ABSTRACT

The multidimensional elements of tic disorders and the frequent coexistence of other medical conditions make the management of Gilles de la Tourette’s syndrome (TS) complex. As previous chapters have emphasized, accurate diagnosis and the definition of what behaviors represent tics and what behaviors are part of an adjustment reaction, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD) or other comorbidities are paramount to an appropriate treatment plan. With an accurate list of diagnoses, the clinician and patient can rank relative impairment from each and decide on the order of treatment priorities. This chapter deals with the treatment of tics themselves, and later chapters discuss the primary treatment of other comorbid conditions. Because the treatment of tics can affect these other conditions, however, mention of secondary influences of tic therapy on ADHD and OCD is addressed in this chapter.