Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Referral to a specialist for a patient with Tourette Syndrome (a tic disorder) is appropriate under specific circumstances, varying slightly between children and adults NICE NG127.
- For children:
- Do not routinely refer children with simple motor tics that are not troublesome to the child NICE NG127.
- Consider referral if the tic disorder has a significant impact on their quality of life NICE NG127. This may include:
- Referral to mental health services if the tic disorder is associated with symptoms of anxiety or obsessive compulsive behaviour NICE NG127.
- Referral to the neurodevelopmental team if the tic disorder is associated with symptoms suggestive of autism or attention deficit hyperactivity disorder (ADHD) NICE NG127.
- Referral for neurological assessment if the tic disorder is severe NICE NG127.
- Specialist referral and advice are required before offering medicine for motor tics NICE NG127.
- For adults:
- Do not routinely refer adults with tics unless the tics are troublesome or accompanied by additional progressive neurological symptoms NICE NG127.
- Consider referring adults with a tic disorder for psychological therapy if the disorder distresses them NICE NG127.
- Consider referring adults for neurological assessment if their symptoms are severe and the disorder continues to distress them after completing psychological therapy NICE NG127. It should be noted that there are limited medicines available, and they may not always be effective or can have serious side effects NICE NG127.