I compulsively tense the muscles in my neck/twitch and jerk my head and neck around while I am working. This has been the case for the last 5-6 years of working full time at a desk. I look crazy and I am constantly in SO much pain during work & the hours that follow. I’ve tried pretty much everything - meditation, massage/ massage devices, PT, ergonomic desk set up, acupuncture, vitamin supplements, 2 different psychiatrists…everything short of prescription medication or quitting my job. Cont…

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I recommend you see a psychiatrist- they can help.

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Definitely seek out a specialist - they are worth it to help identify helpful pathways forward for you, and often will have better recommendations of other resources if they are not a good fit for your particular needs.

From what I have gathered, I am experiencing something called “just-right” OCD or Tourettic OCD. I don’t fear that something bad will happen if I don’t tense the muscles in my neck. It’s that there is a quick instant of relief each time I tense or twitch my muscles, and so I will continuously repeat the behavior. I’ve had versions of these behaviors my entire life - excessive blinking, skin picking, needing the pressure in my ears to feel “balanced”.

When I am not working at a desk/ on weekends in my everyday life, I am for the most part completely able to control my obsessive impulses. It’s a combination of the muscles in my neck not getting triggered and being able to be more mindful of my body. But when I am at work, all bets are off.

I’m at a crossroads. I generally like my job, but I know that continuing to pursue my career path means long hours at a computer and what feels like a lifetime of physical pain and possible long term damage to my neck. Alternatively I could pursue medication. Have not begun to explore the world of prescription meds or what actually works for the situation I am experiencing. I should mention, I started taking adderall ~10 years ago, and while I feel the stimulants may contribute to my obsessive behaviors, the obsessive behaviors long predated my stimulant use. I feel hesitant to get on another powerful pharmaceutical, but if it could help me live a better quality of life, I am open to it.

Any other twitchy, tense people out there who can advise?

Sorry no advice at the moment, but are you me?

Go to see a neurologist. They can help with tics/Tourette’s symptoms.

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