TICS MX

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Suggested Management Plan for Motor and Vocal Tics

1. Reassurance & Monitoring:

   • Educate parents and school staff about the nature of tics (often transient in children).

   • Reassure that tics often fluctuate and may resolve spontaneously.

2. Identify & Minimize Triggers:

   • Encourage a structured routine to reduce stress and anxiety.

   • Identify any environmental triggers (e.g., fatigue, excitement, stress).

3. Behavioral Strategies:

   • Consider Habit Reversal Therapy (HRT) or Comprehensive Behavioral Intervention for Tics (CBIT) if tics become problematic.

   • Encourage distraction techniques and relaxation exercises.

4. School Support:

   • Provide education to teachers to avoid drawing attention to tics.

   • Implement classroom accommodations if needed (e.g., movement breaks, quiet workspace).

5. Psychological Support (if needed):

   • Assess for co-occurring anxiety, ADHD, or sensory sensitivities.

   • Referral to CAMHS (Child and Adolescent Mental Health Services) or a psychologist if symptoms significantly impact daily life.

6. Medical Referral (if severe or persistent):

   • Consider referral to a pediatric neurologist if tics are significantly impairing function or worsening.

   • Medication (e.g., clonidine, guanfacine, or risperidone) only if tics are severe and distressing.

7. Parental Support & Guidance:

   • Provide resources on tic disorders (e.g., Tourette’s Syndrome UK, local support groups).

   • Encourage a calm, accepting home environment.

Would you like any additions or modifications to this plan?