title: [Tourette syndrome and other tic disorders in DSM-5 – a comment].
abstract: The classification of tic disorders has been revised in the new fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The previously expressed suggestion to categorize tic disorders within the "Anxiety and Obsessive Compulsive Disorders" was not implemented. The section "Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence" was revised and renamed as "Neurodevelopmental Disorders." Tic disorders are classified there as movement disorders. Most of the changes are distinct improvements from both a clinical and a scientific perspective. For example, by removing the adjective "stereotype," the definition of tics is more precise and unified. Also, the new time-oriented criteria are more practical in the clinical setting, e.g., the exclusion criterion of a tic-free interval more than 3 months given for chronic tic disorders has been deleted. The renamings from "Transient" to "Provisional Tic Disorder" as well as from "Chronic" to "Persistent Tic Disorder" are welcome changes from a clinical perspective. Overall, the revision of the criteria is an important step towards providing more clarity and feasibility. However, the revised classification of tic disorders is still based only on clinical experience and not on evidence. Future studies should show whether the revised and improved criteria truly provide the optimal classification.
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Veit
authors.initials: V
authors.lastname: Roessner
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Andrea G
authors.initials: AG
authors.lastname: Ludolph
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Müller-Vahl
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Irene
authors.initials: I
authors.lastname: Neuner
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Aribert
authors.initials: A
authors.lastname: Rothenberger
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Katrin
authors.initials: K
authors.lastname: Woitecki
authors.affiliation: Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Technische Universität Dresden.
authors.forename: Alexander
authors.initials: A
authors.lastname: Münchau
mesh_terms: D001008:Anxiety Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D002658:Developmental Disabilities / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D013981:Tic Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D005879:Tourette Syndrome / Q000145:classification / Q000175:diagnosis* / Q000523:psychology
keywords: DSM-5; Entwicklungsstörungen; Tic-Störungen; Tourette Syndrom; Tourette syndrome; neurodevelopmental disorders; tic disorders