Tourette's syndrome usually begins in childhood and the first symptoms can be subtle. A doctor explains what parents should look out for and addresses common misconceptions about the condition.
What is tourette's syndrome

Tourette's syndrome is a neurological developmental condition that typically begins in childhood. It is characterised by involuntary movements and sounds known as tics, which the person cannot control.
When symptoms usually begin

According to Dr Suzanne Wylie, Tourette's most often appears between the ages of five and seven. The NHS states that symptoms generally start around age six and may become more noticeable around age ten.
Early signs can be subtle

In the beginning, symptoms are often mild and may go unnoticed. They can gradually develop and become more apparent over time.
Also read: Non-drug therapies show promise for osteoarthritis
Early motor tics

The first signs are often motor tics. These can include repeated eye blinking, facial grimacing or shoulder shrugging.
Development of vocal tics

Over time, vocal tics may develop. They often begin as simple throat clearing or sniffing.
Tics are involuntary

Tics are not intentional actions. The individual has no control over them, and they do not reflect personal beliefs or intentions.
Symptoms may increase with stress

Tics can become more noticeable when a child feels stressed or excited. Emotional situations may therefore make the symptoms more frequent.
Also read: Study finds 31% reduction in first heart attacks with cholesterol drug
Common misconceptions

Many people believe Tourette's always involves dramatic or socially inappropriate behaviour. However, most individuals with the condition experience milder tics.
Swearing is rare

Although Tourette's is often associated with swearing, doctors say this is rare compared to other tics such as blinking, whistling, sniffing or repeating sounds, words or phrases.
Not a psychiatric disorder

There is a misconception that Tourette's is a psychiatric problem. Dr Wylie emphasises that it is a neurodevelopmental condition.
Can occur alongside other conditions

Tourette's can be linked with attention deficit hyperactivity disorder or obsessive compulsive behaviours. However, the tics themselves are not a sign of mental illness.
Also read: New Covid variant spreads across the US
Genetic component

There is a strong genetic component to Tourette's. Not everyone who carries a genetic predisposition will develop the condition.
Treatment options

Tourette's cannot be cured, but treatment can help manage symptoms. Behavioural therapy can support children in handling their tics, and medication may be considered if therapy is not effective.
Sources: Mirror
Also read: NHS outlines when tiredness may need medical attention
Also read: This is what chickpeas do to your body eaten regularly
