IntroductionEvery from time to time, we are faced with cases that require us to think outside the box, the cases that lead us to develop the skills that are in line with the investigative work that technique.These clinical cases, although complex and sometimes confused, there are cases that may lead to "Ah-Ha for many of us originally signed for.The following case report describes a young patient who came into office with his diagnosis already delivered on a silver platter: Tic Disorder NOS. She had been so diagnosed by a neurologist and subsequently medicated competent and respected and it occurred to me at that time it.However premature because the case has evolved over time and has seen improvements in the use of hypnosis, I started wonders. And if not a disease but a disorder Tic conversion? Presentation ProblemJJ was an experienced, brilliant, athletic woman of 18 years. She expressed some urgency about me when she calls. Her recent breakup with a friend left his long-term anxiety and intolerable increase of ICT activities. JJ presented with a tic that is manifested by a massive and uncontrollable agitation on the right side only, touching the right eye, head, neck, shoulders and arm.When occurred (approximately every 5-10 minutes), JJ well aware of this and often becomes confused and angry with himself for it. She was put on Klonopin and the previous summer, while the mint has been reduced, in September had become irritable and worrying changes moody.She and asked to be removed from the drug. His family has no objection. Her neurologist agreed, hoping for the best, but the check had bounced back in December with more intensity.Patient HistoryJJ and family came from a bourgeois family consists of her father, who was a man A business man happened, her mother, who worked as a secretary, her younger sister, who was a student in a public school district and his older brother, who had been treated for addiction to large multiple. When we talk about him, has become irritated.She felt he had more attention from the family for years and was almost happy with the way that changes its mood Klonopin 's had put in the spotlight for a change. "It 'was pretty amazing how I could scare people.' Was a new feeling for me, "he said.The tics started in the fourth year and is growing steadily. In the fifth year, had an MRI for head movements and eyelid flutter some concern. He remembered that when the check mark disappeared when the emphasis was on it, for example, when doctors examined. ICT has occurred on the right side. In grade 8, however, began to suffer most flagrant head movements out of control. He recalled that he was fighting with classmates and there were many clans, making him feel unhappy and unwanted.Around 12th year, the tics manifested especially during major events (eg, SAT, graduation) and has been associated stress and sleep loss. College, and the Mint has grown to a certain point it was so violent, she felt as if dislocated shoulder.She said, "better stop or I hurt." And as if on command, he stopped, but only until September this year. He said: "I know I said I wanted attention, but do not want to hurt me." E 'was more emotionally complex presented. She could not express his anger, but it was more difficult to tears, fear, tenderness and pain. had frequent nightmares, some numbness and dissociation. Interestingly, every time he came into session, he "forgot" to close the door, a habit which has continued to months.Because the central nervous system voluntary, the secondary benefit of ICTs (eg, "It 'was very surprising to see How could I scare people "), and the presence of other symptoms of initial trauma, I began very early to explore the possibility of a diagnosis of conversion disorder and PTSD, although his neurologist had already decided how to treat disorder.Description tic TreatmentAll came holistic psychotherapy. Early sessions widely used model of object relations in psychotherapy with a focus on creating a "framework" and to support the collection