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1 results

  • 13 - Tic disorders and Tourette's syndrome

  • Edited by Stan Kutcher, Dalhousie University, Nova Scotia
  • Book:
    Practical Child and Adolescent Psychopharmacology
    Published online:
    31 August 2009
    Print publication:
    18 April 2002, pp 382-409

  • Summary

    Tourette's syndrome (TS) is characterized as a disorder of the mind, and tic symptoms the result of psychologic mechanisms. TS begins in childhood and for most patients symptom severity peaks in latency and early adolescence and decreases in adulthood. The diagnosis of TS and other tic disorders is dependent on the presence of motor and vocal tics. Problems with mood and impulse control, obsessive-compulsive behaviors, anxiety, disruptive behavior, attention, and learning are common in clinically ascertained populations of TS subjects. Patient and parent education is perhaps the most important component of treatment. Patients treated with medications for comorbid conditions that co-occur with TS may experience increased tic severity temporally associated with medication use. For many TS patients, the treatment of OCD, ADHD, or other psychiatric disorders may be the most important first step, as these disorders are often more impairing than tics.