Podcasts about Morgantown

We Are a Community of Refuge and Hope For ALL People. That will always and forever include YOU. Join us in person on a Sunday morning at any one of our campuses! Bowling Green (8AM | 9:30AM | 11AM), Glasgow (9:30AM | 11AM), or Morgantown (9:30AM | 11AM)! SERMON RESOURCEShttps://www.crossland.tv/resources

Welcome to the daily304 – your window into Wonderful, Almost Heaven, West Virginia. Today is Thursday, October 16, 2025.   #1 – From WV Commerce: Ziegenfelder's Story of WV Pride For more than 160 years, Ziegenfelder has been crafting smiles and frozen treats that celebrate community, resilience, and West Virginia pride. In the video “Ziegenfelder Says #YesWV,” the company shares how its Wheeling-based operation blends tradition, innovation, and heart. From humble beginnings to national reach, Ziegenfelder continues to invest in its people and its state — proving that business can be both purpose-driven and joyful. Watch the video: youtube.com/watch?v=6FDiZED-7lk   #2 – From Yahoo Lifestyle: West Virginia: America's Under-the-Radar Gem Yahoo Lifestyle is calling West Virginia the “under-radar state you absolutely need on your radar.” The article celebrates the state's affordable living, unmatched outdoor beauty, vibrant small towns, and emerging innovation scene. From the New River Gorge National Park to the creative pulse of Charleston and Morgantown, it's a reminder that Almost Heaven is quietly making national waves. Read more: yahoo.com/lifestyle/articles/west-virginias-under-radar-state-211500824.html   #3 – From Daily304: “Backbone, The Moon, My Twin -- A WV Reflection” In this personal essay on daily304, “Backbone, The Moon, My Twin” invites readers to pause and reconnect with West Virginia's natural and emotional landscapes. The piece blends poetry and reflection — showing how the Mountain State's beauty mirrors the inner strength and quiet wisdom of its people. Listen now: daily304.wv.gov/post/backbone-the-moon-my-twin   Find these stories and more at wv.gov/daily304. The daily304 curated news and information is brought to you by the West Virginia Department of Commerce: Sharing the wealth, beauty, and opportunity in West Virginia with the world. Follow the daily304 on Facebook, Twitter, and Instagram @daily304. Or find us online at wv.gov and just click the daily304 logo. That's all for now. Take care. Be safe. Get outside and enjoy all the opportunity West Virginia has to offer.  

It's not a matchup that will dominate the national headlines, but Saturday's meeting between West Virginia and UCF carries plenty of importance for both programs. Like the Mountaineers, the Knights are pressing reset—welcoming back Scott Frost for a second stint as head coach. Both teams are navigating the growing pains that come with major roster overhauls and culture shifts. When the dust settles in Morgantown, one side will finally notch its first Big 12 victory of the season. In this episode, the “Guys” dig into the storylines, analytics, and matchups that will define the game. Listener questions and comments wrap things up on Textual Healing.

Former Illinois House Speaker Michael Madigan reported to a federal facility in Morgantown, West Virginia this week.

Welcome to the daily304 – your window into Wonderful, Almost Heaven, West Virginia. Today is Wednesday, October 15, 2025. #1 – From Daily304: Preston County Development Brings New Jobs A major property transition in Preston County is paving the way for new manufacturing investment and job creation. Spirit Energy Services, the Preston County Economic Development Authority and Clear Mountain Bank are teaming up to repurpose the Bruceton Mills industrial site with support from an AMLER grant. In addition, Spirit's new Steel Valley Wastewater project in Weirton is expanding wastewater treatment capacity and creating more jobs in Brooke County. Read more: daily304.wv.gov/post/pressroom/spirit-energy-services-preston-county-economic-development-authority-clear-mountain-bank-and-steel-valley-wastewater-llc-announce-property-transition-and-new-job-creating-developments-in-west-virg   #2 – From Travel + Leisure: West Virginia's Paranormal Trail Expands The West Virginia Paranormal Trail just got spookier! Four new haunted sites have been added, bringing the total to 21 eerie destinations statewide. From ghostly theaters to mysterious caverns, the trail weaves together centuries of folklore, haunted legends, and supernatural intrigue — perfect for a fall road trip or weekend getaway. Read more: travelandleisure.com/haunted-west-virginia-paranormal-trail-11811993   #3 – From WestVirginia.gov: GATC Health Advances Medicine with AI GATC Health, based in Morgantown, is harnessing the power of artificial intelligence to revolutionize medical research. Using its Multiomics Advanced Technology™ platform, GATC simulates human biochemistry to accelerate drug discovery and precision health breakthroughs. Supported under the #YesWV initiative, GATC is positioning West Virginia as a national leader in biotech and life sciences innovation. Read more: westvirginia.gov/gatc-health-advancing-medicine-with-ai-in-yeswv   Find these stories and more at wv.gov/daily304. The daily304 curated news and information is brought to you by the West Virginia Department of Commerce: Sharing the wealth, beauty, and opportunity in West Virginia with the world. Follow the daily304 on Facebook, Twitter, and Instagram @daily304. Or find us online at wv.gov and just click the daily304 logo. That's all for now. Take care. Be safe. Get outside and enjoy all the opportunity West Virginia has to offer.  

