Materiały źródłowe

• #1 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Tourette syndrome (TS) is a neurodevelopmental movement characterized by abrupt, rapid, repetitive, and non-rhythmic tics. […] Treatment is necessary when the children experience physical discomfort, functional dysfunction, and poor interpersonal interaction and mental health. […] This review summarizes the symptom management and nursing care measures for youths with TS. Understanding and listening to the healthcare problems of youths with TS can help providers develop healthcare interventions tailored to the youths’ needs. […] Providing the youths with strategies to reduce the tics’ interference with their learning outcomes and helping them develop strategies to cope with diverse interpersonal interactions at school are also important. […] Further, enhancing acceptance given by parents, teachers, and peers, as well as improving the general public’s understanding of TS are important measures that promote the youths’ social adjustment as well as their ability to coexist with TS.

• #2 ‘Tics’ and Tricks: What Nurses Should Know About Tourette’s

  https://www.linkedin.com/pulse/tics-tricks-what-nurses-should-know-tourettes-emily-rose-minter

  Tourettes syndrome is a neurodevelopmental disorder, with onset before 18 years of age, that is known for the presence of persistent, and often debilitating, vocal and motor tics. […] Both patients and their parents are significantly affected by the complexity of treating this disorder, and many parents report being overwhelmed and uncertain what the best plan of care might be. […] Standard treatments primarily focus on controlling behavioral issues by means of prescription medications. […] Research is still ongoing in terms of identifying clear biological causes of Tourettes and whether or not certain interventions, such as magnesium and vitamin B6 supplements, could replace the use of medications with unwanted side effects. […] The biggest issue with this treatment is a shortage of clinical professionals trained to administer the intervention.

• #3 Tourette Syndrome and Other Tic Disorders – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499958/

  Tourette syndrome, also referred to as Tourette disorder, is a common neurodevelopmental disorder affecting up to 1 percent of the population. […] This activity reviews the evaluation and management of patients with Tourette syndrome and other tic disorders and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. […] Explain the importance of improving coordination amongst the interprofessional team to enhance the delivery of care for patients affected by Tourette syndrome. […] Teacher and caregiver education can have a positive impact on the social experience of a child struggling with Tourette syndrome. […] The most significant influential factor in a child’s experience with GTS is whether or not they have a supportive teacher at the school.

• #4 Pediatric Tourette Syndrome – Conditions and Treatments | Children’s National Hospital

  https://www.childrensnational.org/get-care/health-library/tourette-syndrome

  Tourette syndrome can occur differently in boys and girls. Boys are more likely to have long-term (chronic) tics. Girls are more likely to have obsessive-compulsive disorder (OCD). […] Some children may not need treatment. A child with Tourette syndrome can usually function well at home and in a regular classroom. In some cases, a child may need special classes, psychotherapy or medicine. […] Treatment will depend on your child’s symptoms, age and general health. It will also depend on how severe the condition is. Some children may not need treatment. A child with Tourette syndrome can usually function well at home and in a regular classroom. […] In some cases, a child may need special classes, psychotherapy or medicine. These may be choices if: Tics cause problems with daily function or school; Your child has a problem such as OCD or attention deficit/hyperactivity disorder (ADHD); Your child has another emotional or learning problem.

• #5

  https://journals.lww.com/jnnonline/abstract/1991/06000/nursing_implications_of_tourette_s_syndrome.4.aspx

  Gilles de la Tourette syndrome is a neurological disorder of gradual childhood onset which usually persists for life. […] Nurses can play a major role in assisting patients and their families, through education and fostering effective coping mechanisms, to adjust to Tourette’s syndrome. […] this article presents the etiology, manifestations, management and nursing implications of Tourette’s syndrome.

• #6 23.6 Tic Disorder and Tourette Syndrome – Psychiatric-Mental Health Nursing | OpenStax

  https://openstax.org/books/psychiatric-mental-health/pages/23-6-tic-disorder-and-tourette-syndrome

  By the end of this section, you will be able to: […] Understand treatment options and the nurses role in treatment of children with tic disorder and Tourette syndrome […] Nurses can educate parents on support systems that are available in the community to help them feel less alone and able to provide comfort and support to their children. […] Nurses support clients and their families through diagnosis, treatment, and management of tic disorders. Nurses can educate parents on psychosocial development in their children and the way their focus changes from family to school to their social circles once they become teenagers. […] Nurses can also teach parents ways to educate their children on tic management for long-term care. Learning how to cope with the effects of tics, physically, educationally, and emotionally are other areas in which a nurse can assist the family. […] The school nurse can be a source of support to the student by giving them a safe space to display their tics, educating staff about Tourette syndrome, and being aware of the medications that the student is taking.

• #7 Tourette Syndrome: Care Considerations Course | Nurse.com

  https://www.nurse.com/ce/tourette-syndrome-care-considerations

  The goal of this course is to equip nursing professionals in the acute care setting with the essential knowledge to care for patients with immunodeficiency diseases. […] After taking this course, you should be able to: Identify the description, etiology, diagnosis, and prognosis of Tourette syndrome. […] Recall the management of Tourette syndrome. […] Recognize the mental, emotional, and educational impacts of Tourette syndrome. […] Children with TS are present in all institutions, most often in schools, where school nurses play a vital role in accommodation. […] This course describes the history, diagnosis, treatment, and management of TS.

• #8 nursing diagnosis for tourette syndrome | Mental health articles

  http://www.mentalhealthmy.com/articles/nursing-diagnosis-for-tourette-syndrome.html

  nursing diagnosis for tourette syndrome as follows: […] Body image disturbance related to tics […] Ineffective coping skills related to increased episodes when stressed […] Disturbance of self-esteem related to tics […] tourette syndrome nursing interventions […] tourette syndrome treatment therapy

• #9 Tourette Syndrome: Symptoms, Treatment, Causes & Self-Care

  https://www.vaia.com/en-us/explanations/nursing/mental-health-nursing/tourette-syndrome/

  Explore the complexities of Tourette Syndrome in this comprehensive guide designed specifically for nursing professionals. You will gain insight into the definition, key characteristics and mental health impacts of this condition. […] The article also focuses on self-care strategies, essential in promoting wellbeing for people living with Tourette Syndrome. […] Effective management of Tourette Syndrome extends beyond treating tics. You’ll need to ensure you can provide holistic care, considering the diverse physical and psychological aspects of the syndrome. […] As a nursing student, it’s crucial to develop a comprehensive understanding of Tourette Syndrome. It is a neurological disorder, often misunderstood and stigmatised, which necessitates empathetic and knowledgeable care. […] The goal of Tourette Syndrome treatment lies not in a cure, as this is currently unavailable, but instead in managing symptoms and improving the quality of life. Approaches range from medical interventions and therapeutic treatment to nutritional considerations; each is an important facet to explore for any aspiring nurses specialising in neurological disorders.

