Tourette’s

• History of both Motor and Vocal tics, though may not be concurrent
• Numerous times/day
• Present for > 1 year; never more than 3 months tic-free 
• Not due to a medical condition or substance use

Management

• Psychosocial Interventions
• Typical Antipsychotics (dopamine antagonists)
  • Haloperidol
  • Pimozide (Orap)
• Atypical Antipsychotics
  • Risperidone 
• Adrenergic agonists
  • Clonidine 
  • Others (co-morbidities)
  • ADHD
    • Stimulants
    • Atomoxetine 
  • Mood and anxiety disorders
    • SSRI’s