What should I do if a child with Tourette syndrome makes noises?

Patient's question:

No

Doctor's answer:

Tics with vocalization are a type of tics, primarily characterized by vocal expressions. Vocal tics can be divided into simple vocal tics and complex vocal tics. The former often manifests as repetitive sounds like humming, animal-like noises, or clearing the throat; the latter typically involves repetitive vocalizations that seem meaningful, including obscene words, echolalia, and palilalia. All children with tics eventually develop vocal tics, which is one of the main diagnostic criteria for pediatric tics. Most patients first exhibit motor tics before developing vocal tics, while some cases present with both motor and vocal tics simultaneously.

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