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Knowledge, education and understanding are uppermost in management plans for tic disorders, [6] and psychoeducation is the first step. [14] [15] A child's parents are typically the first to notice their tics; [16] they may feel worried, imagine that they are somehow responsible, or feel burdened by misinformation about Tourette's. [14]
Comprehensive Behavioral Intervention for Tics (CBIT), based on HRT, is a first-line treatment for Tourette syndrome and tic disorders. [10] [11] With a high level of confidence, CBIT has been shown to be more likely to lead to a reduction in tics than other supportive therapies or psychoeducation. [12]
There is no cure for Tourette's and no single most effective medication. In most cases, medication for tics is not necessary, and behavioral therapies are the first-line treatment. Education is an important part of any treatment plan, and explanation alone often provides sufficient reassurance that no other treatment is necessary. [2]
In the fourth revision of the DSM , tic disorders were classified as follows: [12] Transient tic disorder consisted of multiple motor and/or phonic tics with duration of at least 4 weeks, but less than 12 months. Chronic tic disorder was either single or multiple motor or phonic tics, but not both, which were present for more than a year.
A tic is a sudden and repetitive motor movement or vocalization that is not rhythmic and involves discrete muscle groups. [1] [2] [3] Tics are typically brief and may resemble a normal behavioral characteristic or gesture. [4] Tics can be invisible to the observer, such as abdominal tensing or toe crunching.
As a result, your sympathetic nervous system might kick in with shivering to warm you up and give you some energy. Your primary care provider can check for anemia—and prescribe treatment or iron ...