We Are a Community of Refuge and Hope For ALL People. That will always and forever include YOU. Join us in person on a Sunday morning at any one of our campuses! Bowling Green (8AM | 9:30AM | 11AM), Glasgow (9:30AM | 11AM), or Morgantown (9:30AM | 11AM)! SERMON RESOURCEShttps://www.crossland.tv/resources

We Are a Community of Refuge and Hope For ALL People. That will always and forever include YOU. Join us in person on a Sunday morning at any one of our campuses! Bowling Green (8AM | 9:30AM | 11AM), Glasgow (9:30AM | 11AM), or Morgantown (9:30AM | 11AM)! SERMON RESOURCEShttps://www.crossland.tv/resources

After another ugly loss in Big 12 play by WVU football, this time to the BYU Cougars, were there any positive takeaways from WVU's performance? In this episode, Couz says there is and he will explain what they are. He will also talk about the negative takeaways, however, and go over those as well. Khalil Wilkins was the third starting quarterback on the season for the Mountaineers and his results were mixed. However, he seemed to get stronger as the game went on. True freshman Scotty Fox also received some playing time in the game. Couz breaks down the game played by both, including PFF grades, and talks about their future potential as signal callers for Rich Rodriguez's offense in Morgantown. Couz will also talk about the continued struggles by the Mountaineer offensive line and the sudden regression of the defense. Two weeks in a row they were eaten up in the pass game. Couz will talk about some of the reasons for that and will use PFF grades as a guide. Couz will also touch on many other aspects of the game that were positives and negatives for West Virginia. #wvu #wvufootball #wvumountaineers _____________________________________________________ Sources: Song: Smoke Rising Music by: CreatorMix.com Video: https://youtu.be/_oaZzkn0bW4 PFF College: pff.com/college _____________________________________________________ ⭐️Sponsors: ⭐️ DraftKings Sportsbook: https://www.draftkings.com/ Appalachia Digital: http://appalachiadigital.com/couz/ Get Your Tailgating Stuff HERE: http://victorytailgate.pxf.io/CouzCornhole

Eleanor Reigal, Chief Executive Officer · Ronald McDonald House Charities of Pittsburgh and Morgantown, Inc.on celebrating 35 years in Morgantown and the ribbon cutting for their new expansion.Visit Mountaineer Country CVB President and CEO Susan Riddle on awards won at the recent state conference and the state of tourism.  

We Are a Community of Refuge and Hope For ALL People. That will always and forever include YOU. Join us in person on a Sunday morning at any one of our campuses! Bowling Green (8AM | 9:30AM | 11AM), Glasgow (9:30AM | 11AM), or Morgantown (9:30AM | 11AM)! SERMON RESOURCEShttps://www.crossland.tv/resources

Director of Arts and Culture for the city of Morgantown with a recap of the 2025 Ruby Summer Concert Series. Richard Judy from the Young Eagles Chapter on the Morgantown event Saturday. 

The K-State men's and women's golf squads are in Arkansas for the Blessing Collegiate. K-State women's volleyball hits the road to Morgantown.

BYU football is preparing to take on the West Virginia Mountaineers in Provo on Friday, October 3, 2025. KSL Sports BYU Insider Mitch Harper sets the stage for the matchup as 4-0 and nationally-ranked BYU hosts a Mountaineers squad that is struggling at 2-3 and 0-2 in Big 12 play. One of the storylines for the Cougars is the depth at running back after star ball carrier LJ Martin. Should there be reason for concern? Harper shares his thoughts. Also in this episode of the Cougar Tracks Podcast, Mitch catches up with West Virginia insider Keenan Cummings of WVSports.com, part of the Rivals and On3 network, to get the lowdown on this Mountaineer squad in the return of Rich Rodriguez to Morgantown. Subscribe to the Cougar Tracks Podcast to stay up-to-date with all the daily episodes. Cougar Tracks is on YouTube and X every weekday at Noon (MT), and KSL NewsRadio at 6:30 p.m. (MT). Apple: https://podcasts.apple.com/us/podcast/cougar-tracks/id1146971609 YouTube Podcast: https://kslsports.com/category/podcast_results/?sid=2035&n=Cougar%20Tracks Download the KSL Sports app Google: https://play.google.com/store/apps/details?id=com.bonneville.kslsports&hl=en_US  iOS: https://apps.apple.com/us/app/ksl-sports/id143593

