Why this is hard to keep track of

  • Tics wax and wane over weeks, so memory is a terrible instrument for judging change
  • "Is the medication working?" is unanswerable without a baseline from before it started
  • Stress, excitement, tiredness and illness all raise them, and get conflated with each other
  • Suppressing at school makes the evening worse, and the two get treated as separate events

Worth recording

  • Which tics are present this week, since the set itself changes
  • Rough frequency — an exact count is neither possible nor the point
  • Premonitory urge, where it's noticeable
  • {"Context" => "tiredness, stress, excitement, illness, and any medication change"}

Cadence

A rough note daily or weekly. Precision is not what makes this useful

In practice

Say it once, in whatever words you have

The moments most worth recording are the ones where filling in a form is the least realistic thing in the world. A sentence, typed or dictated afterwards, is a much lower bar — and it carries the context a checkbox would have lost.

Tics Chat

Vocal tic is back this week, worse in the evenings. Started the new dose on Monday.

Called 4 tools

  • log_tic(type: "vocal", frequency: "high", time_of_day: "evening")
  • log_context(medication_change: "new dose", started: "monday")
  • compare_periods(metric: "tic_frequency", a: "this_week", b: "4w_baseline")
  • get_history(window: "6m")

Logged. Two days into a dose change is too early to read anything into, so I won't. For context, your last three heavier weeks all fell in term time and two followed a growth note. I'll flag the four-week comparison once there's enough of it.

Every figure here was counted from entries you made. The model picked which tools to call — it doesn't interpret, diagnose, or decide what anything means about anyone.

And then ask

The question the log can answer

Months of entries hold real answers to the questions you've been guessing at, and reading them properly has always meant a spreadsheet and a free evening — which is not a thing anyone in this situation has.

Ask in plain language. The answers come back with the numbers behind them, including when those numbers are too thin to mean anything yet — which is the more useful answer more often than people expect.

Asking about the pattern Chat

Did the medication change actually help?

Called 3 tools

  • get_history(topic: "tics", window: "6m")
  • find_pattern(group_by: "antecedent")
  • compare_periods(metric: "events")

Cautiously, yes. In the eight weeks before you logged "high" on 31 of 56 days; in the eight weeks after, 14 of 56. But two of the earlier weeks were exam weeks, so some of that difference is the cycle rather than the dose. Worth taking both numbers to the review rather than just the good one.

Counts and averages over your own entries, nothing more. Where the data is confounded or too thin, the answer says so instead of rounding it into a conclusion.

The reason most people start

Something to actually bring to the appointment

You get fifteen minutes, once, after waiting months for it. The questions are specific and the honest answers are all some version of "I don't know, it's hard to say".

What this gives you: A dated baseline either side of a dose change, with the confounds visible rather than hidden — which is what a review actually needs.

  • Export the date range you were asked about, as a file you can print
  • Counts and timings rather than an impression of the worst week
  • Your own notes kept alongside the numbers, in your words
  • Nothing shared anywhere unless you choose to share it

What it won't do

  • Diagnose anything, or suggest that it could
  • Score a person, or rank them against anyone else
  • Set a target for fewer events, or a streak of good days
  • Recommend a treatment, a therapy, a diet or a medication change
  • Share your record with a school, a clinician or anyone else on its own

It's a notebook that can do arithmetic and answer questions about itself. Deciding what any of it means is a job for you and the people advising you.

Early access

Start with what you're already trying to hold in your head

Tell us what you've been trying to keep track of and we'll set it up with you — recording the thing that's actually useful, at a cadence that survives a bad week.

  • Founding accounts lock their price for life
  • No card, no trial clock, no notifications designed to make you feel behind
  • Export everything you've logged whenever you want

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Keep the record without it becoming another job

Founding pricing is locked for accounts opened during early access.

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