<p>I don't have any children yet, but maybe my experience could help. I was a gifted child, and I've been learning a lot about some of the strange things I went through in my youth, by reading links moms have posted here. It's been a real eye-opener.</p>
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<p>Anyways, my mother says that when I was a little baby, sleeping in a crib, I had facial tics. I think she said that I used to schrunch</p>
<p>my nose, and also kind of obsessively graze my blanket across my face. I think she said it was like I was obsessively smelling it? The good news is, those seemed to go away. I don't think I had any tics as a toddler or young kid. Then I remember getting the urge to schrunch together my eyebrows (kind of like furrowing your brow, but repeatedly), when I was probably 13 or 14. That was a phase and went away too, and was never so bad that it was super-embarrassing. It would come and go.</p>
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<p>I think tics are also somehow related to OCD (like they are linked on a gene, etc ). When I was 4/5 y.o., I had full-blown OCD, so watch out for signs of that in your child too. OCD is also much more common in people with high IQ, so I have read. Like the tics, it tended to surface, then go away on it's own, then come back later in life, though most of the time, it's in a very mild state (but it has flared). Right now, I am only dealing with minor OCD symptoms that I don't feel I need medication for. And I haven't had tics since probably middle school (so it's been well over 10 years).</p>
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<p>This is considered not necessarily mainstream, but I don't rule out it the whole PANDAS thing. It's basically saying that strep or another infection in the brain causes these symptoms. You could try a trial run of antibiotics, if you feel it's appropriate. However, I don't think longterm antibiotics are that great of an idea.</p>
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<p>If I had my guess, I'd give equal credibility to the theory that it's just genetics, perhaps activated by something we can't control.....and equal credibility to the theory that these symptoms can be treated with the PANDAS model (though don't get sucked into antibiotics longterm, my two cents). Just trying to keep you aware of all the different viewpoints here. I took longterm antibiotics for something else, and it's hard to tell if my OCD was helped by the antibiotics.</p>
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<p>From my perspective, it seems like a lot of psych issues are related to giftedness, and tics seem to be lumped in that category too, because my understanding is that the tic itself originates in the brain....and isn't like a muscle twitch.</p>
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<p>I guess it depends how long the tics have been there with your little one. I can't imagine my phases with tics lasted any longer than a year each time, and it never was that huge of a deal for me.</p>