The Utes legend and host of the Down & Dirty on Utah's blowout win in Morgantown, How do you win the bye week (?), Is Utah utilizing all of their offensive talent (?) + more

In a world of survivors, Huntington resident Eloise Hughes Smith stands out. The daughter of a Congressman and one of the nation's most politically influential families, Eloise married Lucian Smith of Morgantown and their honeymoon would end on that cold night with the sinking of the Titanic. YouTube: https://www.youtube.com/watch?v=zTWHhrJM4c0

The Utes legend and host of the Down & Dirty on Utah's blowout win in Morgantown, How do you win the bye week (?), Is Utah utilizing all of their offensive talent (?) + more

In a bounce-back performance, Utah football was in complete control on the road against West Virginia. The offense opened up the passing game, and it meant a world of difference for the team en route to a 48-14 win in Morgantown. Host Josh Furlong recaps the game, using advanced stats to show how the passing game was a major component into Utah doing what it needs to do to win games each week. Stay up to date with University of Utah athletics news and coverage from KSL.com Sports on social media platform X @KSLcomSports and on KSL.com. Follow Josh Furlong @JFurKSL

The Utes legend and host of the Down & Dirty on Utah's blowout win in Morgantown, How do you win the bye week (?), Is Utah utilizing all of their offensive talent (?) + more

This is a sermon from the Morgantown, WV, USA sanctuary of Restoration Church International. Joe & Rena Perozich pray that this message will be a blessing to you as you listen. Should you wish to learn more about the ministry, we invite you to visit www.restorationchurchintl.org

Episode 232 of the #CRW podcast begrudgingly discusses the 48-14 blowout loss that the Mountaineers were handed by the Utah Utes on Saturday in Morgantown. The hosts attempt to find some positive takeaways for #WVU and the program's future in spite of the overall negative performance. Additionally, they breakdown the stats from the game before recapping the Week 5 #big12 scores and providing an update on the current conference standings to conclude the episode! #WVUFootball #WestVirginia #Wvumountaineers #westvirigniamountaineers #westvirginiafootball

The Utes legend and host of the Down & Dirty on Utah's blowout win in Morgantown, How do you win the bye week (?), Is Utah utilizing all of their offensive talent (?) + more

It was a major step backward for the Mountaineer football team. Saturday's 48–14 loss to visiting Utah left WVU with more questions than answers.Making their first-ever trip to Morgantown, the Utes looked completely at home—dominating in all three phases of the game: offense, defense, and special teams.The performance served as a painful reminder of just how far the Mountaineers must climb to compete at the upper level of the Big 12.In this episode, the “Guys” take a deep dive into the game, breaking down the analytics and exploring what the future holds for this WVU team.Listener questions and comments wrap up the show.

The WVU football team was blown out in their fist Big 12 Conference home game of 2025. The Utah Utes came into Morgantown and left with a 48-14 victory over Rich Rodriguez's squad. In this instant postgame reaction, Couz will give his thoughts on the game. He will give team and individual players' stats, talk about key moments or players and just give his overall thoughts on the game. He will also talk about whether this changes his opinion on the hiring of Rich Rodrigiez at West Virginia. #wvu #wvufootball #wvumountaineers ⭐️Sponsors: ⭐️ DraftKings Sportsbook: https://www.draftkings.com/ Appalachia Digital: http://appalachiadigital.com/couz/ Get Your Tailgating Stuff HERE: http://victorytailgate.pxf.io/CouzCornhole

Christian Esparza and Alex Napoles break down all the action after the Utes first conference win, this week in Morgantown, taking on West Virginia on September 27, 2025.

Sly Sylvester, Former Utah Ute and NFL Linebacker, joins the program LIVE from Morgantown to preview Utah at West Virginia to continue Big 12 Conference play.

Hour 3 of JJ & Alex with Jeremiah Jensen and Alex Kirry. Football Friday Harvey Langi joins the program Sly Sylvester, Former Utah Ute and NFL Linebacker College Football Week 5 Predictions

Hour 2 of Jake & Ben on September 26, 2025 Steve Bartle, Utah Insider for KSL Sports, joined the show live from Morgantown to preview Utah at West Virginia.  Tyler King from the Denver Gazette chatted with Jake & Ben about Colorado Football.  We got a lot of listener response after yesterday's College Football Playoff Conversation. One listener might have a real solution. 

Steve Bartle, Utah Insider for KSL Sports, joined the show live from Morgantown to preview Utah at West Virginia. 

Jake & Ben Full Show from September 26, 2025 Hour 1 What is the bigger game tomorrow, Utah at WV or BYU at Colorado? Top 3 Stories: A lot of good College Football this weekend, Jazz start training camp Monday, Previewing this weekend's NFL slate.  The Los Angeles Lakers have extended Head Coach JJ Redick Hour 2 Steve Bartle, Utah Insider for KSL Sports, joined the show live from Morgantown to preview Utah at West Virginia.  Tyler King from the Denver Gazette chatted with Jake & Ben about Colorado Football.  We got a lot of listener response after yesterday's College Football Playoff Conversation. One listener might have a real solution. 

