Tics

1980 ◽  
Vol 2 (2) ◽  
pp. 55-57
Author(s):  
John E. Schowalter

Tics can be classified as transient (under one year's duration), chronic motor (lasting longer than one year), Tourette's disorder (motor plus verbal—especially explosive foul language—coprolalia), and atypical disorders. Initial management of transient tics should help child and family ignore the tic and support and reassure the family. At least 40% of those suffering from Tourette's disorder can be helped with haloperidol but side effects (drowsiness, extrapyramidal signs, and blunted cognition) limit its use. Clonodine is helpful in some patients who are resistant to haloperidol.

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Muhteşem Erol Yayla ◽  
Uğur Bilge ◽  
Elif Binen ◽  
Ahmet Keskin

Aim. Our aim was to detect older patients who were prescribed inappropriate drugs according to START/STOPP criteria in primary care.Materials and Method. Patients aged over 65, admitted to health center no. 5 in Afyon, were included. The files of the subjects were surveyed retrospectively for the final one year in the digital environment, using the Family Medicine Information System. The files surveyed allowed us to list the drugs they used in the past year and to detect inappropriate drug use.Results. The number of patients that took part in this study was 325 (average age: years). We found that, among these participants, 48 patients (14.8%) were using drugs inappropriately according to STOPP criteria.Conclusion. Further focus on avoiding inappropriate drug use will allow clinicians and other health professionals to reduce side effects and other complications. In patients aged over 65, there is a need to attach particular importance to inappropriate drug use, drug interactions, and avoidance of side effects.


2021 ◽  
Vol 15 (5) ◽  
pp. 1564-1570
Author(s):  
A. Soltanifar ◽  
R. Lashkarnevis ◽  
M. Ziaee ◽  
R. Samadi ◽  
A. Soltanifar ◽  
...  

Introduction: Due to the high prevalence of Tourette’s disorder among children and adolescents and its negative consequences, an appropriate and effective medical treatment with minimal complications is necessary. Therefore, this study was conducted to compare the effects of Aripiprazole and Risperidone on Tourette’s disorders in both children and adolescents. Method: The statistical population of this clinical trial was children and adolescents aged from seven to eighteen years old. They were diagnosed with the Tourette’s disorders based on the DSM-V criteria by the clinical interview of a child and adolescent psychiatrist in the child Psychiatry clinic of Ibn-e-Sina's Psychiatric Hospital (Mashhad-Iran) in 2018. A total of forty participants were selected by the convenience sampling method, and they were randomly divided into two groups treated by medicines, named as Risperidone or Aripiprazole for two months. Then, the demographic information questionnaire was completed. The Y-GTSS Scale was completed. Clinical Effect Rating Scale (CGI-Tics Scale) was completed. Calculation of body mass index and medical side effects complications were completed. The evaluation was carried out both at the beginning and on second, fourth and eighth weeks, and the results were compared. The data were analyzed by SPSS software (version 14) through using descriptive statistics, chi-square, and variance analysis. Results: The two groups were homogeneous for demographic variables. There was no significant difference in BMI between the two groups. Despite the positive effect of both medicines, no significant difference was observed among the general scores of such disorders, the overall score of severity, Tourette’s recovery, and BMI of these two groups at the intervals and at the end of treatments. (p <0.05). Due to the low number of complications reported, statistical comparisons of the medical side effects were not done for us Conclusion: According to the results, it seems that the two medicines, Aripiprazole and Risperidone, were effective in improving the symptoms of Tourette’s disorders and its overall severity. However, there was no significant statistical differences between them. In terms of the medical side effects, the statistical comparison between the two medicines was not possible due to the small number of complications. Keywords: tic, Tourette’s syndrome, Aripiprazole, Risperidone


2017 ◽  
Vol 16 (6) ◽  
pp. 446-463 ◽  
Author(s):  
Annelise Cunningham ◽  
Kimberly Renk

This case study follows a 6-year old Caucasian Hispanic male who presented with symptoms of Tourette’s disorder and separation anxiety disorder. Given the young age of the child, a critical focus was placed on parental involvement and parental mastery of the treatment components within an attachment-focused conceptualization as the foundation for all treatment delivery. To address all issues presented by the family of this young child, a behavioral treatment was utilized to target symptoms of Tourette’s disorder, and components of cognitive-behavioral therapy were used to address symptoms associated with separation anxiety disorder (in the young child). Further, components of an attachment-based parenting program, Circle of Security–Parenting, were inserted throughout treatment to keep this young child’s parents in tune with their relationship with their young child. Following completion of treatment, this young child displayed significant decreases in his symptoms across both disorders. Further, this young child and his parents demonstrated a mastery of treatment concepts and coping skills. The family reported both qualitative and quantitative improvements in the young child’s overall emotional and behavioral functioning. This study displayed the effectiveness of an integrative family-based approach in the treatment of a young child with symptoms of both Tourette’s disorder and separation anxiety disorder.


2020 ◽  
Vol 31 (1) ◽  
pp. 24-26
Author(s):  
Muhammad Enayeth Karim ◽  
Zeenat Parvin Ruhie ◽  
Kazi Dider A Mostofa ◽  
Mohammad Shafiul Islam ◽  
Susmita Roy

Tourette’s disorder is a childhood onset neuropsychiatric disorder characterized by multiple motor and vocal tics for at least one year in duration. Occasionally this disorder may be associated with obsessive compulsive disorder. This case was presented here to demonstrate the co-occurrence of these two disorders as well as the effectiveness of pharmacological treatment for the improvement of the condition. The case report described the history of a 21 years old male patient with 7 years history of Tourette’s disorder and obsessive compulsive disorder. He was seriously disabled by his symptoms that necessitated thorough evaluation to exclude causes, differential diagnoses and or any other co morbidities. Treatment with fluoxetine 60 mg daily and quitiapine 100 mg daily in divided dose improved his symptoms and he was able to return his functional life, that he had been mislaid because of his illness. Bang J Psychiatry June 2017; 31(1): 24-26


1998 ◽  
Vol 39 (5) ◽  
pp. 663-668 ◽  
Author(s):  
Harry N. Bawden ◽  
Aidan Stokes ◽  
Carol S. Camfield ◽  
Peter R. Camfield ◽  
Sonia Salisbury

Author(s):  
Joseph F. McGuire ◽  
Alexandra Sturm ◽  
Emily J. Ricketts ◽  
Gabrielle E. Montalbano ◽  
Susanna Chang ◽  
...  

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