Tourette's syndrome, Part II: Contemporary approaches to assessment and treatment.
Clinical assessment of a child with Tourette's syndrome (TS) includes a careful review of motor and phonic tics. In addition, commonly associated problems of such as obsessive-compulsive symptoms, or symptoms of attention deficit hyperactivity disorder (inattention, impulsiveness, and overactivity) should also be evaluated. Treatment almost always includes education of the child, family, and school personnel concerning the natural history and behavioral boundaries of the disorder. Other treatment interventions depend to a great extent on the primary source of impairment. This article, the second of two parts, presents three illustrative cases and reviews current treatment interventions for children and adolescents with TS.
Scahill
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Yale School of Medicine, Yale Child Study Center, New Haven, CT 06510.
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Hardin
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D000293:Adolescent; D000328:Adult; D002648:Child; D003000:Clonidine / Q000008:administration & dosage / Q000009:adverse effects; D003131:Combined Modality Therapy; D004519:Education, Special; D005260:Female; D006220:Haloperidol / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D009730:Nursing Assessment; D010353:Patient Education as Topic; D005879:Tourette Syndrome / Q000235:genetics / Q000451:nursing* / Q000628:therapy
D006220:Haloperidol; D003000:Clonidine