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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pulling Sensation In The Neck With Face Twitching?

Male,25 yrs old. 8 years ago I was diagnosed with OCD and Borderline Personality Disorder (or bipolar, m not sure).I was on tegretol(800mg/day), clonazepam and flouxetine (60 mg). Tegretol and clonazepam were stopped 2 yrs ago and fluoxetine 6 moths back. My current complaint is I have been feelng a weird pulling sensation around neck past 8 years.Its not pain but my subtle sensation that draws my attention. it makes me restless, agitated and anxious. To counteract the pain, I started jerking my neck which gives a temporary relief but the urge trio jerk returns within few min. A neuro diagnoised it as tic disorder which was not accepted by my psychiatrist. I rotate my neck to extreme position to jerk and get relief......its something like ocd but not exactly.I also have twitching in my face but they don t harm me much.... I also urinate frequently past few years....     I am very confused about the condition
Wed, 15 Jul 2020
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General & Family Physician 's  Response
Hi,

The subtle feeling in the neck and the twitches in the face can be a tic disorder as diagnosed by your neurologist. However, your learnt behavior and reaction to it by jerking your neck is probably related to your OCD. Please discuss this issue back with your psychiatrist and neurologist as they need to get on the same page and come up with a treating plan for you.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ahmad Nazzal, General & Family Physician
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What Causes Pulling Sensation In The Neck With Face Twitching?

Hi, The subtle feeling in the neck and the twitches in the face can be a tic disorder as diagnosed by your neurologist. However, your learnt behavior and reaction to it by jerking your neck is probably related to your OCD. Please discuss this issue back with your psychiatrist and neurologist as they need to get on the same page and come up with a treating plan for you. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ahmad Nazzal, General & Family Physician