Hello Again Everyone!
I'm sorry I have not been responsive to reply posts, but I have read them all, and I am so sorry for everyone else going through this.
Someone asked I provide an update, so here it goes...(sorry this is going to be long, but please read and check out the video at the end of her tic storm from last night)
Since my last post, my daughter's tics have been like a revolving door. The only consistent aspect has been that they have been present daily from the time she wakes up until she goes to sleep. They occur at a rate of several complex motor and vocal tics per minute. ALL. DAY. LONG!
Up until February 14th, we had kind of settled into this new normal. Her tics were annoying to her, but the shock value had decreased a bit. On the 14th, everything changed. Her tics completely took over and caused bizarre behavior. She was going all through the house in a manic state, attempting to eat paper towels; she was trying to put non-food items into my microwave and turn it on, spitting on everything and everyone, climbing on tables, throwing food and objects. COMPLETELY out of control!! Her vocal tics also changed to full sentences, and she would even argue with herself in the tic; for example, she kept saying, "I have a bomb," "no you don't," "yes, I do." She also was vocalizing that she saw things, like a ghost or animals. This tic storm lasted a couple of hours. HOWEVER, she remained coherent during the whole time, and between tics, she could talk normally and respond to any questions. She said that she wasn't really seeing or hearing anything, but the tics were making her say those things as though she were.
I took her back to the ER, and they admitted her, did blood work, a psych evaluation, and saw neurologists. They are still calling this a "transient tic disorder." They started her on risperidone 0.25 mg twice daily because we have already tried and failed guanfacine and Strattera. At first, it seemed the risperidone was calming her down some. But the day after we were discharged, her tics were just as frequent as they were before, minus the odd behavior.
Last night, two days after discharge, she went into another severe tic attack. She was in her bedroom with her brothers playing, or so I thought until my son came out telling me she was stuck in a tic and was holding them hostage in the bedroom. I went into the bedroom to find her pinning her older brother up against a wall preventing him from leaving. It seemed like kids playing at first glance, but her responses were abnormal. I had to pry her hands off her brother and take her out of the room to sit down. She was running through many tics very rapidly and was incoherent. She could not respond to me or follow my verbal instructions. It was like the tics were holding her hostage. I took a short video of it and called her on-call neurologist. He asked if she responds to water being splashed on her, and I hadn't tried that, so I did, and it was like waking her up from a coma; she immediately broke out of it and became responsive again. The attack lasted at least 45 minutes. She was still rapidly tic'ing, but she could respond to me and was coherent. The doctor said he didn't think we needed to go to the ER and that she was just "stuck" in her tics...
I don't know. Certainly, this isn't "expected" with tics. From my research, I have found many children have "tic attacks," but I have yet to find any that have an altered level of consciousness while having them. And I have yet to find anyone who has them as severe as she does on a daily basis.
After months of waiting, we finally have an appointment with a PANDAS neuropsychiatrist next week. I am anxious to hear what they say.
If anyone is interested, I have uploaded the video from last night to YouTube. Feel free to share it or comment, I am desperate for help and answers!!