“The TikTok tics are one of the largest modern examples of this phenomenon. They arrived at a unique moment in history, when a once-in-a-century pandemic spurred pervasive anxiety and isolation, and social media was at times the only way to connect and commiserate. Now, experts are trying to tease apart the many possible factors — internal and external — that made these teenagers so sensitive to what they watched online. Four out of five of the adolescents were diagnosed with a psychiatric disorder, and one-third reported past traumatic experiences…. In new research that has not yet been published, the Canadian team has also found a link to gender: The adolescents were overwhelmingly girls, or were transgender or nonbinary — though no one knows why.”

“TikTok tics” are “acute explosive motor and vocal tics,” as seen in various TikTok videos. We’re told these new patients “did not fit the mold of a typical case of Tourette’s, which generally affects boys and begins in early childhood” and usually involve “simple movements — like blinking or coughing — and they wax and wane over time.” The new cases appeared suddenly and in an exaggerated form, with “relentless, elaborate movements, often accompanied by emotionally charged insults or funny phrases.”
An overwhelming number of patients had a history of mental health conditions…. Eighty-seven percent of the patients were female, a sex skew that was also found in previous outbreaks of mass psychogenic illness. 
No one knows why girls are more susceptible to this kind of social influence. One theory is that women may seek out belonging more than men do, and may empathize more strongly with others’ suffering. Women also experience higher rates of depression, anxiety and sexual trauma than men. 
At a conference on tic disorders last summer in Lausanne, Switzerland, doctors from several countries shared another observation: A surprising percentage of their patients with the TikTok tics identified as transgender or nonbinary. But without hard data in hand, multiple attendees said, the doctors worried about publicly linking transgender identity and mental illness…. 
Looking at a sample of 35 patients with the TikTok tics, the researchers found that 15 of the adolescents — 43 percent — were transgender or nonbinary, compared with 12 percent of their patients with Tourette’s or with no tics. (An estimated 1.4 percent of the general population of adolescents in the United States identify as transgender.)…