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Tourettes is so hard for the person dealing with it.The more they become self-conscious, the more the tics might happen.
However, people with TS often report a substantial buildup in tension when suppressing their tics to the point where they feel that the tic must be expressed (against their will).
Tics in response to an environmental trigger can appear to be voluntary or purposeful but are not.
top Although the cause of TS is unknown, current research points to abnormalities in certain brain regions (including the basal ganglia, frontal lobes, and cortex), the circuits that interconnect these regions, and the neurotransmitters (dopamine, serotonin, and norepinephrine) responsible for communication among nerve cells.
Given the often complex presentation of TS, the cause of the disorder is likely to be equally complex.
top Many individuals with TS experience additional neurobehavioral problems that often cause more impairment than the tics themselves.