Are there associated disorders?
Many
with TS experience additional neurobehavioral problems including
inattention; hyperactivity and impulsiveness or acting before thinking,
(attention deficit hyperactivity disorder—ADHD); obsessive-compulsive
symptoms such as intrusive thoughts/worries and repetitive behaviors;
learning disabilities that may include reading and writing
difficulties, problems with mathematics and perceptual problems.
People
with TS have also reported problems with depression or anxiety
disorders, as well as other difficulties with living, that may or may
not be directly related to TS. Sleep Disorders are fairly common among
people with TS. These include difficulty getting to sleep, frequent
awakenings or walking or talking in one's sleep.Compulsions and
Ritualistic Behaviors may also occur. This is when a person feels that
something must be done over and over and/or in a certain way. Examples
include touching an object with one hand after touching it with the
other hand to "even things up" or repeatedly checking to see that the
flame on the stove is turned off. Children sometimes beg their parents
to repeat a sentence many times until it "sounds right." Repetitive
copying and erasing of work in school can be quite disabling. Given the
range of potential complications, people with TS are best served by
receiving medical care that provides a comprehensive treatment plan.