, just as if they were sitting on the family couch. His message is upbeat and he delivers it with humor. The 144pg pocket book is very easy to read and recommended for ages 12 and older. Some younger than 12 may also be ready for it. To top it off, you will appreciate the handy back-of-the-book information, summaries of the steps mentioned, worksheets, blank note taking space and lists of great resources.

He shows the normies' (regular "normal" people) point of view about tics and how the normies’ good brake systems work. For many TS kids this might be the first time this is explained to them. The message he conveys is that normies can be okay once you understand them, and once you have given them a chance to understand you.

Dr. Dunc, also author of Life's a Twitch, arms the TS individual with tips on how to tell normies about TS and tics, which will, in turn make his/her life better. Building their self-worth throughout the book, Dr. Dunc points out the flip sides of TS: “People in our club who have done exceptionally well in life, and shaped our world and history in some magnificent ways…”

Medication, tic suppression and tic management (CBIT) are clearly explained. Reader are shown how tic management will put them in the driver’s seat and will help allow them to eliminate any deep rooted tics…one tic at a time. My daughter, pictured to the right, has Tourette Syndrome and has managed to do this. Only diagnosed at age 19, she unknowingly used some of "Nix" strategies to function in social settings while growing up. This has further convinced me that Dr. Dunc has something going here.

Need more proof? These findings are reported in the May 19th 2010 issue of JAMA. The Journal Of the American Medical Association — Behavior Therapy for Children With Tourette Disorder. Results from a new randomized trial show that children with Tourette's syndrome and chronic tic disorders have greater improvement in tics and tic-related impairment with comprehensive behavioral intervention than with supportive therapy and education.

"Historically, Tourette's syndrome has been treated with antipsychotic medications, which reduce tics but are associated with side effects that often limit their usefulness in children," lead author John Piacentini, PhD, from the University of California, Los Angeles, said in a statement. "So the development of an effective nonmedication treatment for children with this disorder is a major therapeutic advance."

With early diagnoses and teaching early coping strategies like those in Nix Your Tics!, children with tic disorders will have, like the book states: “ an attitude of positive self-acceptance you’ve hopefully picked up from this book…”

Check previous post: Tourette Syndrome ~ Your Child, His Tics and School


Have you had experience with tic management?

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May 20, 2010

Tourette Syndrome ~ Your Child, His Tics and School


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May 8, 2010

Personal Reason to Rejoice About New Study on Tourette Syndrome


While searching Google for the simplest way to describe Tourette Syndrome, I had a flash back to fifteen years ago when I received a frantic call from our
daughter at the University of Ottawa announcing that she had been diagnosed with TS. Immediately after the call, I rushed to research what was Tourette. For years we had sought answers and treatments to help our attractive, above average, intelligent daughter deal with the demons crowding her life.

My search, those many years ago, finally let us understand what our daughter had to confront every day and night. Living in a rural Nova Scotia area with hardly any professional support, we struggled through her childhood and through her teen years. Finally specialists in the Ottawa area had but an end to our questioning and had given us a diagnoses to explain our life coping with unknown symptoms. That day, I learned another new word: other comorbid conditions. The same struggles continued, only now we had names for these demons.

Wikipedia tells us: “Tourette syndrome, or simply Tourette's or TS is an inherited neuropsychiatric disorder with onset in childhood, characterized by the presence of multiple physical (motor) tics and at least one vocal (phonic) tic; these tics characteristically wax and wane. Obsessive–compulsive disorder (OCD) and attention-deficit hyperactivity disorder (ADHD) are often associated with Tourette's.

Undiagnosed comorbid conditions may result in functional impairment, and it is necessary to identify and treat these conditions to improve functioning. Complications may include depression, sleep problems, social discomfort and self-injury.” With these symptoms challenging their every day, you can see why news about a possible break in the search for treatment of TS is very exciting.

A study, led by Matthew State, M.D., published in the New England Journal of Medicine by Yale School of Medicine researchers May 5th 2010, gives hope for treatment of Tourette syndrome (TS).

The Yale researchers worked with a father and all eight of his children who had Tourette syndrome. The State lab took DNA samples of all members of this family and were able to identify a rare mutation in a gene called 1-histidine de carboxylase (HDC) in the samples from the TS members. This gene makes a protein that is required for the production of histamine. Histamine has a role in allergic response and is also a neurotransmitter that influences a variety of brain functions. They found that the mutated protein lost its function.

Strong evidence, that genetic mutations contribute to TS, had lead researchers in this direction for over a decade. Dr. State said that past work on brain histamine by other labs shows that mice with low levels of histamine are more prone to repetitive behaviors that are similar to human tics, and that increasing brain histamine reverses this problem.

"We were lucky to happen across a gene pointing to a well-studied area in neuroscience, pointed out State. There are several new medications in development that increase the release of brain histamine. Based on this genetic finding, these compounds would be good candidates for new treatments for Tourette."


As you can see, Tourette, like many other medical conditons, has many facets and grey areas for which the medical community has no answers. Let us hope the above gene mutation study results in real, long awaited answers …it was in 1884 that Gilles de la Tourette, using the name "maladie des tics", first described the symptoms and in his honor the illness was given his name.

Looking for more posts on Tourette? Check out:

Nix Your Tics! Eliminate Unwanted Tic Symptoms by Duncan McKinlay

Tourette Syndrome ~ Your Child, His Tics and School


Has your family been affected by Tourette Syndrome?


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