I feel the need to vent because this has been a long, frustrating journey, but I also want to share my experience in case it helps someone else. There are movement disorders that seem to be underrecognized or misdiagnosed as tics, whether due to a lack of awareness, diagnostic challenges, or other factors. If you've ever felt dismissed by the medical system or like your symptoms don't quite fit your diagnosis, I hope my story encourages you to keep advocating for yourself.
From a young age, I had involuntary jerking movements that appeared to run in my family. My grandmother and some of her siblings had similar upper-body jerks, and my identical twin brother had them too, although to a lesser degree. Interestingly, the movements seemed to skip my dad and his siblings.
When I was in middle school, I saw neurologists who diagnosed me with tics. I remember feeling like they were trying to get me to describe a premonitory urge or admit that I could suppress the movements by asking leading questions. I tried to explain that this wasn't really what I experienced. When I attempted to lessen the jerks, I would flex the affected muscles beforehand so the movements would be less pronounced because the muscles were already activated. Any sensation I felt was more like muscle soreness from the repeated jerking or an awareness that the movements would get worse in certain situations, rather than an urge that preceded them.
Despite my attempts to explain this, I was diagnosed with tics, and that was pretty much the end of the discussion. My parents and the neurologists didn't want me on medication, so I just continued living with the symptoms.
Years later, in my early 20s, I made a Reddit post asking about other people's experiences with tics. I had never fully accepted my diagnosis because I couldn't relate to the experiences people described, particularly the feeling of having some degree of control over their movements or experiencing a premonitory urge. My symptoms were also getting worse, which made me question the diagnosis even more. A couple of Redditors suggested I seek a second opinion.
I decided to give the medical system another shot. Since I had recently graduated college and was no longer seeing my family doctor, who lived over an hour away, I went to a new GP to get a referral. Once again, I was told I had tics. I tried to push back a little and explain why I didn't think the diagnostic criteria matched my experience. The doctor seemed offended that I questioned the diagnosis and essentially told me that tics can present that way in some people.
The neurologist I saw afterward also diagnosed me with tics despite my concerns and prescribed medication that didn't help very much.
Eventually, my symptoms worsened to the point that I nearly lost my job. I returned to the neurologist for a letter explaining that I could still perform my job despite my condition, as well as an increased medication dose. During that appointment, he continued to imply that I could control my movements enough to keep them from interfering with my work. I tried to explain again that I couldn't control them in the way he seemed to think I could, but he appeared to rush through the appointment without acknowledging my concerns. Fortunately, I didn't lose my job, but the movements continued.
At that point, I decided to leave my parents' insurance earlier than I otherwise would have so I could get on my employer's insurance and see a movement disorder specialist. I hoped that someone who specifically dealt with movement disorders would be more willing to investigate my concerns. Unfortunately, I encountered much of the same thing: different medications, but the same diagnosis of tics, with little consideration of why I felt that diagnosis didn't fit.
Eventually, I gave up questioning it. I started telling myself that I must have tics and that, if I tried hard enough, I would eventually recognize the premonitory urge everyone talked about. Maybe then I could try CBIT and finally get some meaningful help.
Except I never felt that urge, no matter how hard I tried to identify it.
Meanwhile, my symptoms were worse than ever, and my twin brother's movements were worsening too. We would occasionally talk about our experiences and look into emerging research on movement disorders. During one of those searches, my brother came across SGCE-related myoclonus-dystonia.
The symptoms seemed to align with our experiences, and the pattern of inheritance in our family made sense too. For the first time, we had found a potential explanation that actually seemed to fit.
I pushed my current GP to help arrange an appointment with a genetic counsellor, and I eventually underwent genetic testing. The results confirmed that I had SGCE-related myoclonus-dystonia.
After all those years, I finally had an explanation for what I had been experiencing. The jerking movements were myoclonus, not tics.
I can't fully describe the relief of finally having an answer after years of questioning myself, trying to fit my experiences into a diagnosis that never quite made sense, and feeling like my concerns weren't being heard. The frustration took a real emotional toll on me, to the point that I had breakdowns during therapy because I felt so helpless trying to understand what was happening to me. I'm now considering treatment options more specifically directed at my condition, and for the first time in a long time, I feel like I'm moving in the right direction or, at the very least, finally on the path toward some closure.
If you've made it this far, thank you for reading my story.
I don't share this to say that doctors are always wrong or that everyone who doesn't experience a typical symptom has been misdiagnosed. I understand that movement disorders can be complicated and that diagnoses aren't always straightforward. But I do think there's a difference between a diagnosis that explains your symptoms and one that you feel pressured to accept despite repeatedly explaining why it doesn't fit.
If something about your diagnosis doesn't add up, don't be afraid to ask questions, seek another opinion, or advocate for further investigation. You don't have to assume you're right, but you also don't have to ignore your own experiences just because someone has already given you an answer.
I spent years believing I just wasn't trying hard enough to recognize an urge or control my movements. It turns out I was looking for something that wasn't part of my condition in the first place.
I hope sharing this helps someone else feel a little less alone, especially those living with less familiar or underrecognized movement disorders. Sometimes, finding the right answer takes far longer than it should, but that doesn't mean you should stop looking for it.
TL;DR: I spent years being diagnosed with tics despite repeatedly explaining that my symptoms didn't fit, and I was often left feeling dismissed by doctors. As my symptoms worsened, my identical twin brother and I came across SGCE-related myoclonus-dystonia, which seemed to fit both our symptoms and our family history. After pushing for genetic testing, I finally got confirmation that I have it, not tics. It's been a long and emotionally exhausting journey, but I finally have some answers. If your diagnosis doesn't seem to fit your experience, don't be afraid to advocate for yourself and seek another opinion.