Magazine article Clinical Psychiatry News

Let Symptoms Guide Treatment of Tourette's. (Watch Severity of Comorbid Conditions)

Magazine article Clinical Psychiatry News

Let Symptoms Guide Treatment of Tourette's. (Watch Severity of Comorbid Conditions)

Article excerpt

ALEXANDRIA, VA. -- As a spectrum disorder, Tourette's syndrome comes in different degrees, and treatment should be based on the severity of a patient's symptoms, Dr. Gerald Erenberg said at a conference sponsored by the Tourette Syndrome Association.

"For those with the milder forms and fewer comorbid conditions, treatment is not always necessary," he said. In his 25 years of experience, Dr. Erenberg has found that about half of patients with Tourette's syndrome (TS) do not require medication.

Psychiatrists should always insist on specifics from parents and patients about symptoms. "Make a deal with families," said Dr. Erenberg of the Cleveland Clinic Foundation. "They are not allowed to come into my office and say that Johnny's Tourette's syndrome is [getting] worse.

Instead parents, patients, and psychiatrists should develop a list of problems. Parents and patients can then decide which problems are severe enough to have a negative impact on quality of life, and psychiatrists can develop a list of medications aimed at treating each problem in order of severity. Very often, comorbid conditions, such as attention-deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder, are severe enough to require treatment before the symptoms of TS are treated, Dr. Erenberg said.

Because no single TS medication works for everyone and treats all aspects of the illness, it may be necessary to target individual symptoms. This means that a patient with several severe symptoms may require multiple medications. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.