Chapter 1046 - 795: Amitabha Buddha
Like Nan Zhubin, senior acquaintances with a background in psychology, more or less have some consultations accumulated on their shoulders, all showed emotional fluctuations.
Not to mention the visiting consultants on the side.
The only person who could hold it together on the scene was Director He, who was being blessed by Amitabha Buddha.
She glanced at the boy, then turned to look at the child’s mother, noticing that the other person seemed embarrassed by the child’s condition and had forgotten to answer her question.
Director He had to ask again, "How has the situation been this week?"
Compared to the previous consultation, this time Director He no longer directly questioned the patient himself, but mainly communicated with the family members.
The mother sighed, "The situation has been unstable."
Director He moved the mouse, clicked on the interface on the computer in front of her, glanced at it, and asked, "Last time when we discussed treatment, we planned to increase the medication dosage?"
The mother nodded, "Yes. But we couldn’t increase it."
"Why couldn’t you increase it?" Director He asked.
"Because after increasing the dosage, I started talking to myself more, and my sleep got worse, staying awake all night."
To everyone’s surprise, the one who spoke was actually the boy.
Nan Zhubin couldn’t help but look over in response, and saw that the expression on the boy’s face had changed significantly from before.
The gentle smile frozen on his face like a mask had disappeared, replaced by a serious concern.
"Right," confirmed the mother, "After taking it, he began talking to himself more, and his sleep worsened."
Almost an echo of her child’s statement.
Director He nodded, "Then let’s not increase it for now, I’ll see later if I can adjust the medication from another direction—Is that okay, child?"
The first half of Director He’s sentence was directed at the mother, while the second half was turned towards the boy.
"Okay, thank you, doctor." The boy also nodded to express gratitude.
This reaction made everyone, whether master’s interns or visiting consultants, stunned.
Such objective awareness of one’s state, accurate expression, and smooth communication performance was—too normal.
It formed a stark contrast with the boy’s previous behavior.
Only Nan Zhubin’s pupils slightly dispersed, quickly recalling the knowledge he had learned in the past in a Flow State. As if a golden mechanical claw appeared in his mind, swinging between guesses.
"—Amitabha Buddha!" The patient clasped his hands again, bowing to Director He.
Director He glanced at the boy, then turned to the mother, "Are his voluntary tics still frequent now?"
Tics?
Nan Zhubin was taken aback, then the golden mechanical claw in his mind accurately grasped the target.
Suddenly, he understood.
...
[Tic Disorder] is a neurodevelopmental disease that starts in childhood, characterized by sudden, fast, repetitive, involuntary movements or vocalizations.
For example, frequent blinking, clearing the throat, stomping, and so on.
Simply put, it’s like the body suddenly "doesn’t obey commands" anymore.
Since it often occurs in childhood, it is often mistaken by parents and teachers as children being naughty or disobedient, leading to neglect or even severe discipline and scolding. In some bad environments, it may further trigger other comorbidities.
In fact, this is caused by dysfunction in the neural circuits controlling movement in the brain, usually considered a physiological issue due to neurodevelopment.
The symptoms of [Tic Disorder] mainly fall into two categories: [Motor Tics], which manifest as involuntary movements of body parts, such as hand flinging, foot stomping, neck twisting, etc., and [Vocal Tics], like clearing the throat, coughing, sniffing, making sounds like "uh" "ah," or repeating words. A very few may include swearing.
On some social media networks, there are often video shares of similar [Tic Disorder].
Regarding [Motor Tics], Nan Zhubin has come across a video of a child at a meal, who couldn’t help but use the knife and fork in his hand to stab the table, ticcing three to four times with each bite of food.
As for [Vocal Tics], Nan Zhubin had also seen a video where a girl was evidently calmly conversing with someone, but she couldn’t help inserting swear words, frequently apologizing for her language—this is also called [Coprolalia].
While these videos may include some theatrical or exaggerated elements, they provide significant reference value in symptom manifestation.
According to the duration and type of symptoms, tic disorders are classified into three categories from mild to severe:
The most common is [Transient Tic Disorder], where symptoms last less than a year and quickly disappear, featuring only one of [Motor Tics] or [Vocal Tics]. These two do not coexist. This situation is often mistaken as the so-called naughty behavior of children, disappearing with the belief that the child has been educated well.
Next is [Persistent (Chronic) Tic Disorder], where symptoms exceed a year. Other than duration, it aligns with [Transient Tic Disorder].
The most severe [Tic Disorder] is also known as [Tourette Syndrome], which includes multiple motor tics and at least one vocal tic, with symptoms being highly volatile and often accompanied by inattention, compulsive behavior, or emotional issues.
[Tourette Syndrome] also has a phenomenon where affected children can temporarily suppress tics, but the more they suppress, the more likely they are to rebound; stress and fatigue can worsen it, whereas focusing on enjoyable activities can diminish it.
For [Tic Disorder], if the tics are mild and do not affect life and learning, treatment is generally unnecessary, and parents should simply ignore and not criticize;
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