In Tourette syndrome, screen for OCD and ADHD at every visit because these comorbidities often cause more functional impairment than the tics themselves. Avoid prescribing standard stimulants without careful tic monitoring, and make treatment decisions by symptom domain—tics, ADHD, and OCD each require distinct pharmacological approaches, and clonidine is a useful choice when both tics and ADHD need treatment.

Key clinical feature that helps distinguish them from other hyperkinetic disorders is that they can be voluntarily suppressed by the individual, at least temporarily; Complex vocal tics involve linguistically meaningful sounds, which include phenomena like coprolalia, palilalia, and echolalia; Simple vocal tics involve basic sounds like repetitive sniffing, throat-clearing, or coughing; Tics are repetitive, rapid, brief, and stereotyped motor movements or vocalizations; We divide them into two primary categories