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What Do We Currently Know About Functional Tic-Like Behaviors: A Topical Review
Kaja Andersen1, Natalia Szejko2, Kirsten R Müller-Vahl3
1Department of Pediatrics, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Herlev, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Pediatric Neurology
|March 12, 2026
Summary
Functional tic-like behaviors (FTLBs) present with complex symptoms and comorbidities, often persisting over time. Cognitive therapies show promise for treatment, though more research is needed.
Area of Science:
- Neurology
- Psychiatry
- Behavioral Science
Background:
- Functional tic-like behaviors (FTLBs) have garnered significant research interest in recent years.
- Understanding the characteristics and treatment of FTLBs is crucial for clinical practice.
Purpose of the Study:
- To synthesize current research on FTLBs.
- To provide an overview of the patient group's characteristics, follow-up, and treatment.
Main Methods:
- Systematic literature search of PubMed, EMBASE, and Web of Science.
- Inclusion and exclusion criteria applied to select 24 relevant papers.
- Summarized extracted data on FTLB characteristics, follow-ups, and treatments.
Main Results:
- FTLB patients exhibit higher symptom severity, complexity, and rates of anxiety/depression compared to Tourette Syndrome (TS) patients.
- TS patients showed higher rates of simple tics and ADHD/OCD comorbidities.
- Follow-up data suggest symptom reduction over time, but spontaneous remission is uncommon; cognitive therapies demonstrated good efficacy.
Conclusions:
- The FTLB patient group has diverse symptoms that tend to persist.
- Cognitive treatments appear effective for FTLBs.
- Further research, especially on treatment, is warranted.
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