• #10 Tic Disorders and Tourette Syndrome Program | Boston Children’s Hospital

  https://www.childrenshospital.org/programs/tic-disorders-and-tourette-syndrome-program

  Comprehensive care for tic disorders and Tourette syndrome At Boston Childrens, our Tic Disorders and Tourette Syndrome Program takes a multidisciplinary approach to treating and caring for children with tic disorders and Tourette syndrome. Our providers work with our patients and their families to address the complex medical and psychological needs, as well as the social-emotional needs associated with Tourette syndrome and other tic disorders. […] Caring for a child with tic disorders or Tourette syndrome requires a solid understanding of the child, their family dynamics, and psychosocial circumstances. Our goal is to provide each patient with a thorough evaluation so we can give a correct diagnosis and the best possible treatment available. This begins with a detailed medical history to determine the first occurrence of tics as well as possible triggers.

• #11 tourette syndrome nursing interventions | Mental health articles

  http://www.mentalhealthmy.com/articles/tourette-syndrome-nursing-interventions.html

  tourette syndrome nursing interventions as follows: Help the child cope with stressful situations. Assist the child to focus on the childs positive attributes. Explain Tourette syndrome to the child and situations that increase episodes of tics. […] Create a less stressful family environment for the child. Work with the family and school officials to create a less stressful educational environment for the child.

• #12 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Regardless of the severity, when tics appear in children and youths, measures such as observations or watchful waiting can be taken temporarily in lieu of immediate treatment. […] Treatment methods for TS include pharmacological and non-pharmacological interventions. […] Psychoeducation provides youths with TS not only the mental support they need and improves their sleep quality and interpersonal interaction, but also enables their parents and teachers to understand TS and develop strategies to manage tics. […] According to the clinical consensus attained in the latest version of the European clinical guidelines for TS, psychoeducation is recommended as an initial intervention in spite of the patient’s tics severity. […] Parents play an important role not only in helping their children manage their symptoms, but also must endure numerous care-related challenges and stress. […] Providing more social support to these parents can help reduce their parenting stress. […] Therefore, it is suggested that healthcare providers evaluate and understand the care-related needs and opinions of youths with TS and their parents first, and then provide patient education and instruction by using non-medical jargon to improve communication and ensure that the educational measures match the patients’ needs more closely.

• #13 tourette syndrome nursing interventions | Mental health articles

  http://www.mentalhealthmy.com/articles/tourette-syndrome-nursing-interventions.html

  tourette syndrome nursing interventions as follows: Help the child cope with stressful situations. Assist the child to focus on the childs positive attributes. Explain Tourette syndrome to the child and situations that increase episodes of tics. […] Create a less stressful family environment for the child. Work with the family and school officials to create a less stressful educational environment for the child.

• #14 23.6 Tic Disorder and Tourette Syndrome – Psychiatric-Mental Health Nursing | OpenStax

  https://openstax.org/books/psychiatric-mental-health/pages/23-6-tic-disorder-and-tourette-syndrome

  By the end of this section, you will be able to: […] Understand treatment options and the nurses role in treatment of children with tic disorder and Tourette syndrome […] Nurses can educate parents on support systems that are available in the community to help them feel less alone and able to provide comfort and support to their children. […] Nurses support clients and their families through diagnosis, treatment, and management of tic disorders. Nurses can educate parents on psychosocial development in their children and the way their focus changes from family to school to their social circles once they become teenagers. […] Nurses can also teach parents ways to educate their children on tic management for long-term care. Learning how to cope with the effects of tics, physically, educationally, and emotionally are other areas in which a nurse can assist the family. […] The school nurse can be a source of support to the student by giving them a safe space to display their tics, educating staff about Tourette syndrome, and being aware of the medications that the student is taking.

• #15 Tourette Syndrome and Other Tic Disorders – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499958/

  Providing educational material for the parents, which can be shared with teachers, can be helpful. […] The neurobehavioral comorbidities often are more disruptive for children with GTS than the tics themselves, particularly ADHD and OCD symptoms. […] Behavior therapy and/or pharmacological treatment of Tourette syndrome may be indicated if the child is experiencing an impaired quality of life. […] Habit-reversal training (HRT), usually as the main component of comprehensive behavioral intervention for tics (CBIT) is the recommended treatment of choice in the United States practice parameter. […] For children refractory to CBIT and pharmacotherapy, there are a couple of other options. […] The provider should take a holistic approach to the treatment of children with GTS, considering comorbid neurobehavioral conditions. […] Studies show that the school teacher can have a significant impact on the psychosocial experience of a child with Tourette syndrome, positive or negative.

• #16 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Regardless of the severity, when tics appear in children and youths, measures such as observations or watchful waiting can be taken temporarily in lieu of immediate treatment. […] Treatment methods for TS include pharmacological and non-pharmacological interventions. […] Psychoeducation provides youths with TS not only the mental support they need and improves their sleep quality and interpersonal interaction, but also enables their parents and teachers to understand TS and develop strategies to manage tics. […] According to the clinical consensus attained in the latest version of the European clinical guidelines for TS, psychoeducation is recommended as an initial intervention in spite of the patient’s tics severity. […] Parents play an important role not only in helping their children manage their symptoms, but also must endure numerous care-related challenges and stress. […] Providing more social support to these parents can help reduce their parenting stress. […] Therefore, it is suggested that healthcare providers evaluate and understand the care-related needs and opinions of youths with TS and their parents first, and then provide patient education and instruction by using non-medical jargon to improve communication and ensure that the educational measures match the patients’ needs more closely.

• #17 Tourette syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tourette-syndrome/diagnosis-treatment/drc-20350470

  To help your child: […] Be your child’s advocate. Help educate teachers, school bus drivers and others with whom your child interacts regularly. An educational setting that meets your child’s needs such as tutoring, untimed testing to reduce stress, and smaller classes can help. […] Nurture your child’s self-esteem. Support your child’s personal interests and friendships both can help build self-esteem. […] Find a support group. To help you cope, seek out a local Tourette syndrome support group. If there aren’t any, consider starting one.

• #18 23.6 Tic Disorder and Tourette Syndrome – Psychiatric-Mental Health Nursing | OpenStax

  https://openstax.org/books/psychiatric-mental-health/pages/23-6-tic-disorder-and-tourette-syndrome

  By the end of this section, you will be able to: […] Understand treatment options and the nurses role in treatment of children with tic disorder and Tourette syndrome […] Nurses can educate parents on support systems that are available in the community to help them feel less alone and able to provide comfort and support to their children. […] Nurses support clients and their families through diagnosis, treatment, and management of tic disorders. Nurses can educate parents on psychosocial development in their children and the way their focus changes from family to school to their social circles once they become teenagers. […] Nurses can also teach parents ways to educate their children on tic management for long-term care. Learning how to cope with the effects of tics, physically, educationally, and emotionally are other areas in which a nurse can assist the family. […] The school nurse can be a source of support to the student by giving them a safe space to display their tics, educating staff about Tourette syndrome, and being aware of the medications that the student is taking.

