What is Tourette syndrome?
Tourette syndrome (sometimes shortened to just Tourette's) is a neurological disorder that affects the brain and nervous system. It causes tics, which are sudden movements or sounds that a person makes over and over and can’t easily control. Tics usually start in childhood, often between the ages of 5 and 10.
There are two main types of tics:
- Motor tics involve body movements like blinking, head jerking or shoulder shrugging
- Vocal tics include sounds like throat clearing, grunting or sniffing
Tics can also be simple (like eye blinking or sniffing) or complex, involving a series of movements or repeated words and phrases.
Tourette syndrome symptoms often get better with time. Many people see fewer or milder tics as they grow older. While there’s no cure, treatment, therapy and support can help manage Tourette's symptoms and improve everyday life.
Tourette syndrome symptoms
Tourette syndrome causes tics—sudden, repeated movements or sounds that you can’t control. Tics are the main symptom of Tourette syndrome and usually start in early childhood, typically in the head and neck. They can be mild or more noticeable, and sometimes they change over time. Tics are often worse during times of stress, excitement or fatigue.
There are two types of tics: motor and vocal. Each type can be simple or complex, depending on how many muscle groups are involved and how the tic appears.
Not everyone with Tourette syndrome experiences both motor and vocal tics, and not everyone has complex tics. Some people may only have mild tics that don’t interfere with daily life, while others may have more noticeable symptoms.
When to see a doctor
If you or your child has repeated movements or sounds that seem hard to control, it’s a good idea to talk to a doctor. While tics may be mild or come and go, a medical provider can help figure out what’s going on and whether treatment or support is needed.
Early diagnosis can lead to better management, especially if tics affect daily life. Your primary care doctor may refer you to a specialist, such as a neurologist or a mental health provider, for further care.
Risk factors for Tourette syndrome
While the exact cause of Tourette syndrome isn’t fully understood, researchers believe a combination of genetic and environmental factors plays a role. Some people may be more likely to develop the condition based on their family history, prenatal environment or biological sex. Understanding these risk factors can help with early detection, diagnosis and support.
Here are some common risk factors:
- Family history: Tourette syndrome tends to run in families. If a parent, sibling or other close relative has tics or a tic disorder, you may have a higher risk of developing the condition.
- Prenatal health: Certain pregnancy-related issues—such as complications during birth, maternal stress or illness, smoking during pregnancy or low birth weight—can affect brain development and increase the risk of Tourette syndrome.
- Associated conditions: Individuals with certain conditions such as attention deficit-hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD) have a higher risk of Tourette syndrome.
- Sex: Boys are three to four times more likely than girls to be diagnosed with Tourette syndrome. Researchers don’t yet know why, but sex-related differences in brain development and hormones may play a role.
Complications
Many people with Tourette syndrome lead full, healthy lives. But the condition can sometimes cause challenges that affect your well-being and daily life. Severe tics may lead to self-injury, and other tics can cause embarrassment, low self-esteem or make you want to avoid social situations.
Tourette syndrome often occurs alongside other behavioral health conditions, also called co-occurring conditions. These may include:
- Anxiety disorders
- Attention-deficit/hyperactivity disorder (ADHD)
- Autism spectrum disorder
- Depression
- Learning disabilities
- Obsessive-compulsive disorder (OCD)
- Oppositional defiant disorder (ODD)
- Sensory processing issues
- Sleep disorders
- Functional neurological disorder (FND)
How is Tourette syndrome diagnosed?
Tourette syndrome is diagnosed by looking at your symptoms and medical history. There’s no single test to confirm it, so your doctor will focus on when your tics started, how often they happen and if something else could be causing them.
To rule out other conditions, your doctor may order tests like blood work or brain imaging (such as an MRI or CT scan). You may also be referred to a neurologist, psychiatrist or developmental specialist for further evaluation.
To be diagnosed with Tourette syndrome, all of the following must be true:
- You have both motor and vocal tics, though they don’t have to happen at the same time.
- Tics have been present for at least one year, even if they come and go.
- Symptoms started before age 18.
- The tics aren’t caused by another medical condition or medication.
Tourette syndrome treatment
There’s no cure for Tourette syndrome, but treatment can help you feel more in control. Many people find that the right care makes tics less severe and helps with related conditions like anxiety or ADHD. Your doctor may recommend medication, therapy or lifestyle changes based on your age, symptoms and overall health.
Treatment looks different for everyone. Whether your goal is to reduce tics, manage emotions or build confidence, your care team will create a plan that works for you.
Medication
Medications won’t stop tics completely, but it can help make them less frequent or less noticeable. Your care team will work with you to find the best option and adjust it as needed.
Medication options include:
- Alpha-2 adrenergic agonists: These medications, like clonidine and guanfacine, are often used to treat high blood pressure but can also help reduce tics and symptoms of ADHD. They work by calming nerve signals in the brain.
- Antidepressants: A type called selective serotonin reuptake inhibitors (SSRIs), like fluoxetine or sertraline, may help if you have anxiety, depression or obsessive thoughts along with tics.
- Aripiprazole: This newer antipsychotic helps balance dopamine in the brain and may lower the number and intensity of Tourette syndrome tics with fewer side effects than older medications.
- Central nervous system stimulants: If you have ADHD, stimulants like methylphenidate or amphetamine salts may help with focus and attention. In many cases, they don’t make tics worse.
- Conventional antipsychotics: Older medications like haloperidol and pimozide can reduce tics by blocking dopamine but may cause more side effects, so they’re usually only used when other treatments don’t help.
- VMAT 2 inhibitors: These medications, typically used for conditions such as tardive dyskinesia and Huntington disease, decrease dopamine release in the brain and can reduce involuntary movements.
Find specialized care for Tourette syndrome
At Baylor Scott & White, we offer several locations for the care and treatment of conditions like Tourette syndrome and other neurological disorders in North and Central Texas. Whether you are seeking a diagnosis, looking for treatment or require ongoing support, we’re here for you.

