title: Management of severe pediatric tourette syndrome resistant to drug treatment.
abstract: Tourette syndrome (TS) is a neurodevelopmental disorder with chronic and disabling impacts on multiple domains of functioning in children. Treatment of TS is often complicated by comorbid conditions. We present a 12-year-old boy with severe symptoms of Tourette syndrome (TS), with prominent and markedly disabling vocal tics, who failed to respond to substantial doses of risperidone and haloperidol, given for a prolonged period. Satisfactory outcome was achieved with exposure and response prevention, adjunct to medication. Comorbid ADHD was treated with stimulants with no exacerbation of tics.
authors.affiliation: University Psychological Medicine Unit, Lady Ridgeway Hospital for Children, Colombo 08, Sri Lanka ; Department of Psychological Medicine, Faculty of Medicine, University of Colombo, Kinsey Road, Colombo 08, Sri Lanka.
authors.forename: Hemamali
authors.initials: H
authors.lastname: Perera
authors.forename: Chittahari
authors.initials: C
authors.lastname: Abayanayaka