Unconsciously performing certain movements?
Hello Doctor: I have a friend who feels he has some uncontrollable bad habits, such as: 1.
Frequently making a humming sound that resembles clearing his throat (but without actually coughing, just a breathy sound).
He does this very often, but he is not aware that he has just made the humming sound.
2.
When using the computer, he unconsciously taps the mouse, moving it around and then tapping it twice, or his hands will unconsciously press the keyboard.
3.
When he needs to reply to messages on his phone, he tends to randomly press the keyboard before deciding what to type, then deletes the random inputs.
It seems like he has some uncontrollable movements, which could be referred to as bad habits.
I would like to ask the doctor if this can be treated, and whether he should see a psychiatrist or a neurologist? Thank you, Doctor.
Kiara, 20~29 year old female. Ask Date: 2022/08/01
Dr. Wu Enliang reply Psychiatry
First of all, I would like to ask this friend if he feels very troubled.
If so, he can seek evaluation from a psychiatrist to identify the underlying causes.
Dr.
Wu Enliang.
Reply Date: 2022/08/01
More Info
It sounds like your friend is experiencing some involuntary habits or tics that are causing him distress. These types of behaviors can often be associated with conditions such as Tourette syndrome, obsessive-compulsive disorder (OCD), or other anxiety-related disorders. Understanding the nature of these habits is crucial in determining the appropriate course of action.
Firstly, it’s important to recognize that these behaviors are not simply "bad habits." They may be manifestations of underlying psychological or neurological conditions. The sounds he makes, the repetitive clicking of the mouse, and the impulsive typing could indicate a need for further evaluation by a healthcare professional.
When to Seek Help
1. Duration and Impact: If these behaviors have been persistent and are interfering with his daily life, work, or social interactions, it is advisable to seek professional help. The longer these habits persist without intervention, the more ingrained they may become.
2. Self-Awareness: Your friend’s lack of awareness regarding these actions is also a significant factor. If he is not conscious of these behaviors, it may suggest that they are involuntary, which is a common characteristic of tics or compulsions.
3. Emotional Distress: If he feels embarrassed, anxious, or frustrated about these habits, this emotional distress is a strong indicator that he should seek help. Mental health professionals can provide strategies to manage these feelings and behaviors.
Which Specialist to See
In terms of which type of specialist to consult, both a psychiatrist and a neurologist could be appropriate, but they serve different roles:
- Psychiatrist: A psychiatrist specializes in mental health disorders and can provide a comprehensive evaluation to determine if there is an underlying psychological condition, such as OCD or anxiety disorders. They can also prescribe medication if necessary and recommend therapy options, such as cognitive-behavioral therapy (CBT), which is effective for managing compulsive behaviors.
- Neurologist: If there is a suspicion of a neurological condition, such as Tourette syndrome, a neurologist would be the appropriate specialist. They can conduct tests to rule out any neurological issues and provide treatment options if a neurological disorder is diagnosed.
Treatment Options
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for many anxiety-related disorders and can help your friend learn to manage and reduce the frequency of these involuntary behaviors.
2. Medication: Depending on the diagnosis, medications such as selective serotonin reuptake inhibitors (SSRIs) or other types of medications may be prescribed to help manage symptoms.
3. Habit Reversal Training: This is a behavioral technique that helps individuals become more aware of their habits and learn alternative responses to the urges that trigger these behaviors.
4. Support Groups: Encouraging your friend to join support groups can also be beneficial. Sharing experiences with others who have similar challenges can provide emotional support and coping strategies.
Conclusion
Encouraging your friend to seek help is a vital step. It’s important for him to understand that he is not alone and that there are effective treatments available. You can support him by helping him find a suitable specialist and accompanying him to appointments if he feels comfortable with that. The journey to managing these habits can be challenging, but with the right support and treatment, significant improvement is possible.
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