4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093
4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093
Not accepting walk-ins

1400 8th Ave , Fort Worth, TX, 76104
1400 8th Ave , Fort Worth, TX, 76104
Accepting walk-ins

10815 Ranch Rd 2222 , Austin, TX, 78730
10815 Ranch Rd 2222 , Austin, TX, 78730
Not accepting walk-ins

5330 Overpass Rd Ste 100, Buda, TX, 78610
5330 Overpass Rd Ste 100, Buda, TX, 78610
Not accepting walk-ins

800 Scott and White Dr , College Station, TX, 77845
800 Scott and White Dr , College Station, TX, 77845
Not accepting walk-ins

2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660
2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660
Not accepting walk-ins

2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660
2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660
Not accepting walk-ins

300A University Blvd , Round Rock, TX, 78665
300A University Blvd , Round Rock, TX, 78665
Not accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Not accepting walk-ins

9101 N Central Expy Ste 230, Dallas, TX, 75231
9101 N Central Expy Ste 230, Dallas, TX, 75231
Not accepting walk-ins

7217 Telecom Pkwy Ste 300, Garland, TX, 75044
7217 Telecom Pkwy Ste 300, Garland, TX, 75044
Not accepting walk-ins

5220 W University Dr POB II, Ste 250, McKinney, TX, 75071
5220 W University Dr POB II, Ste 250, McKinney, TX, 75071
Not accepting walk-ins

4716 Alliance Blvd Pavilion II, Plano, TX, 75093
4716 Alliance Blvd Pavilion II, Plano, TX, 75093
Not accepting walk-ins

9101 N Central Expy Ste 400, Dallas, TX, 75231
9101 N Central Expy Ste 400, Dallas, TX, 75231
Not accepting walk-ins

909 N Washington Ave , Dallas, TX, 75246
909 N Washington Ave , Dallas, TX, 75246
Accepting walk-ins

6601 Harris Pkwy , Fort Worth, TX, 76132
6601 Harris Pkwy , Fort Worth, TX, 76132
Not accepting walk-ins

2000 Medical Dr , Lakeway, TX, 78734
2000 Medical Dr , Lakeway, TX, 78734
Accepting walk-ins

1901 SW H K Dodgen Loop , Temple, TX, 76502
1901 SW H K Dodgen Loop , Temple, TX, 76502
Accepting walk-ins

1901 SW H K Dodgen Loop , Temple, TX, 76502
1901 SW H K Dodgen Loop , Temple, TX, 76502
Not accepting walk-ins

700 Medical Pkwy , Brenham, TX, 77833
700 Medical Pkwy , Brenham, TX, 77833
Accepting walk-ins

12505 Lebanon Rd , Frisco, TX, 75035
12505 Lebanon Rd , Frisco, TX, 75035
Accepting walk-ins

700 Scott and White Dr , College Station, TX, 77845
700 Scott and White Dr , College Station, TX, 77845
Accepting walk-ins

