Abstract
Tourette syndrome is a spectrum disorder. It is primarily a disorder of childhood. Within this spectrum, we find a range of neuropsychiatric comorbidities of varying degrees, all of which are intertwined. Before we consider treatment, we must address education, which includes the individual, the family, the school, and the public. Our approach to treatment focuses on the dominant comorbidities: ADHD, mood disorders, anger/aggression, refractory tics, and finally tics only. We select medications and therapies designed to target the driving issues.