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Doctor insights on: What Is The Best Way To Treat Tourettes Sindrome In An Adolescent With Adhi

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Dr. Carla Enriquez
299 doctors shared insights

Tourette Syndrome (Definition)

From the Tourette Association of America comes the following definition: “Tourette Syndrome is one type of Tic Disorder. Tics are involuntary, repetitive movements and vocalizations. They are the defining feature of a group of childhood-onset, neurodevelopmental conditions known collectively as Tic Disorders and individually as Tourette Syndrome, Chronic Tic Disorder (Motor or Vocal Type), and Provisional Tic Disorder. The three Tic Disorders are distinguished by the types of tics present (motor, vocal/ phonic, or both) and by the length of time that the tics have been present. Individuals with Tourette Syndrome (TS) have had at least two motor tics and at least one vocal/ phonic tic in some combination over the course of more than a year. By contrast, individuals with Chronic Tic Disorder have either motor tics or vocal tics that have been present for more than a year, and individuals with Provisional Tic Disorder have tics that have been present for less than a year”. Most state there is no cure but- As we learn more about the role of strep and other infections in Paediatric autoimmune Neuropsychiatric Disease we must consider that every child with Tourette deserves an evaluation to rule out this treatable cause of illness. Review this site ...Read more


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If risperdal(2mg x 3x/day) fails to treat my Tourette's, what is the next step? Thanks!

If risperdal(2mg x 3x/day) fails to treat my Tourette's, what is the next step?  Thanks!

Individual: Each person is an individual. You need to ask the question of your prescriber, who knows you. ...Read more

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Is carbamazepine used to treat tourette syndrome ? And why ?!

Is carbamazepine used to treat tourette syndrome  ? And why  ?!

Sometimes: This is a sodium channel blocker that is an anti-seizure but has an effect on other brain receptors. It can also increase amounts of serotonin, Dopamine and other neurotransmitters which may be why it is effective for the movements, mood and behavior disturbances associated with tourette. It is not the first choice however, and may even cause increase in tics. ...Read more

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My 9 year old has bipolar, ocd, and tourette's. Treated with .5 risperdone daily. His tics are uncontrollable. What meds/treatments would help?

Alpha agonists maybe: The Risperidone is a strong medicine as maybe through cautious advancing of the dose a resolution in symptoms could be attained. The judicious use of Clonidine or Guanfacine may help with symptoms as well although these interventions are not as strong as risperidone. In very severe cases low doses of haloperidol are a possibility although in practice this is not used in this age range commonly. ...Read more

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How is tourette's inherited?

How is tourette's inherited?

Multifactorial: Although clearly a genetic disorder, the mode of inheritence for tourette's is complex, involving multiple defective genes, and perhaps even an interplay of genetic and environmental factors. There is also clearly a genetic association between the triad of tourette's, ocd, and adhd, and i generally screen patients i diagnose with tourette's for concurrent adhd and/or ocd. ...Read more

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Does cbt work for tourette's?

For the OCD: Tourette syndrome, adhd & OCD are hand-in-glove. A specific form of cognitive-behavioral therapy called exposure-and-response-prevention is used for the ocd. Oppositional defiant disorder often accompanies the adhd. It is treated with behavior-modification & behavior management training for parents. Social skills group therapy & tutoring for associated learning disabilities are often needed. ...Read more

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What are the causes of tourette?

Not known: Tourette syndrome is a neurologic disorder of unknown etiology. Please consult this site for more info. http://www.ninds.nih.gov/disorders/tourette/detail_tourette.htm. ...Read more

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Can you tell me about tourette's syndrome?

Please resubmit: With your questions and we will be happy to answer them. Best wishes. ...Read more