7600 Better Way , Frisco, TX, 75033
7600 Better Way , Frisco, TX, 75033
Accepting walk-ins

1650 W College St , Grapevine, TX, 76051
1650 W College St , Grapevine, TX, 76051
Accepting walk-ins

100 Hillcrest Medical Blvd , Waco, TX, 76712
100 Hillcrest Medical Blvd , Waco, TX, 76712
Accepting walk-ins

1901 N MacArthur Blvd , Irving, TX, 75061
1901 N MacArthur Blvd , Irving, TX, 75061
Accepting walk-ins

6800 Scenic Dr , Rowlett, TX, 75088
6800 Scenic Dr , Rowlett, TX, 75088
Accepting walk-ins

100 Medical Pkwy , Lakeway, TX, 78738
100 Medical Pkwy , Lakeway, TX, 78738
Accepting walk-ins

810 W State Hwy 71 , Marble Falls, TX, 78654
810 W State Hwy 71 , Marble Falls, TX, 78654
Accepting walk-ins

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
Accepting walk-ins

4700 Alliance Blvd , Plano, TX, 75093
4700 Alliance Blvd , Plano, TX, 75093
Accepting walk-ins

300 University Blvd , Round Rock, TX, 78665
300 University Blvd , Round Rock, TX, 78665
Accepting walk-ins

231 S Collins Rd , Sunnyvale, TX, 75182
231 S Collins Rd , Sunnyvale, TX, 75182
Accepting walk-ins

305 Mallard Ln , Taylor, TX, 76574
305 Mallard Ln , Taylor, TX, 76574
Accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Accepting walk-ins

2400 N Interstate 35E , Waxahachie, TX, 75165
2400 N Interstate 35E , Waxahachie, TX, 75165
Accepting walk-ins

3434 Swiss Ave Ste 400, Dallas, TX, 75204
3434 Swiss Ave Ste 400, Dallas, TX, 75204
Not accepting walk-ins

2021 N MacArthur Blvd Ste 210, Irving, TX, 75061
2021 N MacArthur Blvd Ste 210, Irving, TX, 75061
Not accepting walk-ins

7600 Lakeview Pkwy Ste 150, Rowlett, TX, 75088
7600 Lakeview Pkwy Ste 150, Rowlett, TX, 75088
Not accepting walk-ins

5236 W University Dr Ste 3700, McKinney, TX, 75071
5236 W University Dr Ste 3700, McKinney, TX, 75071
Not accepting walk-ins

4708 Alliance Blvd Pavilion I, Ste 550, Plano, TX, 75093
4708 Alliance Blvd Pavilion I, Ste 550, Plano, TX, 75093
Not accepting walk-ins

4700 Alliance Blvd , Plano, TX, 75093
4700 Alliance Blvd , Plano, TX, 75093
Not accepting walk-ins

9101 N Central Expy Ste 400, Dallas, TX, 75231
9101 N Central Expy Ste 400, Dallas, TX, 75231
Not accepting walk-ins

50 Hillcrest Medical Blvd Ste 201-A, Waco, TX, 76712
50 Hillcrest Medical Blvd Ste 201-A, Waco, TX, 76712
Not accepting walk-ins

3800 Gaylord Pkwy Ste 810, Frisco, TX, 75034
3800 Gaylord Pkwy Ste 810, Frisco, TX, 75034
Not accepting walk-ins

201 Bay West Blvd , Horseshoe Bay, TX, 78657
201 Bay West Blvd , Horseshoe Bay, TX, 78657
Not accepting walk-ins

2405 S Clear Creek Rd , Killeen, TX, 76549
2405 S Clear Creek Rd , Killeen, TX, 76549
Not accepting walk-ins

200 Medical Pkwy , Lakeway, TX, 78738
200 Medical Pkwy , Lakeway, TX, 78738
Not accepting walk-ins

800 W State Hwy 71 , Marble Falls, TX, 78654
800 W State Hwy 71 , Marble Falls, TX, 78654
Accepting walk-ins

3500 Gaston Ave , Dallas, TX, 75246
3500 Gaston Ave , Dallas, TX, 75246
Accepting walk-ins