Specjalistyczny ośrodek pomocy psychologicznej, psychoterapeutycznej i psychiatrycznej.

I have been struggling with facial tics my whole life

Hello!

I’m am sorry for not writing in Polish, I hope it is ok in English.

I have been struggling with facial tics my whole life and It has come to a point where it is affecting my social life and study.
I have been recommended to seek cognitive therapy to suppress the tics, but as I am not sure what kind of therapist would be suitable for the task I am wondering if you can recommend someone for help. There is very little information online about therapy for tics in Krakow, so please let me know if I rather should confer a neurologist or other profession. As I have been assessed by doctors before I am not looking for a diagnosis, only symptomatic treatment. I am a male medical student ad 24 years old. I am on no medications but I am willing to begin on pharmacological treatment if necessary. I would like to see a therapist that might be able to consider pharmacological treatment as well. The “tics” are not 100 % spontaneous, I am able to suppress them to a certain degree, but the last 6 months it has become much worse and has been tiring me out, affecting all aspects of my life to the point where I find it very hard to suppress them at all.

Thank you for your time up front.
Have a nice day!

Kind Regards
Peter

Odpowiedzi specjalistów (1):

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Good evening,

Thank You for detailed description of your medical problem. We agree that tics may affect life in negative way on many levels. You wrote that you already had consultations in the past and diagnosis was made, but it is always good to confirm it. It can be done during a visit with psychiatrist or neurologist. In diagnostic process apart thorough interview (onset of symptoms, their description, situations that provoke symptoms) it is good to perform CT Scan or MRI of your head, EEG also should be done. Usually psychiatrist/neurologist can refer you for such diagnostic imaging.

As you are mostly interested in therapy, as well cognitive-behavioral therapy or relaxation training are suggested. Unfortunately at the moment in our Center there is no CBT psychotherapist fluent in english, but we invite You for psychiatric consultation. During consultation with psychiatrist pharmacological treatment also may be consider, but we think about using medication rather in severe tics. Drugs which block D2 (dopamine receptor) have efficacy confirmed in medical trials. Typical neuroleptics like haloperidol may be used, although they are given in smallest efficient doses, because it is not easy to avoid side effects like sedation or cognitive problems. Also atypical neuroleptics can be used like risperidone or olanzapine. They are usually better tolerated by patients. For short-term therapy benzodiazepines may also be used, but only for symptomatic treatment, especially in stress induced tics. Decision about proper therapy is always made individually.

Kind Regards

Przemysław Wierzbicki

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Dane do przelewu krajowego:

NZOZ Centrum Dobrej Terapii
ul. Zygmunta Miłkowskiego 9/U3, 30-349 Kraków

Nr rachunku bankowego:
96 8112 0008 0008 9281 2000 0010

Dane do przelewu zagranicznego w EUR:

NZOZ Centrum Dobrej Terapii
ul. Zygmunta Miłkowskiego 9/U3, 30-349 Kraków

Nr rachunku bankowego:
62 8112 0008 0008 9281 2000 0040

Bank Spółdzielczy w Brzeźnicy
ul. Kalwaryjska 5, 34-114 Brzeźnica

Dane do przelewu zagranicznego w USD:

NZOZ Centrum Dobrej Terapii
ul. Zygmunta Miłkowskiego 9/U3, 30-349 Kraków

Nr rachunku bankowego:
83 8112 0008 0008 9281 2000 0050

Bank Spółdzielczy w Brzeźnicy
ul. Kalwaryjska 5, 34-114 Brzeźnica