DURHAM FOSTER PARENT ASSOCIATION

 

What is Obsessive Compulsive Disorder (OCD)?

 

 

Tics (Pediatric) Overview

Note: In this section, several complex motor phenomena are defined, including tics, compulsions, stereotypies, mannerisms, and habits. Syndromes that have a sense of motor restlessness, including akathisia and restless legs syndrome, are also defined.

Tics are intermittent, repeated, stereotyped movements or sounds that may occur in an infrequent or almost continuous manner. Tics may be "simple," such as a cough, grunt, facial twitch, or shoulder shrug, or "complex," such as a word, phrase, or a stereotyped sequence of movements. Although tics appear similar to normal movement, they are not voluntary. There is often a sense of a build-up of the need to tic; this need increases if the child attempts to prevent the movement. Once the movement is made, there is a sense of temporary relief until the sense of the need for the movement begins again. The child may incorporate the tic movement into an apparently voluntary gesture; this is done in an attempt to avoid embarrassment.

A child may fulfill the criteria for Tourette's syndrome if...

  • They have multiple motor tics (e.g., any kind of movement of the limbs, trunk, or face)

  • They have at least one vocal tic, involving any sound (except coughing or sniffing)

  • Symptoms begin before the age of 21 years

  • Symptoms wax and wane over a period of more than one year

If only motor tics are present, the disorder is referred to as "chronic motor tic disorder." Tics often become worse when the child is nervous, stressed, upset, or concentrating.

Tics Information 

Tics Resources From Life in Motion Awareness Campaign “What If.” - Movement Disorders Mime Video

Managing a Life in Motion

Movement Disorder Fact Sheet - Tics and Tourette's Syndrome

About Life in Motion

Coalition Members 

 

These questions are difficult to face and often are difficult to answer. If you are one of an estimated 40 million Americans who have a movement disorder, the Life in Motion campaign activities offer help and hope.

For more information on movement disorders, visit the WE MOVE website at www.wemove.org.

 

Contact Us with questions or feedback.

 

Tics Information for Medical Professionals at MDVU 

 

Pediatric

Tics and Tourette's Syndrome Slide Set

Ignorance by tourette syndrome Tic Talk: Living with Tourette Syndrome

Tourette Syndrome - HBO & Tourette Syndrome AssociationIgnorance by tourette syndrome Tic Talk: Living with Tourette SyndromeWoman with tourette syndrome speak about it

Video on Tic disorder

 

Growing up with Tourette's Syndrome:
Information for Kids


  Controversy, myth, and inaccurate information about Tourette syndrome
Dr. Phil on Tourette's syndrome and Asperger's syndrome:  "Extreme Disorders" and brain imaging 
Dr. Laura Schlessinger on Tourette's  
David Comings, M.D. - Hope Press - The Gene Bomb

Inaccurate definition of Tourette's Syndrome by Joseph Jankovic, M.D. in the New England Journal of Medicine 

In The News

Monday, May 21, 2007

Overdosed kids

 

 The Invisible Children and Families of FASD part 1,2,3

The Invisible Children and Families of FASD part 1The Invisible Children and Families of FASD part 3The Invisible Children and Families of FASD part 2

  FASD Slide Show-RFacing FASD

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder: A Clinical InterventionTribute to Sumner Erickson - Dr. John Breeding

This is a portion of a half hour special on autism. This story gives the signs and symptoms

Autism SymptomsAutism - Repetitive Behaviors Like Rocking and FlappingSymptoms of Autism on mommywood.comA World of Hope for Autism

Consider Sensory Processing Disorders in the Explosive Child: Case Report and Review:
Introduction
Children and youth with affect dysregulation (such as problems with explosive rage and anger) commonly present to health care professionals.
Method
Standard DSM-IV differential diagnoses for affect instability include bipolar disorder, ADHD and oppositional defiant disorder. However, clinicians may wish to consider the possibility of sensory processing difficulties, which are difficulties with the processing of sensory input, which can lead to problems with under- or over-arousal, thus contributing to affect dysregulation.
Results
In such cases, referral to occupational therapy may be helpful. Even in cases where occupational therapy is not available, being able to direct families to readings and internet resources about sensory processing may be helpful.
Conclusion
This article presents the diagnosis and management of a case of sensory processing disorder, followed by a narrative review of the literature.

