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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.
A habit cough is a chronic cough that has no underlying organic cause or medical diagnosis, [1] [2] and does not respond to conventional medical treatment. [3] This is sometimes called tic cough, somatic cough syndrome and previously psychogenic cough, but without clinical justification.
Tourette syndrome is defined only slightly differently by the WHO; [4] [8] in its ICD-11, the International Statistical Classification of Diseases and Related Health Problems, Tourette syndrome is classified as a disease of the nervous system and a neurodevelopmental disorder, [18] [19] and only one motor tic and one or more vocal tics are ...
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]
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]