Management of Tourette syndrome
Management of Tourette syndrome has the objective of managing symptoms to achieve optimum functioning, rather than eliminating symptoms; not all persons with Tourette's require treatment, as the condition is often mild. The treatment of Tourette's is individualized and depends on the impact of the tics or other symptoms on the person's quality of life.
Treatment
The treatment of Tourette syndrome varies among individuals and may include behavioral therapy, medication, or a combination of the two. When symptoms are severe and interfere with quality of life, medication may be necessary.
Behavioral Therapy
Behavioral therapy for Tourette's aims to reduce symptoms and improve quality of life. This may include Habit Reversal Training (HRT), which involves monitoring the frequency and conditions of tic occurrence, and learning competing responses to control them.
Medication
Medication for Tourette's is often used when symptoms interfere with functioning. Medications may include neuroleptics, alpha-adrenergic agonists, and benzodiazepines. The choice of medication depends on the individual's symptoms and the medication's side effect profile.
Prognosis
The prognosis for individuals with Tourette's is generally good, with symptoms often improving in late adolescence. However, associated conditions such as ADHD and OCD may persist and require ongoing treatment.
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Contributors: Prab R. Tumpati, MD