Brief Answer:
Needs detailed psychiatrists review

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, since these ticks are triggered with tension or when you take time out for sleep, it points out to be underlying non organic or non physical cause as in neurological causes or nerve issue ot should remain persistant. However a detailed facial and cranial nerves examination can be performed by a neurologist and if it is normal, it may not need any radiological work up at this moment. Supplements of D3, B12 and folic acid may also be started. However most probable cause still appears to be stress induced though symptoms of anxiety may not appear at start but these involuntary movements or ticks needs to be assessed by psychiatrist for an opinion too.

Hope this has answered your query, if you have any more questions, feel free to ask. Regards.

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