Sandbox/Persistent (chronic) Motor or Vocal Tic Disorder: Difference between revisions

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{{CMG}}; {{AE}} {{KS}}
==Diagnostic Criteria==
==Diagnostic Criteria==
===DSM-V Diagnostic Criteria for <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>===
===DSM-V Diagnostic Criteria for <ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>===
{{cquote|
{{cquote|
Place Overall Description Here:
 
* A. Enter Diagnostic Criteria Here
*A.Single or multiple motor or vocal tics have been present during the illness, but not both motor and vocal.
 
'''''AND'''''
'''''AND'''''
* B. Enter Diagnostic Criteria Here
 
*B.The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset.
 
'''''AND'''''
'''''AND'''''
* C. Enter Diagnostic Criteria Here
 
*C.Onset is before age 18 years.
 
'''''AND'''''
 
*D.The disturbance is not attributable to the physiological effects of a substance (e.g., [[cocaine]]) or another medical condition (e.g., [[Huntington’s disease]], post viral [[encephalitis]]).
 
'''''AND'''''
 
*E.Criteria have never been met for Tourette’s disorder.
 
Specify if:
 
*With motor tics only
 
*With vocal tics only
 
}}
}}
==Risk Factors
 
 
[[Category:DSM-V Diagnostic Criteria]]
[[Category:Psychiatric Disease]]
[[Category:Psychiatry]]
 
==Natural History,Prognosis and Complications==
===Prognosis===
*Good prognostic factors include:<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
 
:* Focused activities
 
:*Calm
:*Engaged in schoolwork
:*Tasks at work
 
 
 
*Poor Prognostic factors include:<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
 
:*Anxiety
:*Excitement
:*Exhaustion
:*Lower birth weight
:*Maternal smoking during pregnancy
 
:*Obstetrical complications
:*Older paternal age
 
:*tasks at work
 
:*Stressful/exciting events
 
 
==Differential Diagnosis==
*Abnormal movements that may accompany other medical conditions and [[stereotypic movement disorder]]
:*Repetitive hand waving/rotating,arm flapping
:*Finger wiggling
*[[Myoclonus]]
*[[Obsessive compulsive disorder|Obsessive-compulsive and related disorders]]
*Substance-induced and paroxysmal dyskinesias
:*Choreoathetoid movements
:*Dystonic movement<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
 
==References==
{{reflist|2}}

Latest revision as of 13:27, 10 November 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]


Diagnostic Criteria

DSM-V Diagnostic Criteria for [1]

“
  • A.Single or multiple motor or vocal tics have been present during the illness, but not both motor and vocal.

AND

  • B.The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset.

AND

  • C.Onset is before age 18 years.

AND

AND

  • E.Criteria have never been met for Tourette’s disorder.

Specify if:

  • With motor tics only
  • With vocal tics only


 ”

Natural History,Prognosis and Complications

Prognosis

  • Good prognostic factors include:[1]
  • Focused activities
  • Calm
  • Engaged in schoolwork
  • Tasks at work


  • Poor Prognostic factors include:[1]
  • Anxiety
  • Excitement
  • Exhaustion
  • Lower birth weight
  • Maternal smoking during pregnancy
  • Obstetrical complications
  • Older paternal age
  • tasks at work
  • Stressful/exciting events


Differential Diagnosis

  • Repetitive hand waving/rotating,arm flapping
  • Finger wiggling
  • Choreoathetoid movements
  • Dystonic movement[1]

References

  1. ↑ 1.0 1.1 1.2 1.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
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