The Mountaineer football team enters Saturday's home clash with Utah shrouded in uncertainty.Coach Rich Rodriguez's squad faces major offensive questions: a new starting quarterback takes the reins, and injuries have reshuffled the depth chart at running back. It's hardly the ideal setup against a Utah team still stinging from its first loss of the season.The result? West Virginia finds itself a rare double-digit underdog inside Milan Puskar Stadium—something fans don't often see in Morgantown.In this episode, the “Guys” sort through the week's storylines, break down the matchup with a full analytical lens, and tackle listener questions and comments in Textual Healing.

WVU football welcomes the Utah Utes to Morgantown for game two of the Big 12 Conference slate. The Utes are led by quarterback, Devon Dampier, the New Mexico transfer who is a dual threat. Coach Kyle Whittingham will have a stout defense again in 2025. How will this struggling Mountaineer offense move the ball against this Utah team? Couz is joined by WildUte from  @TheCFBMafia  to discuss just that and break down the game. How will the WVU offense match up with the Ute defense? How will the Mountaineer defense match up with the Utah offense? The guys discuss all of this and tell you who they think wins the game. #wvu #wvufootball #utahfootball _____________________________________________ Sources: Song: Smoke Rising Music by: CreatorMix.com Video: https://youtu.be/_oaZzkn0bW4 pff.com/college _____________________________________________ ⭐️Sponsors: ⭐️ DraftKings Sportsbook: https://www.draftkings.com/ Appalachia Digital: http://appalachiadigital.com/couz/ Get Your Tailgating Stuff HERE: http://victorytailgate.pxf.io/CouzCornhole

This is a sermon from the Morgantown, WV, USA sanctuary of Restoration Church International. Joe & Rena Perozich pray that this message will be a blessing to you as you listen. Should you wish to learn more about the ministry, we invite you to visit www.restorationchurchintl.org

Catch “The Drive with Spence Checketts” from 2 pm to 6 pm weekdays on ESPN 700 & 92.1 FM. Produced by Porter Larsen. The latest on the Utah Jazz, Real Salt Lake, Utes, BYU + more sports storylines.

After losing in blowout fashion to the Kansas Jayhawks, WVU football fans are having to re-evaluate their expectations for this Mountaineer team for 2025. With Rich Rodriguez in his first year back in Morgantown, and the fact he brought in over 80 new players, maybe a winning season isn't realistic. In this episode, Couz will take a look at his original preseason record prediction for WVU and tell you whether or not he is changing that prediction based on what he has seen the first month of the season. WVU still has road games at BYU, UCF, Houston and Arizona State; as well as home games against Utah, TCU, Colorado and Texas Tech. With a schedule this tough, combined with the rebuilt roster and injuries sustained by several Mountaineer players; it may be tough to find four more wins for bowl eligibility. Will that happen? Couz lets you know his thoughts in the episode. #wvu #wvufootball #wvumountaineers ___________________________________________ Sources: Song: Smoke Rising Music by: CreatorMix.com Video: https://youtu.be/_oaZzkn0bW4 ESPN.com ___________________________________________ ⭐️Sponsors: ⭐️ DraftKings Sportsbook: https://www.draftkings.com/ Appalachia Digital: http://appalachiadigital.com/couz/ Get Your Tailgating Stuff HERE: http://victorytailgate.pxf.io/CouzCornhole

Coming off its first loss of the season, Utah football now faces a difficult cross-country test against an injury-riddled West Virginia team. Utah is a 12-point favorite in the road game, but is it a make-or-break scenario for the Utes en route to a season of success? Host Josh Furlong jumps into the numbers to see where this Utah team can get an edge, while talking about what's at stake for the team going into Morgantown. He's also joined by West Virginia beat writer Spencer Ripchik to provide an inside look into the Mountaineers program and where they stand with all their injuries. Stay up to date with University of Utah athletics news and coverage from KSL.com Sports on social media platform X @KSLcomSports and on KSL.com. Follow Josh Furlong @JFurKSL

Steve Bartle, Utah Utes insider for KSL Sports, joins the program and dives into the loss for the Utes at home against the Red Raiders and the challenge ahead in Morgantown. Steve also gives the latest on the injury report front.

Chris Anderson from Eer Sports joined DJ & PK to preview the Utah-West Virginia matchup Saturday from the Mountaineers perspective. 

