Tics
John E. Schowalter MD1
1 Professor of Pediatrics and Psychiatry, Child Study Center and Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut
Tics can be classified as transient (under one year's duration), chronic motor (lasting longer than one year), Tourette's disorder (motor plus verbalespecially explosive foul languagecoprolalia), and atypical disorders. Initial management of transient tics should help child and family ignore the tic and support and reassure the family. At least 40% of those suffering from Tourette's disorder can be helped with haloperidol but side effects (drowsiness, extrapyramidal signs, and blunted cognition) limit its use. Clonodine is helpful in some patients who are resistant to haloperidol.