6 doctors weighed in:

How can you tell if a child is faking a tic disorder?

6 doctors weighed in
Dr. James Ferguson
Pediatrics
3 doctors agree

In brief: Monitor / film

Although some kids with tic disorders (under stress) can supress them to some degree, they often rebound with greater tic activity when no one is watching.
One cool observation shows that kids under 8 or so are not aware of peripheral vision. If you monitor their tic behavior when they don't think you are looking it should stop in the fake. A videocam surveylance would give similar data.

In brief: Monitor / film

Although some kids with tic disorders (under stress) can supress them to some degree, they often rebound with greater tic activity when no one is watching.
One cool observation shows that kids under 8 or so are not aware of peripheral vision. If you monitor their tic behavior when they don't think you are looking it should stop in the fake. A videocam surveylance would give similar data.
Dr. James Ferguson
Dr. James Ferguson
Thank
Dr. Glen Elliott
Pediatrics - Psychiatry
2 doctors agree

In brief: Not sure it matters

It would be fairly unusual for a child to persistently "fake" a motor or vocal tic, expect perhaps to bug siblings or parents.
If a child is recurrently exhibiting tics but only when there's someone around to bug, it might be "fake, " but its still a problem. Tics per se are not dangerous, so waiting a watching is a reasonable first step.

In brief: Not sure it matters

It would be fairly unusual for a child to persistently "fake" a motor or vocal tic, expect perhaps to bug siblings or parents.
If a child is recurrently exhibiting tics but only when there's someone around to bug, it might be "fake, " but its still a problem. Tics per se are not dangerous, so waiting a watching is a reasonable first step.
Dr. Glen Elliott
Dr. Glen Elliott
Thank
Dr. William Singer
Pediatrics - Neurology

In brief: Goes away in sleep

Tics disappear in sleep.
If your child pretends to be asleep and continues to have tics they are not organic. Should see a psychologist to analyze the situation of pretended tics.

In brief: Goes away in sleep

Tics disappear in sleep.
If your child pretends to be asleep and continues to have tics they are not organic. Should see a psychologist to analyze the situation of pretended tics.
Dr. William Singer
Dr. William Singer
Thank
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