What does sensorimotor integrative disorder mean, is that the same as Autism?

What is Sensory Motor Integration

Listen, look, feel, taste, smell! Sensory input surrounds us. Just as intellectual abilities vary from child to child, sensory processing abilities also vary widely. Some children with a sensory integration disorder are unable to tune out all the information their bodies perceive, while others are unable to perceive some of the information that they need to do their schoolwork. The noise of the heater distracts Cathy and she misses the homework assignment. The posters fluttering on the wall keep Joe from concentrating on his math problems. Brittany´s legs and arms feel like they have to move -- she can´t focus on her reading. Imagine all the sensory input that must be processed to dynamically engage in daily activities. Sensory processing is the reason that most people can perceive and use this information while maintaining a "just right" state of alertness. A few children will respond to minor changes in the environment or schedule while others may need more extensive "Sensory Strategies" which may include quiet times away from the class, increased movement opportunities, oral motor activities and/or "heavy work" opportunities incorporated into their daily routines. Sensory Processing Disorder Checklist: Signs And Symptoms Of Dysfunction Click Here

Teaching Children with Sensory Motor Integration Deficits

By Anthony Kane, MD
Author of \"How to Help The Child You Love\"
Mental Health Professional
Physician and Surgeon
ADD ADHD Advances
 

Anthony Kane, MD is a physician, an international lecturer, and director of special education. He is the author of a book, numerous articles, and a number of online courses dealing with ADHD, ODD, parenting issues, and education. His Program "How to Improve Your Child's Behavior" is helping parents around the world help their children. You may visit his website, ADD ADHD Advances, at http://addadhdadvances.com and sign up there for the ADD ADHD Advances online journal or send an email to subscribe@addadhdadvances.com.

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Teaching Children with Sensory Motor Integration Deficits

Sensory motor integration deficits are fairly common in both children and adults. The following is a list of tips for teachers who have children with sensory processing disorders.

General Strategies

Have the child line up in the back of the line to minimize physical contact with others.

  • Don't have the child wait in line for long periods of time.
  • Permit the child to wear a sweater or jacket indoors. This may help to relax the child.
  • Keep enough space between children so that they are not close enough to touch each other.
  • When sitting on the floor, use markers or masking tape to define the child's personal space.
  • Allow the child to choose where he sits during story time.
  • Don't force a child who is showing fear or distress to participate in activities.
  • Place the child's desk along the side of the room outside of traffic.
  • Orient the child's desk so that he has a good view of where others are moving.

For Children who Have Sensitivity to Touch

Many children who are sensitive to light touch prefer firm pressure. This helps to relax them. The following tips will help them:

  • Never touch the child from behind.
  • When you do touch the child, approach the child from the front to give a visual cue that light touch is coming.
  • When touching the child, use firm pressure on the back or shoulder rather than a gentle touch.
  • Seat the child next to quiet calm children.
  • Some children are disturbed by the hardness of the chair. Allow the child to sit on a pillow on cushion.
  • Specific Advice For Children Who Need Extra Sensory Input
  • Some children need sensory input to help them to stay focused. Here are some things you can do to help these children.

Allow the child to sit on an air cushion pillow that is slightly filled with air. This allows for movement without the child leaving his desk.

  • Encourage the child to run or climb during recess.
  • Give the child tasks requiring sustained repetitive movements, such as washing the desks or erasing the blackboard.
  • Have these children move heavy objects like rearranging books or desks.
  • Give the child opportunities to move around by making him your messenger. Let him run notes to other teacher or to get things the class needs.
  • Never discipline the child by taking away recess privileges or physical education.

Some children do better if they are able to stimulate their mouths or hands. Here are some things you can do to help these children.

  • Let them keep a water bottle at their desks.
  • Let them chew on something like a straw or coffee stick.
  • Let them keep a small squeeze ball in their pocket.

Some Things to Remember

  • Children with multiple disabilities often have sensory motor integration deficits.
  • These children may have difficulty with motor planning and knowing the position of their body in space.
  • These children often have poor balance.
  • Being in crowded places and situations makes these children anxious and uncomfortable.

Children with sensory processing disorders experience the world differently. They may have extreme discomfort or pain from sensations that other people might find pleasant. This is a functional disorder. Remember it is not the child's fault, nor can he control the problem.

Sensory Processing Disorder vs. Attention Deficit Disorder

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