ThisWeek Hilliard 5/19

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ThisWeek Community Newspapers Hilliard

May 18, 2011

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Pediatric HealthSource

Tics in children are quite common

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essarily an indication of a more serious disorder. For that reason, physicians at Nationwide Children’s Hospital tend to avoid prescribing medications for the condition. Moderate to severe cases of TS can be treated with psychological therapy (habit-reversal therapy) or one of a series of prescription medications. It is important to know, however, that there is no single medication that is helpful to all individuals with tics or TS. For more information on tics and TS, as they relate to children, parents should consult their primary-care physician. Nationwide Children’s Hospital offers treatment for severe cases, and more information is available from the Tourette Syndrome Association of America. Visit www.tsa-usa.org.

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tention deficit hyperactivity disorder and o b s e s s ive compulsive behaviors ( r e p e t i t ive thoughts and PEDRO movements) WEISLEDER are commonly seen in patients with TS. Cursing, which is the most publicized symptom of TS, is exceedingly rare. Stress sometimes can make tics more severe, frequent or longer in duration. Many children with tics report the urge to perform said tic, though some can suppress this for a short time. As tension builds, though, it eventually has to be released as a tic. If a child is concentrating on controlling a tic, it might be difficult to focus on other tasks, such as schoolwork. Because tics are outside a child’s control, children should not be disciplined for exhibiting them. In most patients, the symptoms of TS are mild and not nec-

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Tics are sudden, involuntary, repetitive movements (motor tics) or sounds (vocal tics). The most common motor tics are frequent eye blinking, nose twitching and head shaking. Common vocal tics include humming, grunting or saying actual words. Some of these tics are complex and include large parts of the body (kicking, stamping). About 3 million to 6 million Americans experience tics regularly. Tics are more common in children, where one in four has a tic during the school years. Tics are five times more common in boys than in girls. Nine out of 10 children who have tics, however, will experience significant improvements in the symptoms by they time they reach adulthood. Tics are the most frequent symptom of Tourette syndrome, though it isn’t the only symptom. For a patient to be diagnosed as having TS, he or she has to have motor and vocal tics for at least one year. Impulsivity, attention deficit disorder, at-

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