Tourette's Disorder

Most children with TS have different patterns of tics. The tics may not be obvious. They can be bursts of movement or sounds that last for seconds or minutes.

Tics can include:

• Eye blinking and eye rolling.
• Jerking of the neck.
• Coughing or throat-clearing.
• A mix of movements and sounds.

It's common for a person who has TS to feel an urge in some part of the body that builds and builds. This urge can only be relieved by performing the tic. But not everyone with the disorder is aware of these urges.

A doctor can diagnose TS based on your child's medical history and symptoms. The doctor may want to know if tics are causing school or social problems for your child.

There are no tests to diagnose TS. But in some cases an electroencephalogram (EEG), an MRI, or blood tests may be done to check for other health problems. Your doctor may also check for attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), or other learning or behavior problems. These problems sometimes occur along with TS.

Treatment for TS focuses on helping your child cope with the tics. Understanding how tics affect your child can help you and your child know what to expect. It may help to identify when tics occur. Then you can try to avoid things that cause tics.

Some children do not need treatment. But if tics are seriously affecting your child's quality of life at home or school, then counseling, behavioral therapy to reduce tics (habit reversal), and medicines may help. If your child has other medical problems, these may need to be treated first to see how they affect your child's symptoms.

As your child ages, the pattern of tics can change. Tics may come and go over weeks and months. They may also change from one kind to another. Tics may get worse and then get better. Your child may get a new tic, or an old one may come back.

Tics may get worse for no reason. Your child may try to suppress tics, which may make them last longer or be worse than at other times. They may also get worse when your child is ill, under stress, or excited.

Having TS doesn't have to mean that your child will have social problems or trouble in school. You can help your child learn to cope with tics. Start by learning more about TS and being supportive at home. Work with your child's teachers so they can understand how tics affect your child.

Despite what you might have seen in movies or on TV, most people with TS don't have uncontrollable outbursts of cursing or sexual behavior.

Your child's tics related to Tourette syndrome may seem worse in certain situations or during times when your child experiences strong emotions. Common triggers include:

• Stressful events, such as a family fight or poor performance at school.
• Boredom, physical illness, or fatigue.
• Anger or excitement. Difficulties with other kids can make your child angry or frustrated. Or your child may get flustered when eager for a fun event, such as a birthday party or vacation.

Your child's tics may decrease or be less severe when your child:

• Gets enough sleep.
• Becomes involved in new activities that are of great interest. Tics may improve while your child is focused on an activity as long as there is not a lot of surrounding stress or agitation from being overexcited.

Remember that tics related to TS also sometimes increase or decrease for no obvious reason.

Your child may also be able to hold back, or suppress, tics for a short time. Children may do this when they:

• Are in a new place, such as at a new friend's house.
• Are in a new situation, such as having someone new over for dinner.
• Know that someone is watching for tics, such as a doctor.

After holding back tics, most children will soon have a short period afterward when tics are noticeably worse.