• #19 Tourette Syndrome: What Is It, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5554-tourette-syndrome

  Tourette syndrome is a disorder that causes uncontrollable movements and vocal sounds called tics. […] Medication and therapy can help reduce tics. […] Mild tics that dont affect everyday activities might not need treatment. But severe tics can make it hard to function at work, school or in social situations. Some tics even lead to self-injury. In these cases, medication or behavioral therapy may help. […] Your healthcare provider may recommend neuroleptics for Tourette syndrome. Neuroleptics are drugs that limit the activity of dopamine in your brain. […] The tics associated with Tourettes are involuntary, so they arent something you can control. But new therapies help people manage tics and reduce their negative effects. […] Comprehensive Behavioral Intervention for Tics (CBIT) helps people:

• #20 23.6 Tic Disorder and Tourette Syndrome – Psychiatric-Mental Health Nursing | OpenStax

  https://openstax.org/books/psychiatric-mental-health/pages/23-6-tic-disorder-and-tourette-syndrome

  By the end of this section, you will be able to: […] Understand treatment options and the nurses role in treatment of children with tic disorder and Tourette syndrome […] Nurses can educate parents on support systems that are available in the community to help them feel less alone and able to provide comfort and support to their children. […] Nurses support clients and their families through diagnosis, treatment, and management of tic disorders. Nurses can educate parents on psychosocial development in their children and the way their focus changes from family to school to their social circles once they become teenagers. […] Nurses can also teach parents ways to educate their children on tic management for long-term care. Learning how to cope with the effects of tics, physically, educationally, and emotionally are other areas in which a nurse can assist the family. […] The school nurse can be a source of support to the student by giving them a safe space to display their tics, educating staff about Tourette syndrome, and being aware of the medications that the student is taking.

• #21 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Tics are indeed among the primary factors that affect the school life of children with TS. […] Educating school teachers and staff about TS can help youths with TS manage their tics while learning, and also receive the mental and social support they need. […] The aforementioned measures are all salient management strategies that also enable teachers to maintain a positive attitude when they help youths with TS overcome their learning and interpersonal problems. […] While TS is not life-threatening, tics and comorbidities affect a patient’s physical and mental health, family relationships, school life, and social interactions. […] Understanding and listening to the experiences and feelings of youths with TS can help healthcare providers develop health care interventions tailored to the youths’ care needs.

• #22 Treatment of Tourette Syndrome | Tourette Syndrome | CDC

  https://www.cdc.gov/tourette-syndrome/treatment/index.html

  Although there is no cure for Tourette syndrome (TS), medication and behavioral treatments can help manage tics if they get in the way of daily life. […] Training and other educational resources can help parents and schools support children with TS in achieving their full potential. […] Medications can be used to reduce severe or disruptive tics that might have led to problems in the past with family and friends, other students, or coworkers. […] Medications also can be used to reduce symptoms of related conditions, such as ADHD or OCD. […] Behavioral therapy is a treatment that teaches people with TS ways to manage their tics. […] Parent training helps parents better understand their child’s behavioral issues and learn parenting skills specific to these problems. […] Educating others about TS can help someone with TS with school, work, and other activities. […] An Individualized Education Plan (IEP) is necessary for children who need special education services. […] A 504 plan lists your child’s disability and how the school can help.

• #23 Tourette syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tourette-syndrome/diagnosis-treatment/drc-20350470

  To help your child: […] Be your child’s advocate. Help educate teachers, school bus drivers and others with whom your child interacts regularly. An educational setting that meets your child’s needs such as tutoring, untimed testing to reduce stress, and smaller classes can help. […] Nurture your child’s self-esteem. Support your child’s personal interests and friendships both can help build self-esteem. […] Find a support group. To help you cope, seek out a local Tourette syndrome support group. If there aren’t any, consider starting one.

• #24 tourette syndrome nursing interventions | Mental health articles

  http://www.mentalhealthmy.com/articles/tourette-syndrome-nursing-interventions.html

  tourette syndrome nursing interventions as follows: Help the child cope with stressful situations. Assist the child to focus on the childs positive attributes. Explain Tourette syndrome to the child and situations that increase episodes of tics. […] Create a less stressful family environment for the child. Work with the family and school officials to create a less stressful educational environment for the child.

• #25 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Regardless of the severity, when tics appear in children and youths, measures such as observations or watchful waiting can be taken temporarily in lieu of immediate treatment. […] Treatment methods for TS include pharmacological and non-pharmacological interventions. […] Psychoeducation provides youths with TS not only the mental support they need and improves their sleep quality and interpersonal interaction, but also enables their parents and teachers to understand TS and develop strategies to manage tics. […] According to the clinical consensus attained in the latest version of the European clinical guidelines for TS, psychoeducation is recommended as an initial intervention in spite of the patient’s tics severity. […] Parents play an important role not only in helping their children manage their symptoms, but also must endure numerous care-related challenges and stress. […] Providing more social support to these parents can help reduce their parenting stress. […] Therefore, it is suggested that healthcare providers evaluate and understand the care-related needs and opinions of youths with TS and their parents first, and then provide patient education and instruction by using non-medical jargon to improve communication and ensure that the educational measures match the patients’ needs more closely.

• #26 tourette syndrome nursing interventions | Mental health articles

  http://www.mentalhealthmy.com/articles/tourette-syndrome-nursing-interventions.html

  tourette syndrome nursing interventions as follows: Help the child cope with stressful situations. Assist the child to focus on the childs positive attributes. Explain Tourette syndrome to the child and situations that increase episodes of tics. […] Create a less stressful family environment for the child. Work with the family and school officials to create a less stressful educational environment for the child.

• #27 Tourette syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tourette-syndrome/diagnosis-treatment/drc-20350470

  To help your child: […] Be your child’s advocate. Help educate teachers, school bus drivers and others with whom your child interacts regularly. An educational setting that meets your child’s needs such as tutoring, untimed testing to reduce stress, and smaller classes can help. […] Nurture your child’s self-esteem. Support your child’s personal interests and friendships both can help build self-esteem. […] Find a support group. To help you cope, seek out a local Tourette syndrome support group. If there aren’t any, consider starting one.

• #28 Tourette Syndrome – Neurology Services – MultiCare Mary Bridge Children’s Hospital & Health NetworkLevel Access website accessibility icon.

  https://www.marybridge.org/services/neurology/conditions-treatments/tourette-syndrome/

  Tourette syndrome is a condition that causes sudden, repeated movements or sounds called tics. Mary Bridge Children’s offers expert care and personalized support for children with Tourette syndrome, including medical management, referrals to behavioral specialists and assistance with school accommodations. […] For many children with Tourette syndrome, tics do not require treatment because they do not interfere with everyday life. When tics are painful, cause injury or affect daily functioning or stress levels, medication and behavioral therapy can help. […] Our team of experts provides treatment and services that include: […] Care coordination. Our nurse navigators can help coordinate care, manage school issues and direct you to Tourette syndrome resources. The complex care team also helps streamline treatment for children with severe conditions.

