We summarized what is known about the course of tic disorders over time, including what we know about predicting outcome in individual patients. Last year we published a review article that summarizes what is known about the important and common question, “hey, doc, will the tics get worse or go away?” Some of this information […]
Here’s a press release from the UK national health authority describing very positive interim results of the ORBIT study in England. It provides the best evidence yet for the efficacy of a behavior therapy called exposure and response prevention (ERP) for tics. ERP has been around for a long time, and is still a first-line […]
Tics happen in a fractal time pattern, even only a few months after tics begin. New work from our lab confirms that tics happen in a time pattern that is fractal. We explain the meaning of those words, the results, and their possible implications on this page. A press release from Wash.U. is available here. […]
Here are some review articles on Tourette syndrome that we published this year. The newest was published just today. Keisuke Ueda and Kevin J. Black: Recent progress on Tourette syndrome. Faculty Reviews 2021; 10:70. doi: 10.12703/r/10-70. Keisuke Ueda and Kevin J. Black: A Comprehensive Review of Tic Disorders in Children. Journal of Clinical Medicine 2021; 10(11):2479. doi: 10.3390/jcm10112479. Kevin J. […]
Dr. Seonaid Anderson, who knows a lot about Tourette syndrome, has written some suggestions for people with tics to consider before agreeing to be recorded for e.g. a news story. These are good, thought-provoking points to consider before agreeing to such a situation. As she points out, many people with TS have had a good […]
Drs. Keisuke Ueda and Kevin Black just published a review article on Tourette syndrome. It is freely available here.
This post is more for our academic colleagues, but others of you may also find it interesting. Dr. Deanna Greene, now at UCSD, and I are guest editors for a special issue of the Journal of Clinical Medicine on “clinical and pathophysiological studies of Tourette syndrome.” We invite manuscript submissions relevant to that topic. The […]
The US FDA approved Epidiolex® (cannabidiol, or CBD) for certain seizure syndromes in June, 2018, and in November, 2018, the DEA rescheduled it as a Schedule V controlled substance (the least restrictive). This will greatly facilitate clinical use and clinical trials of CBD in the U.S. Note that there is little evidence at this point […]
A fascinating publication from the University of Nottingham describes a non-invasive method that may reduce tics. The idea is that rhythmic input to a brain region can entrain that region to fire in synchrony with the input, and some rhythmic firing patterns seem to inhibit movement. The stimulation was delivered by generating a small electrical […]
We just published results showing that brain structure, measured by MRI when we first met children with recent onset of tics, helped predict how much improvement there would be in a clinical rating scale for tics when the children returned at the 1-year anniversary of their first tic. Read more about it either here, written […]
Twenty-seven people responded to our survey asking people what content they wanted for our Tic Talk 2020 meeting (May 2, here at Wash. U.). Thank you! Most respondents (81%) were family members of someone with tics. And … the envelope, please! Here are the main results: Topics you are interested in: Tics at school, working […]
Teva Pharmaceuticals recently announced that in a couple of studies, deutetrabenazine did not prove statistically superior to placebo for treatment of Tourette syndrome in youth.* This honestly comes as a big surprise to me (and of course to the sponsor). Although without controlled trial evidence, its parent drug tetrabenazine had been used for tics for […]
The Tourette Association of America’s PANDAS/PANS Workgroup has issued a public statement about PANDAS. It succinctly summarizes the current state of evidence about this controversial diagnosis. A recommended read for anyone interested.
Below is a brief summary of the results from the first 21 people to take the survey. If you haven’t already responded, we’d love your input to help us design Tic Talk 2020 by taking this short 5-question survey: https://www.surveymonkey.com/r/8XT6Z7K Topics you are interested in: Tics and school: 76% How psychological factors or situations influence tics: […]
Tic Talk 2020 is on! Saturday, May 2, 2020, at Wash. U. School of Medicine. We want to hear from you about what topics we should cover. Please take this short 5-question survey: https://www.surveymonkey.com/r/8XT6Z7K Thank you!
Sharing an online survey about eating and dietary behaviors. From the University of Hertfordshire, UK, via Tourettes Action. For individuals aged 18 or over from all over the world. To find out more or to take part, click here.
The web page for the TAA Center of Excellence at Washington University in St. Louis is now available at tics.wustl.edu—easier to remember, we hope.
A new publication reports on antipsychotic medications in people with schizophrenia. Of course schizophrenia is very different from tic disorders. Nevertheless, the medications best proven to reduce tic severity are also used as antipsychotics. In both populations concerns arise about the long-term impacts of physical side effects of antipsychotics, especially with regards to obesity and […]
I just saw this abstract from 2 years ago. The authors looked at back at the medical history at initial presentation from 60 children with Tourette syndrome. Most (60%) had multiple motor tics during their “first tic episode” (a term not defined in the abstract). Children who had phonic tics initially were older.
In June of this year, the Tourette Association of America chose Washington University as a Center of Excellence! This designation recognizes the longstanding breadth and depth of expertise in patient care and research of our colleagues here at WUSTL and of the Greater Missouri TAA chapter. Hooray and thank you! However, we know we haven’t […]
Our paper on “the urge to blink in Tourette syndrome” is out. Brief explanation here Full text here
ADHD is really common in people with tics: at least 50% of children with tics also have ADHD . What about the other side? I mean, how common are tics in children with ADHD? Until recently, I would have said, “well, more common than in kids without ADHD.” That’s true, but recently I have begun […]
Recently someone with TS wrote me to say that he had discovered a trigger for tics and a potential treatment that might apply to others. I applaud his careful observations and willingness to share. But how can we move this observation forward? After all, numerous potential cures to TS have been proposed, ranging from antibiotics […]
What can I do for my child with tics? The first question is whether s/he needs treatment. Most children probably don’t. All of our current treatments just reduce the symptoms. A key question is, are the tics really interfering (now) with schoolwork or friendship, or interfering with other students’ learning? If so, then that’s a […]
The results are in! We collected 33 votes (see “Oops” below to check whether your vote counted). We will use this information to guide our application to TAA. Stay tuned by connecting with the chapter or following the WashU Tics page on Facebook or @NewTics on Twitter. Background The Tourette Association of America (TAA), in partnership with the […]
We have just published a revised description of the software that runs TicTrainer.com, which is meant to help people practice tic suppression in a video-game-like format with help from a third party observer (like a parent or clinician). Here is further information.
See this link for information about recently-published research from Wash.U. combined with several other research groups.
A couple of our recent study volunteers had serious problems with what you could variously call sudden tantrums, explosive outbursts, or brief violence. Of course, kids with tics can have all the problems anyone else can have. But about 1 in 5 children with Tourette syndrome have experiences that have been called “rage attacks.” These rage […]
Recently, two different families asked me about whether it was safe for their child with tics to take medication for ADHD. Short answer: yes, it’s safe. Here’s the long answer. ADHD is very common in children with tics—nearly half of children with Tourette syndrome (TS) have ADHD. So the question comes up often. First I […]
In our study of children whose tics began just over the past few months, I have encountered several parents who have been hesitant to have any discussion at all with their child about the tics. Here are my thoughts on the subject. Behavior therapy experts recommend creating a “tic-neutral environment.”1 In part, this means that […]
With Thanksgiving coming up this week, we would like to thank the many people who have been important to our work on Tourette syndrome and tic disorders here at Washington University. First, thank you to all of you who have been our patients over the years. You have taught us a great deal not only […]