Tic's and Tourette's Syndrome

Description

Tics are fast, repetitive muscle movements that result in sudden and difficult to control body jolts or sounds.
They are fairly common in childhood and typically first appear at around 5 years of age. Very occasionally they can start in adulthood.
Tics are not usually serious and normally improve over time. But they can be frustrating and interfere with everyday activities.
Tourette's syndrome is a term that's used when tics have lasted for more than a year.

Families often seek help when:

When tics are causing severe distress or are impacting adversely on social and educational functioning.

If the tics are secondary to anxiety, then a holistic view is best and it's worth referring to our guidance on anxiety.
If the tics are part of a neurodevelopmental disorder, then a community paediatrician may be more appropriate as the first point of referral.

If tics are the sole presentation or appear secondary to anxiety refer via CAMHS mental health pathway
If there is an existing neurodevelopmental diagnosis and tics are the reason for referral refer via CAMHS mental health pathway.
If there is an additional neurodevelopmental concern to be considered alongside tics then follow relevant (ADHD/ADD/ASD/intellectual disability) referral guidance.