• #29 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Regardless of the severity, when tics appear in children and youths, measures such as observations or watchful waiting can be taken temporarily in lieu of immediate treatment. […] Treatment methods for TS include pharmacological and non-pharmacological interventions. […] Psychoeducation provides youths with TS not only the mental support they need and improves their sleep quality and interpersonal interaction, but also enables their parents and teachers to understand TS and develop strategies to manage tics. […] According to the clinical consensus attained in the latest version of the European clinical guidelines for TS, psychoeducation is recommended as an initial intervention in spite of the patient’s tics severity. […] Parents play an important role not only in helping their children manage their symptoms, but also must endure numerous care-related challenges and stress. […] Providing more social support to these parents can help reduce their parenting stress. […] Therefore, it is suggested that healthcare providers evaluate and understand the care-related needs and opinions of youths with TS and their parents first, and then provide patient education and instruction by using non-medical jargon to improve communication and ensure that the educational measures match the patients’ needs more closely.

• #30 Tourette Syndrome and Other Tic Disorders – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499958/

  Providing educational material for the parents, which can be shared with teachers, can be helpful. […] The neurobehavioral comorbidities often are more disruptive for children with GTS than the tics themselves, particularly ADHD and OCD symptoms. […] Behavior therapy and/or pharmacological treatment of Tourette syndrome may be indicated if the child is experiencing an impaired quality of life. […] Habit-reversal training (HRT), usually as the main component of comprehensive behavioral intervention for tics (CBIT) is the recommended treatment of choice in the United States practice parameter. […] For children refractory to CBIT and pharmacotherapy, there are a couple of other options. […] The provider should take a holistic approach to the treatment of children with GTS, considering comorbid neurobehavioral conditions. […] Studies show that the school teacher can have a significant impact on the psychosocial experience of a child with Tourette syndrome, positive or negative.

• #31 ‘Tics’ and Tricks: What Nurses Should Know About Tourette’s

  https://www.linkedin.com/pulse/tics-tricks-what-nurses-should-know-tourettes-emily-rose-minter

  Tourettes syndrome is a neurodevelopmental disorder, with onset before 18 years of age, that is known for the presence of persistent, and often debilitating, vocal and motor tics. […] Both patients and their parents are significantly affected by the complexity of treating this disorder, and many parents report being overwhelmed and uncertain what the best plan of care might be. […] Standard treatments primarily focus on controlling behavioral issues by means of prescription medications. […] Research is still ongoing in terms of identifying clear biological causes of Tourettes and whether or not certain interventions, such as magnesium and vitamin B6 supplements, could replace the use of medications with unwanted side effects. […] The biggest issue with this treatment is a shortage of clinical professionals trained to administer the intervention.

• #32 UNC Clinic for Tourette Syndrome and Tic Disorders | Department of Neurology

  https://www.med.unc.edu/neurology/divisions/child-neurology-1/unc-tourette-syndrome-and-tic-disorders-clinic/

  At UNC, we aim to give each child personalized care. […] This plan might include watching the tics without treatment, using Comprehensive Behavioral Intervention for Tics (CBIT), medication, or addressing other conditions. […] Addressing these psychiatric symptoms for all illnesses is important in comprehensive care of tic disorders. […] For many children, tics are very mild and may not warrant treatment. However, tics can sometimes be bothersome and negatively affect a child in many different ways including issues with self-esteem, bullying, and pain in rare cases. In these cases, treatment for tics may be warranted. […] The treatment of choice is a type of behavioral therapy called Comprehensive Behavioral Intervention for Tics (CBIT). […] Greater than 50% of children who complete a course of CBIT go on to have long-term improvement in their tic control. […] Medication options also exist to help manage tics. There is no medication that is a cure for tics, but they can help improve both the frequency and/or severity of a child’s tics. Multiple medications exist to help tics.

• #33 Tourette Syndrome | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/neurosciences/movement-disorders/tourette-syndrome/specialists-and-care-centers

  At Northwestern Medicine Parkinson’s Disease and Movement Disorders Center, our goal is to help our patients manage their tics and improve their quality of life. […] Tourette Association of America Centers of Excellence are medical institutions that offer the highest level of care, perform groundbreaking research, are leaders in training and education and do exceptional community outreach and advocacy for Tourette syndrome and other tic disorders. […] CBIT is a non-medication treatment. It is highly-structured therapy. Studies show that more than half of patients who do CBIT have major reductions in tic severity and an improved ability to do daily tasks. CBIT is not a cure for tic disorders. However, CBIT can help patients manage their tics and improve their quality of life.

• #34 UNC Clinic for Tourette Syndrome and Tic Disorders | Department of Neurology

  https://www.med.unc.edu/neurology/divisions/child-neurology-1/unc-tourette-syndrome-and-tic-disorders-clinic/

  At UNC, we aim to give each child personalized care. […] This plan might include watching the tics without treatment, using Comprehensive Behavioral Intervention for Tics (CBIT), medication, or addressing other conditions. […] Addressing these psychiatric symptoms for all illnesses is important in comprehensive care of tic disorders. […] For many children, tics are very mild and may not warrant treatment. However, tics can sometimes be bothersome and negatively affect a child in many different ways including issues with self-esteem, bullying, and pain in rare cases. In these cases, treatment for tics may be warranted. […] The treatment of choice is a type of behavioral therapy called Comprehensive Behavioral Intervention for Tics (CBIT). […] Greater than 50% of children who complete a course of CBIT go on to have long-term improvement in their tic control. […] Medication options also exist to help manage tics. There is no medication that is a cure for tics, but they can help improve both the frequency and/or severity of a child’s tics. Multiple medications exist to help tics.

• #35 Tourette syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tourette-syndrome/diagnosis-treatment/drc-20350470

  Our caring team of Mayo Clinic experts can help you with your Tourette syndrome-related health concerns […] There’s no cure for Tourette syndrome. Treatment is aimed at controlling tics that interfere with everyday activities and functioning. When tics aren’t severe, treatment might not be necessary. […] Medications to help control tics or reduce symptoms of related conditions include: […] Behavior therapy. Cognitive Behavioral Interventions for Tics, including habit-reversal training, can help you monitor tics, identify premonitory urges and learn to voluntarily move in a way that’s incompatible with the tic. […] In addition to helping you cope with Tourette syndrome, psychotherapy can help with accompanying problems, such as ADHD, obsessions, depression or anxiety. […] For severe tics that don’t respond to other treatment, DBS might help. DBS involves implanting a battery-operated medical device in the brain to deliver electrical stimulation to targeted areas that control movement. However, this treatment is still in the early research stages and needs more research to determine if it’s a safe and effective treatment for Tourette syndrome.

• #36 Tourette Syndrome Clinic | Vanderbilt Children’s Hospital Nashville, TN

  https://www.childrenshospitalvanderbilt.org/clinic/tourette-syndrome

  We help patients connect with community patient and caregiver support groups, recognizing that managing Tourette syndrome includes relationships outside the clinic. […] We offer a full range of tests, treatments, and services including: Behavioral therapies, including comprehensive behavioral intervention for tics (CBIT) […] Medications targeting tics and co-occurring psychiatric disorders (e.g., ADHD, OCD), including central adrenergic inhibitors, anti-seizure medications, antidepressants, anxiolytics, neuroleptics, stimulants, and botulinum toxin injections.

