instruction: hello doctor I am concerned about a head twitch I have gotten in a habit for seven months of twitching my head if I am consciously thinking about what I am doing I can stop it however it is extremely difficult and I feel an overwhelming impulse to do it similar to how one would feel when cracking his or her knuckles it seems like it has become a habit and I do not know how to stop it I also want to make sure there are no underlying medical conditions however as I mentioned when I pay attention I can control it even though it is difficult and uncomfortable and I have to put a lot of effort into not doing it I read online that it may have something to do with stress or anxiety
output: hello from your description it looks like you are experiencing a motor tic do you have any other symptoms how old are you at present you mentioned this tic started befor seven months have you experienced any tics before any vocal tic tics can be suppressed temporarily but can be uncomfortable as you mentioned tics can wax and wane depending on stress anxiety tiredness etc usually tics are common and harmless it is advisable to consult your doctor to clarify the diagnosis and to exclude any conditions that can mic tic disorder mild tics can be managed by stress management and relaxation exercises if tics are severe and persistent it can be managed by specialist therapy cognitive behavioral intervention for tics cbit sometimes medication can be used as well I hope this helps