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Re: no ticks when extremely anxious » someday

Posted by yxibow on February 11, 2007, at 3:37:41

In reply to no ticks when extremely anxious, posted by someday on February 10, 2007, at 18:26:55

> I've been having tourette's syndrome since I was young. When I got into adulthood (24 now), tics decreased dramatically. Atm, I'm suffering from GAD.
>
> What I'm curious about is that when I'm extremely anxious with all the physical symptoms like shoulder pain, sore throat, and so on, I have to desire to do tics. But, when I take some antianxiety drugs like benzodiazepine or become naturally relaxed by chance, I get this desire to do tics.
>
> I've always thought tics are triggered by stress and anxiety, but it seems opposite to me.
>
> Does anyone have explanation about this?

Tourette's as you probably know is an OC Spectrum disorder modulated by similar brain activity as OCD although not exactly the same.


I can't explain the paradoxical response to benzodiazepines, which is what you are having -- since Klonopin is typically a drug used, among others, such as the typical antipsychotic Orap (pimozide).


Have you tried clonidine for both your GAD and tics ? It does have an anxiolytic effect and sometimes may cover tics as well. It must be started and stopped in a progressive fashion so as to not cause blood pressure surges, but otherwise it is an often used tool of psychiatry.


Guanfacine is similarly used but has a set of side effects that probably shouldn't be tested against unless a dose range of clonidine doesn't prove effective


-- Jay

 

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