Episode 231 of the #CRW podcast features coverage of the home conference opener for the Mountaineers as #WVU welcomes Utah into Morgantown for the first time ever, and they will do it while wearing the 1965 Throwback Uniforms! Following a breakdown of the matchups in the game, the hosts provide both their key to victory and score prediction before making their picks for the rest of the week five action around the #Big12 conference! #wvufootball #westvirginia #wvumountaineers #westvirginia #westvirginiamountaineers #westvirginiafootball

Catch “The Drive with Spence Checketts” from 2 pm to 6 pm weekdays on ESPN 700 & 92.1 FM. Produced by Porter Larsen. The latest on the Utah Jazz, Real Salt Lake, Utes, BYU + more sports storylines.

Catch “The Drive with Spence Checketts” from 2 pm to 6 pm weekdays on ESPN 700 & 92.1 FM. Produced by Porter Larsen. The latest on the Utah Jazz, Real Salt Lake, Utes, BYU + more sports storylines.

Utah's Head Coach addressed the media following Saturday's loss to Texas Tech & ahead of this week's matchup vs West Virginia in Morgantown

Catch “The Drive with Spence Checketts” from 2 pm to 6 pm weekdays on ESPN 700 & 92.1 FM. Produced by Porter Larsen. The latest on the Utah Jazz, Real Salt Lake, Utes, BYU + more sports storylines.

Utah's Head Coach addressed the media following Saturday's loss to Texas Tech & ahead of this week's matchup vs West Virginia in Morgantown

This is a sermon from the Morgantown, WV, USA sanctuary of Restoration Church International. Joe & Rena Perozich pray that this message will be a blessing to you as you listen. Should you wish to learn more about the ministry, we invite you to visit www.restorationchurchintl.org

Utah's Head Coach addressed the media following Saturday's loss to Texas Tech & ahead of this week's matchup vs West Virginia in Morgantown

Zack, Mason, and Ian are crashing out over last week's debacle in Morgantown. The Pat Narduzzi Dilemma (2022): https://meetatmidfield.com/pat-narduzzi-dilemma-pitt-panthers-football/ If you liked the podcast, be sure to follow us on Twitter or Bluesky and rate us on your podcast app of choice! It helps out the show tremendously. Hosted & Produced by Zack Kaminski, who writes on Substack and has been featured on Meet at Midfield. Co-hosted by Ian Labatch and Mason Kling. Podcast Art & Logo were commissioned from friend of the show Birdblitz.Contact us by email at semplefipodcast@gmail.com

Monongalia County Health Officer Dr. Brian Huggins on tick-related illnessStar City Mayor Sharon Doyle on calls from Morgantown for area municipalities to be more active in assisting the homeless. The 83rd Buckwheat Festival Sept. 28 through 28 with Chase Thomas and Harry Hayes