• #37 Tourette Syndrome: What Is It, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5554-tourette-syndrome

  Tourette syndrome is a disorder that causes uncontrollable movements and vocal sounds called tics. […] Medication and therapy can help reduce tics. […] Mild tics that dont affect everyday activities might not need treatment. But severe tics can make it hard to function at work, school or in social situations. Some tics even lead to self-injury. In these cases, medication or behavioral therapy may help. […] Your healthcare provider may recommend neuroleptics for Tourette syndrome. Neuroleptics are drugs that limit the activity of dopamine in your brain. […] The tics associated with Tourettes are involuntary, so they arent something you can control. But new therapies help people manage tics and reduce their negative effects. […] Comprehensive Behavioral Intervention for Tics (CBIT) helps people:

• #38 Tourette syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tourette-syndrome/diagnosis-treatment/drc-20350470

  Our caring team of Mayo Clinic experts can help you with your Tourette syndrome-related health concerns […] There’s no cure for Tourette syndrome. Treatment is aimed at controlling tics that interfere with everyday activities and functioning. When tics aren’t severe, treatment might not be necessary. […] Medications to help control tics or reduce symptoms of related conditions include: […] Behavior therapy. Cognitive Behavioral Interventions for Tics, including habit-reversal training, can help you monitor tics, identify premonitory urges and learn to voluntarily move in a way that’s incompatible with the tic. […] In addition to helping you cope with Tourette syndrome, psychotherapy can help with accompanying problems, such as ADHD, obsessions, depression or anxiety. […] For severe tics that don’t respond to other treatment, DBS might help. DBS involves implanting a battery-operated medical device in the brain to deliver electrical stimulation to targeted areas that control movement. However, this treatment is still in the early research stages and needs more research to determine if it’s a safe and effective treatment for Tourette syndrome.

• #39 Tourette Disorder | NYU Langone Health

  https://nyulangone.org/conditions/tourette-disorder

  Habit reversal therapy can be useful in reducing repetitive behaviors in people with Tourette disorder. […] If Tourette disorder symptoms impair daily life, doctors may prescribe medication to manage or suppress tics. […] Deep brain stimulation may be an option for young adults and adults with severe Tourette disorder symptoms.

• #40 Tourette Syndrome | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/tourettes-syndrome

  Baptist Health is known for advanced, superior care of patients with neurological disorders and the diagnosis, management and treatment of Tourette syndrome. Our 24/7 inpatient neurology and neurosurgery services, as well as our outpatient services, Home Health, physical, occupational, speech and cognitive therapy services are available to help treat people with Tourette syndrome. […] Treatment is focused on controlling the tics that interfere with activities of daily living. […] Medications can be prescribed to help control the tics, increase attention and concentration, control impulses and alleviate depression and anxiety. […] Different therapies can help a person control behavior and cope with stress. […] Some types of tics can be controlled with implantation of devices. Deep brain stimulation (DBS) is a procedure that implants electrodes into the brain which send programmed electrical impulses to the area of the brain affected by the disorder.

• #41 Tourette Syndrome and Other Tic Disorders – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499958/

  Providing educational material for the parents, which can be shared with teachers, can be helpful. […] The neurobehavioral comorbidities often are more disruptive for children with GTS than the tics themselves, particularly ADHD and OCD symptoms. […] Behavior therapy and/or pharmacological treatment of Tourette syndrome may be indicated if the child is experiencing an impaired quality of life. […] Habit-reversal training (HRT), usually as the main component of comprehensive behavioral intervention for tics (CBIT) is the recommended treatment of choice in the United States practice parameter. […] For children refractory to CBIT and pharmacotherapy, there are a couple of other options. […] The provider should take a holistic approach to the treatment of children with GTS, considering comorbid neurobehavioral conditions. […] Studies show that the school teacher can have a significant impact on the psychosocial experience of a child with Tourette syndrome, positive or negative.

• #42 Tourette Syndrome | Movement Disorders We Treat | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/movement-disorders/movement-disorders-we-treat/tourette-syndrome

  Our psychologists, psychiatrists and licensed clinical social workers offer therapies to help manage tics and cope with related problems. Cognitive Behavioral Interventions for Tics (CBIT) and psychotherapy (talk therapy) are particularly helpful. […] We may recommend surgery for more severe tics, if medications and therapy dont provide enough relief. Our expert neurosurgeons are leaders in deep brain stimulation (DBS) to treat Tourette syndrome. […] People with Tourette syndrome may also have certain other behavioral, emotional or learning disorders and difficulties. The conditions we treat along with Tourette syndrome include: Attention-deficit/hyperactivity disorder (ADHD), Obsessive-compulsive disorder (OCD), Anxiety and depression, Insomnia (sleep difficulties), Autism spectrum disorder, Learning disorders and development delays.

• #43 Tourette Syndrome | Baylor Medicine

  https://www.bcm.edu/healthcare/specialties/neurology/parkinsons-disease-and-movement-disorders/tourette-syndrome

  Tourette syndrome is often accompanied by obsessive-compulsive disorder, attention deficit-hyperactivity disorder, poor impulse control, and other behavioral problems. […] Educating parents, teachers and school administrators as well as healthcare professionals is crucial in early recognition of symptoms, confirming a diagnosis, and initiating appropriate treatment. […] The clinician must consider which component of Tourette syndrome to medicate; the obsession that triggers the tic, the tic itself, or both. […] The goal of treatment should not be to completely eliminate all the tics, but to achieve a tolerable suppression. […] Optimal management of Tourette syndrome requires the integrated experience of various disciplines of educators, physicians, allied healthcare professionals, psychologists and social workers.

• #44 Tic Disorders and Tourette Syndrome Program | Boston Children’s Hospital

  https://www.childrenshospital.org/programs/tic-disorders-and-tourette-syndrome-program

  We work with an excellent team of doctors and nurses from across Boston Childrens to provide care in many areas, including anxiety spectrum disorders, obsessive-compulsive disorder, depressive disorders (Department of Psychiatry and Behavioral Sciences), learning disabilities (Learning Disabilities Program), autism spectrum disorder (Autism Spectrum Center), developmental delays, behavioral problems, and rage attacks (Developmental Medicine Center), and sleep problems (Sleep Center). From our first meeting, we talk honestly about the risk of bullying of children with tics and try to prevent it. When it happens, we refer our patients to our BACPAC program (Bullying and Cyberbullying Prevention and Advocacy Center). […] We also collaborate with a team of psychologists and therapists in the community to provide therapy for tics, anxiety, and OCD, as well as neuropsychological testing. We hope to inspire more providers to specialize in treating tics.

• #45 Tourette Syndrome: Symptoms, Treatment, Causes & Self-Care

  https://www.vaia.com/en-us/explanations/nursing/mental-health-nursing/tourette-syndrome/

  Treating Tourette Syndrome is multi-faceted, encompassing different methods depending on the individual’s unique symptoms and reactions. As a nurse, understanding these treatment options and advocating for holistic, individualised care will be key in aiding people with TS to navigate their journey and live their life to the fullest potential. […] The journey towards managing Tourette Syndrome is not restricted to medications and therapies alone. Self-care plays a crucial role in improving the quality of life and fostering resiliency for individuals with TS. […] Each of these areas can aid you as a nurse in guiding individuals with TS towards a balanced lifestyle. […] Whether it’s through established routine, acquired stress-management techniques, or nurturing social relationships, effective self-care can significantly contribute to managing Tourette Syndrome. As future nurses dealing with neurological disorders, understanding the importance of these self-care strategies is crucial to providing comprehensive care to your patients.

