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Movement Disorder
A field guide to the well-meaning things people say when they’re trying to help There’s a moment that happens when you tell someone about your diagnosis. You can almost see it – the quick calculation behind their eyes as they figure out what to say next. Most people land somewhere kind. Some land somewhere memorable....
There’s a moment, somewhere between the kitchen and the hallway, where I catch myself paying attention to how I’m walking. Not because anything dramatic happened. Just a slight shift, a half-second of recalibration, and suddenly I’m aware of my feet in a way most people never are. It happens in my own house. A place...
This is Part 2 of my head tremor journey. If you missed the original, you can read it here: Shaking the Silence: My Intense Journey with Head Tremors Almost three years. That’s how long I had gone without an episode. Long enough to wonder, maybe even quietly hope, that they were done with me. They...
Balance is one of those things you never really think about. Walking across a parking lot, stepping off a curb, and moving through a crowd… your body just handles it. Thousands of little adjustments are happening every minute, and they stay completely in the background. You don’t notice them because, honestly, you’ve never had a...
When “Stop Worrying” Doesn’t Help Most advice about overthinking starts from the same assumption. That you’re worried about something that probably won’t happen. Or that your brain is jumping ahead for no good reason. You’re told to stay present, let go of hypothetical outcomes, and focus on what’s actually in front of you. And sometimes,...
There are days when nothing obvious has changed. You slept fine. Your symptoms feel about the same as usual. And yet your balance is just a little less reliable. You misjudge a step or reach for something, and it takes a second longer than it should. Walking across the room takes slightly more effort than...
There’s a moment after a major life change – injury, illness, relocation, relationships, career changes – when something feels like it disappeared. Not paused, not adapting, just gone. It doesn’t arrive dramatically. It shows up in quiet sentences: “I’m not that person anymore.”“That chapter’s over.”“I can’t do that the way I used to.” Over time,...
I saw the screenshot the same way many people probably did, as a post about a new gene therapy trial for Friedreich’s ataxia. “First patient dosed.” Big words. Big implications. The kind of headline that makes your nervous system lean forward for a second before your rational brain has a chance to catch up. For...
Why “What Works” Is Misleading With Ataxia and Neurological Conditions One of the most confusing parts of living with ataxia and similar neurological conditions is how often the same advice produces completely opposite results. Something that genuinely helps one person can quietly wreck another. Sleep medications are a common example. Supplements too. So are routines,...
Every once in a while, someone in this community puts words to a feeling many of us carry but rarely articulate. Franke James is one of those people. Franke is a writer and author who also lives with idiopathic ataxia. When she shared this piece with me, it stayed with me. Not because it softens...
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My purpose

michael mantz
Life rarely goes as planned. This blog is about navigating what actually happens – major disruptions, health challenges, and the quieter work of figuring out who you are through all of it. I write from inside that process. I have Spinocerebellar Ataxia (SCA 15), a rare neurological condition that shapes my perspective but doesn’t define this space. Some articles are personal. Some are practical. All of them are honest.

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