Tourette Syndrome Awareness
Malaysia
Tics are generally understood to be "involuntary" or "unvoluntary."
suppress tics for a while (and not all children or teenagers can do
this), the tics "have to come out" sooner or later.

Tics that produce movement are called ''motor tics'' while tics that
produce sound are called ''vocal tics'' or ''phonic tics''.

Tics are often characterized by whether they are "simple" or
"complex''.

Simple
Motor - Eye blinking, head jerking, shoulder shrugging and facial
grimacing;
Vocal - Throat clearing, yelping and other noises, sniffing and tongue
clicking.

Complex motor tics
These involve touching objects or other people, jumping up and
down, spinning around, or even more complex motor sequences such
as imitating someone else's actions (
echopraxia) or exhibiting
inappropriate or taboo gestures or behaviors (
copropraxia).

Example: Jumping, touching other people or things, smelling, twirling
about and, although very rare, self-injurious actions including hitting
or biting oneself;

Complex vocal tics
These may involve having to repeat one phrase over and over,
whether it is something one heard (
echolalia) or one's own last
words (
palilalia).

Vocal tic involving cursing and obscenity or socially unacceptable
word or phrase that they blurt out repetitively and inappropriately in
the middle of speech is called
coprolalia.

Less than 30% of all patients with TS will develop coprolalia as a
symptom. The coprolalic utterances do not reflect the patient’s true
thoughts or feelings.

Other
coprolalia may be more difficult to recognize as a symptom
since it is often triggered by cues in the immediate environment.

The complexity of some symptoms often confuses family members,
friends, teachers and employers who may find it hard to believe that
the actions or vocal utterances are "involuntary".

In addition to tics that we can see and hear, some people report
having "internal" ornon-observable tics of internal organs.
Types of tics