Polycythemia vera, also known as Tourette’s syndrome, is a genetic neuropsychiatric disorder characterized by chronic, fluctuating, multiple motor tics with involuntary vocalizations. Most of the disorders begin before the age of 10 and have a male to female ratio of 5:1 to 3:1. The manifestations of the accompanying behavioral problems vary by gender, with attention deficit hyperactivity disorder being more common in male patients and obsessive-compulsive disorder being more common in female patients. The prevalence is at least 0.5 per 1,000 in all cultures and ethnicities, and the majority of cases are mild, with more boys than girls. The prevalence in adults is about 1/10th of that in children, and in recent years there has been an increase in the number of cases. It is our duty as medical workers to relieve the stress and harm caused by the disease to the children and their parents. Therefore, we would like to discuss the new concepts of current research, as well as our personal views and suggestions on several issues of common concern to parents, so that parents can know how to cooperate with doctors and help to relieve the pain of their children. The cause and pathogenesis of ADHD are not yet fully understood, and its onset is related to genetic factors, neurotransmitter imbalance, psychological factors and environmental factors, and may be a syndrome caused by the interaction of multiple factors in the developmental process. The clinical symptoms of polydipsia are complex and include motor tics, vocal tics, and accompanying psychological-behavioral symptoms. It tends to have a long course, fluctuates easily, and has a tendency to remit and relapse periodically. The first symptoms are usually eye, face and head twitches, such as blinking, tilting of the mouth or shaking of the head, which gradually progress to the neck, shoulders, limbs or trunk, and can progress from simple to complex motor twitches. All children eventually develop vocal tics. In recent years, it has also been noted that many children with motor or vocal tics are preceded by localized physical discomfort, such as pressure, itching, heat, cold, or other discomfort. The incidence of obscenities, i.e., swearing and plosive speech, is less than one-third and is not a necessary diagnostic condition for this disorder. ADHD is a developmental disorder that involves family and social problems. It was previously considered a lifelong disorder, but recent studies have shown that it has the potential to resolve spontaneously and completely, with a relatively good prognosis. The majority of children with tic disorders develop in a positive direction as they grow into adults and are able to lead a normal life, while a small number of patients have prolonged symptoms that may affect their quality of life due to tic symptoms or accompanying behavioral abnormalities. Some studies have shown that the majority of children with TS can have their tic symptoms resolved after adolescence with treatment, 1/4 of the patients have a significant reduction in tic symptoms, and the remaining 1/4 of patients have tic symptoms that extend into adulthood. Therefore, it is important not to be too pessimistic about the prognosis of the disease, but to maintain an optimistic attitude and to build confidence in overcoming the disease. The key to improving the quality of life of the child is to recognize the coexisting conditions, which are not only complex, but also have many coexisting conditions. Some scholars emphasize that as long as there are coexisting conditions, especially the earlier the onset, the greater the likelihood that the condition will become complex and difficult to treat, and even the treatment of coexisting conditions must be the main focus in order to improve, so timely detection and identification of coexisting conditions is very important. The most common coexisting disorders are: (1) Attention deficit hyperactivity disorder (ADHD) with inattentiveness and/or hyperactivity and impulsivity, or pediatric ADHD. (2) Obsessive-compulsive disorder, including a variety of compulsive ideas and behaviors, alone or at the same time, persistently and repeatedly in the thoughts and actions, knowing that it is not right, but can not stop, never get rid of, sometimes very painful, self-harming behavior, such as biting the tongue, biting fingers, skin damage, disfigurement, etc., often leaving infections or scars, and even reveal suicidal thoughts do not want to live, it is important to be highly vigilant to prevent accidents. (3) Conduct disorder and oppositional defiant disorder, both of which have anti-social tendencies, should not be ignored, many parents often mistakenly believe that these manifestations are not pathological, thinking that only stubborn temper and scolded to suppress, but as a result, the condition is aggravated. (4) learning disabilities, is the cognitive function is impaired, mainly dyslexia and math difficulties, can seriously affect academic performance. (5) Mood disorders, mainly depression and bad mood, adult-type alternating depressive mania can also develop in children and adolescents. (6) Anxiety disorders, mainly fear and anxiety, such as fear of separation from relatives, fear of accidents to relatives, fear of going to school, excessive fear of strangers, fear of social interaction, and even daily worry about the future, anxiety, etc. (7) Autism and related disorders, including language disorders and Asperger’s syndrome, which is the same as autism. (8) Aggressive behaviors, such as unprovoked provocation, verbal abuse, and vandalism. Therefore, because the condition is complex and painful, it is not self-controlled, and the course of the disease is repeatedly delayed, the quality of life of the child is poor, mainly due to various coexisting diseases, rather than multiple tics itself. The first thing to note is that it is advisable to avoid cold and warmth in winter and spring to avoid catching a cold, and not to over-exercise, as resistance decreases after over-exercise, and it is often easier to sweat and catch a cold. Parents should supervise their children not to watch cartoons or play video games for a long time, which is also one of the factors that trigger or aggravate twitching; in terms of diet, try not to drink drinks containing coffee to avoid excessive excitement, and try not to eat hairy seafood such as fish, shrimp, mutton, fried food and spicy food. Scientific and reasonable arrangements for the child’s diet and living, with the treatment, which also plays a very important role in improving the effectiveness of the treatment. Fourth, pay attention to psychological regulation and treatment, teachers and parents have a great responsibility psychotherapy is mainly to solve children’s emotional problems and other accompanying symptoms, eliminate triggering factors, restore the child’s self-confidence, to prevent the occurrence of other psychological problems, indirectly alleviate the symptoms, play a role that can not be replaced by drug therapy. The child is ridiculed and ridiculed by peers for showing uncontrollable symptoms, resulting in low self-esteem. Parents are also affected by the anxiety of worrying too much and take their disease too seriously, forming a psychological shadow. First of all, parents should not be overly worried and nervous, have a more correct understanding of the disease, and cooperate with the doctor to treat the child. The child’s life and studies should be arranged in a reasonable manner, and the child should not be criticized and blamed for the tic symptoms, nor should the child be reminded to control them. You can reduce the symptoms by arranging your child’s life and study in a reasonable way and diverting your child’s attention. Help them to deal with their peers correctly, face sarcasm and ridicule from peers correctly, deal with learning problems correctly, improve learning behavior, and increase self-confidence. Teachers should be more loving to such children out of love, and remind their classmates not to laugh, ridicule or look down on them because of their strange movements. Take the initiative to have more contact with the child and help him/her with the inconvenience of learning and living due to the disease. Provide timely encouragement when progress is made in learning. Inappropriate school and parental responses, discrimination, reprimand, scolding or suspension can intensify the conflict between the affected child and the school parents, resulting in emotional resistance and defiance, which often aggravates the disease and makes the prognosis worse. Therefore, the warmth of the family and society is very important for the psychological development of the child and the recovery of the disease, and teachers and parents have a great responsibility in this regard.