• #46 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Living-with-Tourette-syndrome.aspx

  In many cases, patients are able to reduce the frequency and severity of tics significantly with the use of self-help tips and simple lifestyle changes. […] There are three main pharmaceutical management options that can be used to improve the quality of life for individuals living with Tourette syndrome. […] Psychotherapy and the involvement of a counselor can help individuals to cope with the social and emotional stress that is associated with Tourette syndrome.

• #47 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Tics are indeed among the primary factors that affect the school life of children with TS. […] Educating school teachers and staff about TS can help youths with TS manage their tics while learning, and also receive the mental and social support they need. […] The aforementioned measures are all salient management strategies that also enable teachers to maintain a positive attitude when they help youths with TS overcome their learning and interpersonal problems. […] While TS is not life-threatening, tics and comorbidities affect a patient’s physical and mental health, family relationships, school life, and social interactions. […] Understanding and listening to the experiences and feelings of youths with TS can help healthcare providers develop health care interventions tailored to the youths’ care needs.

• #48 Pediatric Tourette Syndrome – Conditions and Treatments | Children’s National Hospital

  https://www.childrensnational.org/get-care/health-library/tourette-syndrome

  A treatment called comprehensive behavioral intervention for tics can help children deal with tics and reduce tics. […] Your child may need medicines if they have related conditions such as ADHD, OCD or a mood disorder. Talk with your child’s healthcare providers about the risks, benefits and possible side effects of all medicines. […] Your child may need support and help with: Self-esteem; Relationships with family and friends; Classroom participation. […] Develop a strong, positive relationship with your child’s educational team. Depending on how severe the disorder is, they can both support your child in the classroom and also help with social situations. […] Seek professional counseling for your child and their siblings to help deal with the emotional impact of Tourette syndrome. Talk with your child’s healthcare provider and school staff about the best ways to support your child.

• #49 Centers of Excellence Locations – Tourette Association of America

  https://tourette.org/about-tourette/overview/centers-of-excellence/center-excellence-locations/

  The Tourette Center at Arkansas Childrens Hospital strives to provide the highest level of care for children with Tourette syndrome and Tic Disorders. […] Our program has comprehensive expertise in multidisciplinary management of Tourette syndrome spanning from childhood to adulthood. […] We provide up to date, evidence based, individualized care including the latest medical and behavioral approaches to the management of children and adults with tics disorders and their co-morbidities. […] Our center specializes in individualized care for children and adults with Tourette syndrome and other tic disorders. […] We have a multidisciplinary team of providers including neurologists, psychiatrists, psychologists and neurosurgeons. […] The COA/UAB TS Center of Excellence is the only specialized Tourette program in the state of Alabama.

• #50 Centers of Excellence Locations – Tourette Association of America

  https://tourette.org/about-tourette/overview/centers-of-excellence/center-excellence-locations/

  The Tourette Center at Arkansas Childrens Hospital strives to provide the highest level of care for children with Tourette syndrome and Tic Disorders. […] Our program has comprehensive expertise in multidisciplinary management of Tourette syndrome spanning from childhood to adulthood. […] We provide up to date, evidence based, individualized care including the latest medical and behavioral approaches to the management of children and adults with tics disorders and their co-morbidities. […] Our center specializes in individualized care for children and adults with Tourette syndrome and other tic disorders. […] We have a multidisciplinary team of providers including neurologists, psychiatrists, psychologists and neurosurgeons. […] The COA/UAB TS Center of Excellence is the only specialized Tourette program in the state of Alabama.

• #51 Tourette and Tic Disorders Program | Phoenix Children’s Hospital

  https://phoenixchildrens.org/specialties-conditions/tourette-and-tic-disorders-program

  At Phoenix Childrens, we make every effort to evaluate and identify children with Tourettes and related disorders as early as possible. […] We take a comprehensive approach to care, collectively creating a treatment plan that best fits your child and family. […] We help your child learn to understand and manage their Tourette syndrome and live life to its fullest. […] Our team is here to help your child at any age and continue consultation or care as needed into adolescence and adulthood. […] Our designation as a Tourette Association of America Center of Excellence recognizes our consistently exceptional level of personalized and compassionate clinical care. […] Our team is focused on providing the best therapies and resources based on current scientific knowledge about this condition.

• #52 Tourette Syndrome | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/neurosciences/movement-disorders/tourette-syndrome/specialists-and-care-centers

  The care team at the Northwestern Medicine Parkinson’s Disease and Movement Disorders Center uses a complete and multidisciplinary approach. They work with you to manage your Tourette syndrome and improve your quality of life. […] Your care team may include experts in: Neurology, Psychiatry, Social work, Pharmaceuticals, Surgery. […] As a Center of Excellence, Northwestern Medicine gives patients: Timely and proper evaluations of Tourette syndrome and related conditions, Access to clinical research studies that give a better understanding of Tourette syndrome and tic disorders to help create effective and safe treatments, Trained healthcare professionals specializing in Tourette syndrome, tic disorders and related disorders, Support groups to educate patients, families and the public on Tourette syndrome and tic disorders.

• #53 Tourette Syndrome Resources for Medical Providers & Allied Health Professionals – Tourette Association of America

  https://tourette.org/resources-for-med/

  In collaboration with the CDC, the Tourette Association of America (TAA) is thrilled to offer free CMEs and CEUs for medical providers and allied health professionals to learn more about Tourette Syndrome and other Tic Disorders. Participants will learn from experts in the field and walk away with knowledge and skillsets to better understand and treat their patients with Tourette Syndrome or Tic Disorders. […] This enduring activity is designed to increase knowledge and change competency of diagnostic criteria for Tourette Syndrome and other Tic Disorders, as well as a means for assimilating these criteria into the audiences existing patient interview/assessment process. In addition, the presentation provides a basic overview of the various management/treatment strategies used among patients presenting with tics, as well as items or issues of concern to look for related to commonly co-occurring conditions among this population.

• #54 Centers of Excellence Locations – Tourette Association of America

  https://tourette.org/about-tourette/overview/centers-of-excellence/center-excellence-locations/

  The TAA Center of Excellence at Texas Childrens Hospital provides comprehensive, multidisciplinary, and compassionate evaluation and care for children and teens with tics and Tourette syndrome. […] The TAA Center of Excellence at Baylor College of Medicine provides a multidisciplinary team approach that integrates neurologists, psychiatrists, neuropsychologists, psychologists, social workers, and experts in behavioral therapy. […] The TAA Center of Excellence at UCLA provides a full continuum of clinical care through a comprehensive network of clinical services located in the Departments of Psychiatry and Neurology. […] Our center provides comprehensive multidisciplinary care across the lifespan including medical, behavioral, and surgical treatments. […] We provide an integrated service to our patients beginning with comprehensive assessment, and including, as indicated, behavioral therapy; medication management; consultation with schools, pediatricians, and community clinicians; and parent management training. […] We provide comprehensive multidisciplinary care across the lifespan including medical, behavioral, and surgical treatments. […] Our center provides comprehensive care for individuals with Tourette Syndrome and its related disorders.

