How many people would be interested in a commercial tic treatment device?

Neurotherapeutics Solutions Ltd., a start-up from our colleagues at the University of Nottingham (U.K.), is developing a wristwatch-like device for treating tics. Potential investors, however, tend to think that Tourette only affects kids, that only people with severe tics would want to buy such a device, and so on, so they figure the market would […]

Distinguishing between compulsions and complex tics

The answer is not simple. Often the answer is obvious–always washing your hands 5 times is a compulsion. Yelling “What’s that?!” many times a day because it just feels like you have to is a complex tic. Even when the phenomenology is less classic, one can usually tell them apart by asking why the person […]

Prognosis of tic disorders

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 […]

A new treatment for TS (kind of)

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 […]

New research on tic timing

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. […]

European Society for the Study of Tourette Syndrome (ESSTS) Meeting

Dates: June 9-11, 2022 Location: Lausanne, Switzerland Contact: administrator@essts.org; You can also follow Dr. Seonaid Anderson on Twitter @Seonaidanderso2 If you are a patient or representative of a tics or Tourette Syndrome patient association, you are welcome to come to the ESSTS European Society for the Study of Tourette Syndrome meeting on 9-11 JUNE 2022. […]

Journal special issue on Tourette syndrome

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 […]

Cannabidiol and the DEA

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 […]

Can median nerve stimulation reduce tics?

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 […]

Cool research result from the New Tics study

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 […]

Tic Talk 2020 final survey results

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 […]

Disappointing results from VMAT2 inhibitors

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 […]

TAA statement on PANDAS

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.

Tic Talk 2020 initial survey results

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: […]

Help us plan content for Tic Talk 2020

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!

Online survey for anyone 18+ diagnosed with TS

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.

Safety of antipsychotic medications

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 […]

Interesting retrospective study of Provisional Tic Disorder

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.

TAA Center of Excellence designation

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 […]

Tics in ADHD

ADHD is really common in people with tics: at least 50% of children with tics also have ADHD [1]. 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 […]

“I’ve found the answer to TS,” or why science isn’t faster

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 […]

Treating tics: an overview

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 […]

Results from chapter grants survey, 10/2018

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 […]