How to treat Tourette’s Syndrome in children?

  In recent years it is felt that the incidence of Tourette’s syndrome is gradually increasing, and it is often encountered in outpatient clinics. Many parents have a wrong perception of tics, believing that without treatment, they will naturally get better when they grow up, and some parents believe that their children are under the rules and often threaten and scold them, leading to an increasingly severe condition.  Tic and obscene syndrome is characterized by involuntary, sudden, rapid and repetitive muscle twitching, which is often accompanied by violent, involuntary vocalizations and obscenities. The twitching symptoms begin in the face and neck and gradually spread downward. The twitching may take various forms, such as blinking, squinting, pouting, shaking the head, shrugging, neck contraction, arm extension, arm flinging, chest lifting, bending, and trunk rotation. Vocal twitching is characterized by guttural sounds and roaring, which may gradually change to stereotyped cursing and stating obscene words. According to the type, there are transient tics, chronic tics and tic obscenities.  Tic disorder affects children’s learning, life and social interaction, and many conditions can persist into adulthood and have an impact on married life, job search and work.  Treatment for tics includes two aspects, psycho-behavioral treatment and medication.  Psycho-behavioral treatment is the most important treatment for tic disorders and is applicable to all three types, and it is effective and has no side effects, but it is slow to take effect and many parents cannot stick to it. Psycho-behavioral therapy can be summarized as follows: first, avoidance method, parents should not accuse their children in front of them or talk to others about their condition, because this will increase the child’s psychological burden and stress, when the child is found to be twitching, chat with him or let him do something to divert attention instead of accusing; second, relaxation method, parents take their children out on trips, more children involved in Third, try to contact less with electronic products such as TV and computer, and minimize indoor static activities; fourth, reduce stress, do not put too much pressure on the child in school, and parents should not be too demanding; fifth, the whole family should seriously comply with the principles of behavior therapy, and communicate well with the teacher, so that the teacher also recognizes the importance of behavior therapy; sixth, you can go to The sixth, you can go to professional institutions for biofeedback, relaxation training, etc.  Medication is used for chronic tics and tic disorders. Commonly used medications include haloperidol tablets, thiopride tablets, and the latest medication is aripiprazole, which should be applied under the guidance of a pediatrician or psychiatrist. Many parents turn to herbal medicine when tics occur, thinking that herbal medicine can get rid of the root cause, which is wrong.