• #55 Comprehensive Care for Tourette Syndrome – Vanderbilt Discover

  https://discoveries.vanderbilthealth.com/2022/02/a-comprehensive-care-model-for-tourette-syndrome/

  A multidisciplinary team of providers treat related conditions to help patients lead better lives. […] We are assessing and treating not only tics but also the psychiatric and psychological symptoms that are often associated with the syndrome. […] Many of the adult patients I see with Tourette syndrome have struggled to find appropriate resources because it is often considered a pediatric syndrome, Riordan said. […] The Comprehensive Behavioral Intervention for Tics (CBIT) protocol used at the clinic is a program that helps patients learn to anticipate and create a competing response to tics. […] To address broader concerns, the clinics team also teaches relaxation and emotion regulation techniques that help not just with tics but with the anxiety, depression and obsessive-compulsive symptoms associated with the cortico-striato-thalamo-cortical loop dysfunction thought to be at the root of Tourette syndrome.

• #56 Tourette Syndrome Center | Children’s Mercy Kansas City

  https://www.childrensmercy.org/departments-and-clinics/neurology/tourette-syndrome-center/

  Children with Tourette syndrome receive the highest level of care in the Midwest at the Childrens Mercy Tourette Syndrome Center of Excellence the nations only center of excellence devoted exclusively to kids. […] We work with children and families every day to understand each childs unique situation and build a personalized care plan for your child. […] Because Tourette syndrome is a neuropsychiatric condition, we bring together experts from several different departments to collaborate on a care plan. Your childs care team will be hand-selected based on information you share with our intake coordinator. The personalized care team for your child may include neurologists, child and adolescent psychiatrists, neuropsychologists, occupational therapists, and family therapists. […] Your care team is housed together at our Childrens Mercy Northland location, making it easy for your child to access the care they need in one place.

• #57 Managing the Tics of Tourette Syndrome | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2022/02/managing-tics-of-tourette-syndrome

  Tourette Syndrome is a neurological disorder that involves abnormal extra movements, or sounds that can be sudden and unwanted. […] Alshaikh advises Tourette Syndrome patients seeking tic treatment should begin with CBIT as behavioral therapy doesn’t cause side effects like medications potentially can. […] The main limitation with CBIT is the scarcity of therapists or health care professionals who are trained in administering this treatment. […] If CBIT is not available or not sufficient to manage bothersome tics, Alshaikh says medications can be prescribed. […] It’s important to educate families, schools, and the community about the involuntary nature of tic disorders to help minimize bullying and stigma while providing support for tic patients.

• #58 Tic Disorders | University of Iowa Health Care Stead Family Children’s Hospital

  https://uihc.org/childrens/services/tic-disorders

  Children with Tourette syndrome can have both body and vocal tics. […] Our team of experts design individualized treatment plans for children with tic disorders. Treatment plan may include all or some combination of the following: Medication management, Educational consultation and testing, Psychological testing, Individual therapy, Referral for family counseling, Consultation with local providers. […] We provide education and training about tics to parents, teachers, students, social workers, doctors and other health professionals throughout the state.

• #59 Comprehensive Care for Tourette Syndrome – Vanderbilt Discover

  https://discoveries.vanderbilthealth.com/2022/02/a-comprehensive-care-model-for-tourette-syndrome/

  This work, we believe, will draw attention to the need for comprehensive care for adults with Tourette syndrome, care that must extend beyond tics and begin to systematically incorporate psychosocial health. […] Controlling tics is still at the root of Tourette syndrome care, and Isaacs says ecopipam is a promising new medication currently under study. […] A lot of what we do is aimed at raising awareness in the medical community, as well as in the general public, she said. […] Our working group has become a wonderful network that helps all of us participating to learn from each other, with the goal of providing the best, most up-to-date care possible.

• #60 12 ways to support your friend with Tourette’s

  https://neuronup.us/cognitive-stimulation-news/neurodevelopmental-disorders/tourette-syndrome/12-ways-to-support-your-friend-with-tourettes/

  Tourette syndrome can be a difficult topic to talk about, both for the individuals who have it and for those interacting with them. But as with any other disorder, it is important not to ignore it, and instead, to familiarize oneself with it and treat it naturally. […] If you ever come across someone with this disorder, but especially if you have a friend with Tourettes (or a family member, co-worker, or even just an acquaintance), its important that you learn what makes them feel comfortable and what doesnt. […] These are the 12 ways to support your friend with Tourette syndrome: […] Ignoring the tics, pretending they dont bother you, or simply not reacting to them is the best thing you can do. […] If your friend notices that other people notice their tics, they will become more stressed out, which will result in an increase in their tics, which in turn will upset them because they cant control them, which will stress them out further, leading to a vicious cycle that contribute to an increase in tics.

• #61 12 ways to support your friend with Tourette’s

  https://neuronup.us/cognitive-stimulation-news/neurodevelopmental-disorders/tourette-syndrome/12-ways-to-support-your-friend-with-tourettes/

  If your friend has a tic of any kind that interrupts speech, try to be patient and let him or her express their thoughts. […] Its a good idea to listen and observe your friend before asking about their tics to see how comfortable they are and whether they take it naturally or not. […] The best way you can care for someone with Tourettes is to love them as they are. […] If you try to help them, for example, by asking them whether they have tried a certain cure or by recommending a treatment you have read about, they may feel that you are confirming what they already believe about themselves: that there is something unacceptable about them that you wish you could change. […] If you notice that your friend is having a tic fit, this probably means that they may be more nervous or anxious than usual for some reason.

• #62 12 ways to support your friend with Tourette’s

  https://neuronup.us/cognitive-stimulation-news/neurodevelopmental-disorders/tourette-syndrome/12-ways-to-support-your-friend-with-tourettes/

  In these kinds of situations, you could help your friend by subtly offering a way out from the distressing situation; to be subtle is important, otherwise your help could be counterproductive and make your friend more overexcited and have more tics. […] Hugs make us feel better and can calm us down by deactivating the sympathetic nervous system, therefore reducing anxiety. […] This is a sensitive issue. […] Never tell children with Tourettes that they are being naughty, causing trouble, playing up or making a show, and believe them when they tell you they are not doing it on purpose. […] Each of these situations would make us feel terrible; defend your friend and those who cant help it. […] Your friend is fighting daily battles on multiple fronts: there is the battle with the tics (these are also distracting to them and interrupt their activities); there is the battle of acceptance in society (your friend just wishes they could walk down the street without getting odd stares or unpleasant and even cruel comments); there is the battle of acceptance in family and friends (if you have enough support at home, youll feel more prepared to face the world); and finally, there is the battle of self-acceptance (again, the support, respect, and affection of family and friends is essential here, without these, your friend will find it difficult to feel that they are worthy of love).