Tics are movements or sounds that are quick, recurrent, and nonrhythmic. They fluctuate over time and can be involuntary or semivoluntary. Although behavioral therapy remains the first-line treatment, modifications to comprehensive behavioral intervention have been developed to make treatment more accessible. In this episode, Casey Albin, MD, speaks with Jessica Frey, MD, author of the article “Tourette Syndrome and Tic Disorders” in the Continuum® August 2025 Movement Disorders issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Frey is an assistant professor of neurology, Movement Disorders Fellowship Program Director, and Neurology Student Clerkship Director at the Rockefeller Neuroscience Institute in the department of neurology at West Virginia University in Morgantown, West Virginia. Additional Resources Read the article: Tourette Syndrome and Tic Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Transcript Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hi all, this is Dr Casey Albin. Today I'm interviewing Dr Jessica Frey about her article Tourette Syndrome and Tic Disorders, which appears in the August 2025 Continuum issue on movement disorders. Dr Frey, thank you so much for being here, and welcome to the podcast. I'd love for you to briefly introduce yourself to our audience. Dr Frey: Thank you for having me here today. My name is Jessica Frey, and I am a movement disorder specialist at West Virginia University. I'm also the movement disorder fellowship director, as well as the neurology clerkship student director. Dr Albin: Dr. Frey, I feel like this was one of the things I actually had no exposure to as a resident. For trainees that kind of want to get a better understanding of how these are managed, what kind of counseling you do, what kind of interventions you're using, how can they get a little bit more exposure? Dr Frey: That's a great question, and I actually had a similar experience to you. I did not see that many patients with Tourette syndrome while I was in my residency training. I got a lot more exposure during my fellowship training, and that's when I actually fell in love with that patient population, caring for them, seeing them be successful. I think it depends on the program that you're in. During the pediatric neurology rotation might be your best bet to getting exposure to patients with Tourette syndrome, since a lot of them are going to be diagnosed when they're quite young, and sometimes they'll even continue to follow through young adulthood in the pediatric neurology clinic. However, up to 20% of patients with Tourette syndrome will have persistent tics during adulthood. And so, I think it is important for neurology trainees to understand how to manage them, understand what resources are out there. So, if you have an interest in that, absolutely try to follow either in the pediatric neurology department, or if you have a movement disorder program that has a Tourette clinic or has a movement disorder specialist who has an interest in Tourette syndrome, definitely try to hang out with them. Get to know that patient population, and educate yourself as much as you're able to educate the patients as well. Dr Albin: Yeah, I think that's fantastic advice. You wrote a fantastic article, and it covers a lot of ground. And I think let's start at some of the basics. When I think of Tourette syndrome and tics, I think of Tourette syndrome having tics, but maybe not all patients who have tics have Tourette syndrome. And so, I was wondering, A, if you could confirm that's true; and then could you tell us a little bit about some of the diagnostic criteria for each of these conditions? Dr Frey: Sure. So, a tic is a phenomenological description. So basically, what you're seeing is a description of a motor or phonic tic, which is a particular type of movement disorder. Tourette syndrome is a very specific diagnosis, and the diagnostic criteria for Tourette syndrome at this point in time is that you need to have had at least one phonic tic and two or more motor tics over the course of at least a year before the age of eighteen. Dr Albin: Got it. So, there's certainly more specific and a lot more criteria for having Tourette syndrome. I was struck in reading your article how many myths there are surrounding Tourette syndrome and tic disorders kind of in general. What's known about the pathophysiology of Tourette syndrome, and what are some common misconceptions about patients who have this disorder? Dr Frey: Yeah, so I think that's a really excellent question because for so many years, Tourette syndrome and tic disorders in general were thought to be psychogenic in origin, even dating back to when they were first described. The history of Tourette syndrome is quite interesting in that, when Tourette---who, you know, it's named after---was working with Charcot, a lot of the initial descriptors were of actual case reports of patients who had more psychogenic descriptions, and eventually they became known as tic disorders as well. It wasn't until the discovery of Haldol and using Haldol as a treatment for tic disorders that people started to change their perception and say, okay, maybe there is actually a neurologic basis for Tourette syndrome. So, in terms of the pathophysiology, it's not completely known, but what we do know about it, we think that there is some sort of hyperactivity in the corticostriatal-thalamocortical circuits. And we think that because of this hyperactivity, it leads to the hyperactive movement disorder. We think similar circuitry is involved in conditions like OCD, or obsessive compulsive disorder; as well as ADHD, or attention deficit hyperactivity disorder. And because of that, we actually do tend to see an overlap between all three of these conditions in both individuals and families. Dr Albin: And hearing all of that, does this all come back to, sort of, dopamine and, sort of, behavioral motivation, or is it different than that? Dr Frey: It's probably more complex than just dopamine, but there is the thought that dopamine does play a role. And even one of the hypotheses regarding the pathophysiology is actually that these tics might start as habits, and then when the habits become more common, they actually reshape the dopaminergic pathways. And each time a tic occurs, there's a little bit of a dopaminergic reward. And so over time, that reshapes those hyperactive pathways and changes the actual circuitry of the brain, leading it to be not just a habit but part of their neurologic makeup. Dr Albin: It's fascinating to hear how that actually might play into our neural circuitry and, over time, rewire our brain. Fascinating. I mean, this is just so interesting how movement disorders play into such behavioral regulation and some comorbid conditions like ADHD and OCD. I thought it would be really helpful, maybe, to our listeners to kind of think through a case that I suspect is becoming more common. So, if it's okay with you, I'll present sort of a hypothetical. Dr Frey: Absolutely. Dr Albin: This is a father bringing in his seventeen-year-old daughter. She's coming into the clinic because she's been demonstrating, over the past four to six weeks, some jerking movement in her right arm. And it's happened multiple times a day. And it was a pretty sudden onset. She had not