Oliver Sacks, neurologist & writer famously wrote about “Witty-Ticcy Ray” a surgeon with Tourette syndrome. Not an uncommon neurological syndrome in children tics are characterized by sharp involuntary movements and vocalizations.
Tic disorders usually start in childhood, first presenting at approximately 5 years of age. In general, they are more common among males compared with females.
While the diagnosis is clinical, brain imaging, electrophysiology, blood tests to rule out reversible causes or indeed contributing factors and a thorough pre-rehabilitation assessment including evaluation for co-morbidities (associated conditions) will be required in all instances. At Buddhi Clinic our assessment includes standard outcome indicators for activities of daily life, quality of life, neuro-disability and mental health.
At Buddhi Clinic we study these in-depth, our founder having served the national Tourette clinic at Queen Square for four years. Children with tic disorders often have co-morbid problems- attention deficit & hyperactivity (ADHD), learning disorders, oppositional defiance, conduct problems and a range of behavioral issues. The problem is therefore seldom merely cosmetic and restricted to involuntary movements and gestures. From determining biological causality (such as Wilson’s disease) for the symptom, to combining drugs and non-pharmacological treatments to achieve good outcomes in our Buddhi program, we at the neuropsychiatry center have demonstrable interest & expertise.
Despite my many redeeming qualities, the world views me with trepidation, not understanding that my responses are wired into me, through nature and nurture, by my evolved status as a guardian breed, created for humankind, by humankind, of humankind.
What intrigues me about the mastiff is its “sixth sense”, the instinct to modulate its behaviour in accordance with the human species; to have a place for everyone in its heart, and for everyone to have a place in its social pecking order.
How the contrasting behaviour of two dogs can give one an insight into brain dominance and enhance understanding of human nature.
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