• #63 Tourette Syndrome: Symptoms, Treatment, Causes & Self-Care

  https://www.vaia.com/en-us/explanations/nursing/mental-health-nursing/tourette-syndrome/

  Explore the complexities of Tourette Syndrome in this comprehensive guide designed specifically for nursing professionals. You will gain insight into the definition, key characteristics and mental health impacts of this condition. […] The article also focuses on self-care strategies, essential in promoting wellbeing for people living with Tourette Syndrome. […] Effective management of Tourette Syndrome extends beyond treating tics. You’ll need to ensure you can provide holistic care, considering the diverse physical and psychological aspects of the syndrome. […] As a nursing student, it’s crucial to develop a comprehensive understanding of Tourette Syndrome. It is a neurological disorder, often misunderstood and stigmatised, which necessitates empathetic and knowledgeable care. […] The goal of Tourette Syndrome treatment lies not in a cure, as this is currently unavailable, but instead in managing symptoms and improving the quality of life. Approaches range from medical interventions and therapeutic treatment to nutritional considerations; each is an important facet to explore for any aspiring nurses specialising in neurological disorders.

• #64 Tourette and Tic Disorders Program | Phoenix Children’s Hospital

  https://phoenixchildrens.org/specialties-conditions/tourette-and-tic-disorders-program

  Tics and Tourette syndrome are neurological disorders characterized by sudden, repetitive, involuntary movements or sounds. […] At Barrow Neurological Institute at Phoenix Childrens, we offer comprehensive evaluation and treatment for tics and Tourette syndrome, providing specialized care through our designated Tourette Association of America Center of Excellence. […] We approach each child with empathy, respect and individualized attention, ensuring each child receives the care they deserve. […] Our mission is to empower your child to thrive by offering them the support and care they need during their critical growing years. […] We work to address all questions and concerns that each family may have based on their childs unique history and symptoms. […] We also have health care professionals who specialize in Comprehensive Behavior Intervention for Tics (CBIT).

• #65 Tourette syndrome: Management – UpToDate

  https://www.uptodate.com/contents/tourette-syndrome-management

  Tourette syndrome (TS) is a neurologic disorder manifested by motor and phonic tics with onset during childhood. This topic will review the management of TS. Other aspects of TS are reviewed separately. […] The management of TS requires a careful assessment of the degree of functional impairment and effect on quality of life caused by tics and comorbid conditions. Education is indicated for all. […] Education about TS, its comorbid conditions, and its natural history is important for the patient, family, peers, teachers, employers, and all who interact with the patient. There is no substitute for candid discussion with the patient and family about the fluctuating nature of tics and the need to individualize therapy and tailor it to the specific needs of the patient.

• #66 UNC Clinic for Tourette Syndrome and Tic Disorders | Department of Neurology

  https://www.med.unc.edu/neurology/divisions/child-neurology-1/unc-tourette-syndrome-and-tic-disorders-clinic/

  At UNC, we aim to give each child personalized care. […] This plan might include watching the tics without treatment, using Comprehensive Behavioral Intervention for Tics (CBIT), medication, or addressing other conditions. […] Addressing these psychiatric symptoms for all illnesses is important in comprehensive care of tic disorders. […] For many children, tics are very mild and may not warrant treatment. However, tics can sometimes be bothersome and negatively affect a child in many different ways including issues with self-esteem, bullying, and pain in rare cases. In these cases, treatment for tics may be warranted. […] The treatment of choice is a type of behavioral therapy called Comprehensive Behavioral Intervention for Tics (CBIT). […] Greater than 50% of children who complete a course of CBIT go on to have long-term improvement in their tic control. […] Medication options also exist to help manage tics. There is no medication that is a cure for tics, but they can help improve both the frequency and/or severity of a child’s tics. Multiple medications exist to help tics.

• #67 tourette syndrome nursing interventions | Mental health articles

  http://www.mentalhealthmy.com/articles/tourette-syndrome-nursing-interventions.html

  tourette syndrome nursing interventions as follows: Help the child cope with stressful situations. Assist the child to focus on the childs positive attributes. Explain Tourette syndrome to the child and situations that increase episodes of tics. […] Create a less stressful family environment for the child. Work with the family and school officials to create a less stressful educational environment for the child.

• #68 Comprehensive Care for Tourette Syndrome – Vanderbilt Discover

  https://discoveries.vanderbilthealth.com/2022/02/a-comprehensive-care-model-for-tourette-syndrome/

  A multidisciplinary team of providers treat related conditions to help patients lead better lives. […] We are assessing and treating not only tics but also the psychiatric and psychological symptoms that are often associated with the syndrome. […] Many of the adult patients I see with Tourette syndrome have struggled to find appropriate resources because it is often considered a pediatric syndrome, Riordan said. […] The Comprehensive Behavioral Intervention for Tics (CBIT) protocol used at the clinic is a program that helps patients learn to anticipate and create a competing response to tics. […] To address broader concerns, the clinics team also teaches relaxation and emotion regulation techniques that help not just with tics but with the anxiety, depression and obsessive-compulsive symptoms associated with the cortico-striato-thalamo-cortical loop dysfunction thought to be at the root of Tourette syndrome.

• #69 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Tourette syndrome (TS) is a neurodevelopmental movement characterized by abrupt, rapid, repetitive, and non-rhythmic tics. […] Treatment is necessary when the children experience physical discomfort, functional dysfunction, and poor interpersonal interaction and mental health. […] This review summarizes the symptom management and nursing care measures for youths with TS. Understanding and listening to the healthcare problems of youths with TS can help providers develop healthcare interventions tailored to the youths’ needs. […] Providing the youths with strategies to reduce the tics’ interference with their learning outcomes and helping them develop strategies to cope with diverse interpersonal interactions at school are also important. […] Further, enhancing acceptance given by parents, teachers, and peers, as well as improving the general public’s understanding of TS are important measures that promote the youths’ social adjustment as well as their ability to coexist with TS.

• #70 ‘Tics’ and Tricks: What Nurses Should Know About Tourette’s

  https://www.linkedin.com/pulse/tics-tricks-what-nurses-should-know-tourettes-emily-rose-minter

  Therapies such as CBIT are evidence-based and may offer more effective long-term management of Tourettes syndrome. […] In addition to compassionate care, children diagnosed with Tourettes need access to the treatments that will improve their quality of life, and it is important to note that this does not always mean simply negating their external symptoms.

• #71 Living with tics: Nursing care of pediatric tourette syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9250087/

  Tourette syndrome (TS) is a neurodevelopmental movement characterized by abrupt, rapid, repetitive, and non-rhythmic tics. […] Treatment is necessary when the children experience physical discomfort, functional dysfunction, and poor interpersonal interaction and mental health. […] This review summarizes the symptom management and nursing care measures for youths with TS. Understanding and listening to the healthcare problems of youths with TS can help providers develop healthcare interventions tailored to the youths’ needs. […] Providing the youths with strategies to reduce the tics’ interference with their learning outcomes and helping them develop strategies to cope with diverse interpersonal interactions at school are also important. […] Further, enhancing acceptance given by parents, teachers, and peers, as well as improving the general public’s understanding of TS are important measures that promote the youths’ social adjustment as well as their ability to coexist with TS.

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