had any movement like this before, and then several weeks ago, started moving the right hand. And then it became even more disruptive: her right leg was involved, she had some scrunching her face. This is all happening at a time where she was dealing with some stress, maybe a little bit of applications around college that she was having a lot of anxiety about. How do you sort of approach this case if this is someone who comes to your office? Dr Frey: Sure. So, I think the first thing that you want to get is a good solid history, trying to understand, what is the origin of these abnormal movements and what led to the abnormal movements. Now, a key thing here is that in Tourette syndrome, and most physiologic tic syndromes, there's a pretty early onset. So, in Tourette syndrome, the expected age of onset is between the ages of five and seven years old. So, to have kind of acute new abnormal movements as a seventeen-year-old would be very unusual for a new-onset diagnosis of Tourette syndrome. However, there's a couple of things from the history that could help you. One would be, were there ever tics in the past? Because sometimes, when you think retrospectively, a lot of these patients might have had a simple eye-blinking tic or a coughing tic when they were a child. And perhaps they did have Tourette syndrome, a very mild case of it. But because the tics were never that pronounced, they never went to see anyone about it and it was never known that they had Tourette syndrome in the first place. If there is no history like that and the movements are completely new, out of the blue, of course you want to rule out anything acute that could be going on that could be causing that. Looking at the phenomenology of the movements can also be very helpful. When you're looking at abnormal tic movements, you would expect most cases of something like Tourette syndrome to occur first in the midline and go in a rostrocoidal distribution. So, you mostly see things happening with eye blinking, throat clearing, sniffling, neck snapping. These are some of the immediate tics that start to happen. We also usually start to see simple tics, as opposed to complex tics, at the beginning. Now, over the course of time, many patients do develop more complex tics that might involve the arms or the extremities, but that would be unusual to see this as a presenting feature of new-onset Tourette syndrome. Dr Albin: Got it. So, I'm hearing that the history really matters and that sometimes, like those, like, first-onset seizures, I imagine as a neurointensivist, we see a lot of patients who've had seizures who think that they're presenting the first time. And then we go back and we say, well, actually they have had some abnormal movements at night. Sounds like it's very similar with these movement disorders where you have to really go back and ask, well, was there some sniffling? Did they go through a phase where they were grunting frequently? Because I can imagine that many children make those behaviors, and that it may not have registered as something that was cause for concern. Dr Frey: Absolutely. Dr Albin: And then the other thing I heard from you was that the phenomenology really matters and that there is a typical presentation, starting from sort of the face and working the way down. And that can be really helpful. But in this case, the family is quite clear. No, no, no. She's never had movements like this before. This is- nothing like this. We promise you, did not go through a phase where she was coughing or blinking, or, this is all totally new. And the phenomenology, they say, no, no, she did not start with blinking. It definitely started in the arm and then progressed in its complex movements. So, knowing that about her, how does that sort of shape how you move forward with the diagnosis? Dr Frey: Yeah. So, really good question. And this is something that I think really peaked during the Covid-19 pandemic. We saw an influx of patients, especially teenage girls or young adult girls, who basically would come in and have these new, acute-onset, abnormal movements. We weren't sure what to call them initially. There was some discussion of calling them “explosive tic disorder” and things like that. A lot of these actually looked very similar to psychogenic nonepileptic seizures, where they would come into the emergency department and have many abnormal movements that were so severe, that they were having a “tic attack” and couldn't stop the abnormal movements from occurring. And we saw so many of these cases during the Covid-19 pandemic that it eventually became known as a distinctive diagnostic criteria with the name of “functional ticlike behavior”, or FTLB. When we think about functional ticlike behavior, we think that these tics are driven more by anxiety and stress. A lot of times, the backstory of these patients, they were in a very stressful situation, and that's when the abnormal movement started. So, a very similar kind of backstory to patients that might develop psychogenic nonepileptic seizures. These tics were popularized, for lack of a better term, via social media during the Covid-19 pandemic. One article is out there that even has called these functional ticlike behaviors as “a pandemic within a pandemic”, because there was such a strong showing of ticlike behavior in the clinics during the Covid-19 pandemic. Although social media was thought to play a big role in these functional ticlike behaviors, we think that there's probably a little bit more complexity and nuance to why these functional ticlike behaviors develop. There is probably a little bit of a genetic predisposition. There's probably some other psychosocial factors at play. And when we see cases like this, the best thing that you can do is educate your patients about the differences between functional ticlike behaviors and tics that we see associated with conditions like Tourette syndrome. And then the best types of treatments that we have seen thus far are treating any underlying stressors, if any of those exist, as well as cognitive behavioral therapy has been shown to be somewhat helpful. As the Covid-19 pandemic has wound down, we have actually seen a lot less cases in our clinic. And one reason we think is less stressors, less uncertainty for the future, which we think was a driving precipitant of some of these cases. But it also is not as popularized in the media as well. There were a lot of TikTok users in particular, which lent itself to the name “TikTok tic”. These videos are not as viewed or not as popular as they were during the Covid-19 pandemic. One reason being that because we are not all relegated to our homes, constantly looking to online sources of information---just in general, we have kind of not been on the Internet as much as we were during the Covid-19 pandemic---as a society as a whole. Dr Albin: This is really fascinating how the environmental milieu, for lack of a better word, like, really influenced how patients were experiencing, sort of, functional neurologic disorders. In your article you describe really these three baskets of primary tic---which can then be a part of Tourette syndrome---,functional ticlike behaviors---which really were a unique manifestation of stress and anxiety specifically during the Covid-19 pandemic---, and then tics as a