rarely sayingsociallytaboowordsorphrases(coprolalia). multiple sounds;repeatingsyllables,words,orphrases(echolalia); jumping, kicking,orpunching.Complexvocalticsinclude:making grimacing, tapping,walkinginaspecificpatternorcircling, Complex motorticsincludemorepurposefulmovementssuchas: throat clearing,coughing,sniffing,andyawning. jerking theheadandneck.Commonsimplevocalticsinclude: blinking, raisingtheeyebrows,shouldershrugging,turningor months. The mostcommonsimplemotorticsinclude:eye Simple ticsappearsuddenlyandusuallylastforweeksor • • • • Tics maybe: the movement.Movementssometimecanbestoppedbriefly. is oftenanurge orneedtodo themovementthenareliefafter Tics aremovementsthatpatientscannot alwayscontrol. There W vocal tics,and TS depend onhowtheticsaffect patientsand Often notreatmentforticsis needed. Treatment ofmotortics, I tics atsomepoint, TS ismuchlesscommon. year. While ticsarecommon,oneoutoffivechildrenmayhave having morethanonetic,includingavocalfor one Not allpeoplewithticshave TS. A diagnosisof TS requires A hereditary, meaningpassedalonginafamily. The causeofticsand TS isunknown. Tics and TS areoften W anxiety andobsessivecompulsivebehavior, mayoccur. they mustlastformorethanoneyear. Behavioralissues,including combination ofmotorandvocaltics,eithersimpleorcomplex, common inmalesthanfemales.Patientswith TS experiencea definition theticsmuststartbeforeageof18. TSismuchmore four andsixyearsismostseverebetweenages10to12.By syndrome, isadisorderthatusuallybeginsbetweentheagesof Tourette syndrome(TS),alsoknownasGillesdela Tourette W s They canbesimpleorcomplex Lack purposeorrhythm Repetitive andstereotyped(thesameeachtime) Sudden, fast re
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TS Tics andTourette Syndrome: Tics andTourette Syndrome: S Essential FactsforPatients Essential FactsforPatients yndrome ? International Parkinson andMovement Disorder Society ? ? medications, deepbrainstimulationsurgery maybe considered. considered). Additionally, forpatientswhodonotrespondto antipsychotic medications(althoughsideeffects mustbe other anxietydrugs(especiallyifthepatienthasanxiety),and medications include:clonidineandguanfacine,clonazepamor patients needtobeinclosecommunicationwiththeirdoctor. The may behelpful.Medicationcauseunwantedsideeffects, so If behaviortherapyaloneisnotsuccessful,somemedications training anddevelopingacompetingresponsetotheticurge. the therapiesusedtotreat TS. CBIT focusesonawareness Comprehensive BehavioralInterventionfor Tics (CBIT)isoneof • • • Patients shoulddiscusstreatmentwithadoctoriftheirtics: diagnosis andavoidloweringthechild’s self-esteem. must learnhowticsareinvoluntarysotheycanunderstandthe psychologists, andsocialworkers.Familymembersteachers social stigma. This mayincludeinputfromdoctors, people aroundthepatientcanincreaseunderstandingandreduce only needgoodsupport,education,andreassurance.Educating cause muchdistressorinterferewithactivities,apatientmay whether theyhaveasocialoremotionalimpact.Iftheticsdonot get older and in many cases, disappear completely in adult life. get olderandinmanycases,disappearcompletelyadultlife. Tics areoftentemporary. Tics and TS tendtodisappearaspatients W these disordersmaybeavailable,sospeakwiththedoctor. disorders, deliberateself-harm,andsleepdisorders. Treatment for may alsoexperience:depression,impulsivebehavior, personality (ADHD) andObsessiveCompulsiveDisorder(OCD).Patients symptoms suchas Attention Deficit/HyperactivityDisorder behavior. Morethan50%of TS patientshavebehavioral Neuropsychiatric disordersareneurologicthataffect a W W
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