Tourette's Syndrome (cont.)
IN THIS ARTICLE
When to Seek Medical Care
The development of tics in an otherwise healthy child is an indication for consultation with a pediatrician.
If the tics do not improve or if there is any doubt about the diagnosis, the pediatrician probably will send the child to a specialist. In this case a professional with special knowledge in Tourette's syndrome would be the best choice. In some large academic centers it is possible to find specialized clinics, but since Tourette's syndrome is not common, this most likely is not a choice for most individuals.
Pediatric neurologists often specialize in Tourette's syndrome, and this would probably be the best choice for diagnostic opinions and treatment.
Depending upon the severity of the associated conditions the patient might need psychiatric consultation to help with appropriate treatment options for severe co-morbid conditions (ADHD, OCD, LD, mood disorder, severe aggression, sleep difficulties).
Depending upon the severity of the psychological problems, a consultation with a psychologist might be needed. Also, depending upon the severity of any associated learning disorders, a special individualized education plan (IEP) might be necessary.
Norberto Alvarez, MD