manifestation of some either different underlying etiology or medication side effect. So, when do you get concerned about that secondary etiology? Dr Frey: So secondary tics can occur in a variety of instances. I think some of the more common examples would be in genetic disorders. So, Huntington's disease is a really good example. I think we all associate chorea with Huntington's disease. That's probably the most commonly associated phenomenology that we see with Huntington's disease. But we can see a variety of movement disorders in Huntington's, and one of them is tics. So, when we see tics in association with other types of movement disorders, we should be thinking about a possible genetic etiology. If we see tics in association with other neurologic symptoms, such as seizures or cognitive changes, we should be thinking that this is something besides a primary tic disorder. You also mentioned medication use, and it's really important to think about tardive tics. I know we often think about tardive dyskinesia, and the first kind of phenomenology that jumps into our brain is usually chorea because it's those abnormal lip movements, finger movements, toe movements that we see after a patient has been on, for example, an antipsychotic or an antiemetic that has antidopaminergic properties. However, we can see a variety of abnormal movement disorders that occur secondary to antidopaminergic medications, especially after abrupt withdrawal of these antidopaminergic medications. And tics are one of them. There have been cases reported where people that have tardive tics will still report that they have a premonitory urge, as well as a sense of relief after their tics. So, it actually can seem very similar to Tourette syndrome and the tics that people with Tourette syndrome experience on a regular basis. The key here is that the treatment might differ because if it's due to an antidopaminergic medication or abrupt withdrawal of that antidopaminergic medication, you might need to treat it a little bit differently than you would otherwise. Dr Albin: I love that you bring in, it's not just looking at their specific movement disorder that they may be coming to clinic with, that tic disorder, but are there other movement disorders? Has there been a change in their medication history? Have they had cognitive changes? So really emphasizing the importance of that complete and comprehensive neurologic history, neurologic physical exam, to really get the complete picture so that it's not honing in on, oh, this is a primary tic. That's all there is to it, because it could be so much more. I know we're getting close to sort of the end of our time together, but I really wanted to switch to end on talking about treatment. And your article does such a beautiful job of talking about behavioral interventions and really exciting new medical interventions. But I would like to, if you don't mind, have you focus on, what behavioral counseling and what education do you provide for patients and their families? Because I imagine that the neurologist plays a really important role in educating the patient and their family about these disorders. Dr Frey: Absolutely. When we think about treatment, one of the most important things you can do for patients with Tourette syndrome or other primary tic disorders is educate them. This remains true whether it's a primary tic disorder that we see in Tourette syndrome or the functional ticlike behavior that we've discussed here. A lot of times, because there is such a stigma against people with tic disorders and Tourette syndrome, when they hear that they have Tourette syndrome or they are diagnosed with that, sometimes that can be an upsetting diagnosis. And sometimes you have to take time explaining what exactly that means and debunking a lot of the myths that go along with the stigmas associated with Tourette syndrome. I think a lot of times people are under the false assumption that people with Tourette syndrome cannot lead normal lives and cannot hold down jobs and cannot be productive members of society. None of that is true. Most of my patients have great lives, good quality of life, and are able to go about their day-to-day life without any major issues. And one of the reasons for that is we do have a lot of great treatment options available. Another important stigma to break down is that people with tic disorders are doing this for attention or doing this because they are trying to get something from someone else. That is absolutely false. We do think that the tics themselves are semivolitional because people with Tourette syndrome have some degree of control over their tics. They can suppress them for a period of time. But a lot of people with tic disorders and Tourette syndrome will describe their tics as if you're trying to hold onto a sneeze. And you can imagine how uncomfortable it is to hold in a sneeze. We're all able to do it for a period of time, but it's much easier to just allow that sneeze to occur. And a lot of times that's what they are experiencing, too. So, although there is some degree of control, it's not complete control, and they're certainly not doing these tics on purpose or for attention. So that's another important myth to debunk when you're counseling patients and their families. I think the dynamic between young patients that are presenting with their parents or guardians, sometimes that dynamic is a little bit challenging because another faulty assumption is that parents feel they are responsible for having this happen to their child. There used to be a really strong sense that parents were responsible for the tics that occurred in their children, and that is also absolutely not true. Parenting has nothing to do with having the tics or not. We know that this is a neurodevelopmental disorder. The brain is indeed wired differently and it's important to counsel that with the parents, too, so that they understand what tools they need to be successful for their children as well. Dr Albin: I love that. So, it's a lot of partnership with patients and their families. I really like that this is just a wire different, and I hope over time that working together we as neurologists can help break down some of that stigmatization for these patients. This has been an absolutely phenomenal discussion. I have so enjoyed learning from your article. For the listeners out there, there are some really phenomenal tables that go into sort of how to approach this from the office perspective, how to approach it from the treatment perspective. So, thank you again, Dr Jessica Frey, for your article on Tourette syndrome and tic disorders, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues, and thank you so much to our listeners for joining us today. Dr Frey: Thank you for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

After Pitt lost to West Virginia in the Backyard Brawl on Saturday, we went live for the Panther-Lair Post-Game Show to talk about all the ways the Panthers blew it in Morgantown. 

The Backyard Brawl is two days away, so in classic sports talk fashion, we're breaking down the three - or four - biggest keys for Pitt to beat West Virginia when the Panthers go to Morgantown on Saturday. From turnovers and early leads to pressure and more, we're previewing the game from all angles.