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

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:

Parent spending time with kids

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.

Baylor Scott & White - Plano Brain and Spine Center

4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093

Not accepting walk-ins

Accepting walk-ins

Baylor Scott & White Clinic - Austin River Place

10815 Ranch Rd 2222 , Austin, TX, 78730

Not accepting walk-ins

Baylor Scott & White Clinic - Buda Medical Center

5330 Overpass Rd Ste 100, Buda, TX, 78610

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Rock Prairie

800 Scott and White Dr , College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - Pflugerville Medical Center (Building 1)

2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660

Not accepting walk-ins

Baylor Scott & White Clinic - Pflugerville Medical Center Building 2

2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660

Not accepting walk-ins

Baylor Scott & White Clinic - Round Rock 300 University

300A University Blvd , Round Rock, TX, 78665

Not accepting walk-ins

Baylor Scott & White Clinic - Temple

2401 S 31st St , Temple, TX, 76508

Not accepting walk-ins

Baylor Scott & White Cognitive and Behavioral Neurology Associates

9101 N Central Expy Ste 230, Dallas, TX, 75231

Not accepting walk-ins

Baylor Scott & White Dallas Diagnostic Association - Garland

7217 Telecom Pkwy Ste 300, Garland, TX, 75044

Not accepting walk-ins

Baylor Scott & White Dallas Diagnostic Association - Garland (Satellite)

5220 W University Dr POB II, Ste 250, McKinney, TX, 75071

Not accepting walk-ins

Baylor Scott & White Dallas Diagnostic Association - Plano

4716 Alliance Blvd Pavilion II, Plano, TX, 75093

Not accepting walk-ins

Not accepting walk-ins

Baylor Scott & White Institute for Rehabilitation - Dallas

909 N Washington Ave , Dallas, TX, 75246

Accepting walk-ins

Not accepting walk-ins

Accepting walk-ins

Baylor Scott & White McLane Children's Medical Center - Temple

1901 SW H K Dodgen Loop , Temple, TX, 76502

Accepting walk-ins

Baylor Scott & White McLane Children's Specialty Clinic - Temple

1901 SW H K Dodgen Loop , Temple, TX, 76502

Not accepting walk-ins

Baylor Scott & White Medical Center - Brenham

700 Medical Pkwy , Brenham, TX, 77833

Accepting walk-ins

Baylor Scott & White Medical Center - Centennial

12505 Lebanon Rd , Frisco, TX, 75035

Accepting walk-ins

Baylor Scott & White Medical Center - College Station

700 Scott and White Dr , College Station, TX, 77845

Accepting walk-ins

Baylor Scott & White Medical Center - Grapevine

1650 W College St , Grapevine, TX, 76051

Accepting walk-ins

Baylor Scott & White Medical Center - Hillcrest

100 Hillcrest Medical Blvd , Waco, TX, 76712

Accepting walk-ins

Baylor Scott & White Medical Center - Irving

1901 N MacArthur Blvd , Irving, TX, 75061

Accepting walk-ins

Baylor Scott & White Medical Center - Lake Pointe

6800 Scenic Dr , Rowlett, TX, 75088

Accepting walk-ins

Baylor Scott & White Medical Center - Lakeway

100 Medical Pkwy , Lakeway, TX, 78738

Accepting walk-ins

Baylor Scott & White Medical Center - Marble Falls

810 W State Hwy 71 , Marble Falls, TX, 78654

Accepting walk-ins

Baylor Scott & White Medical Center - McKinney

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071

Accepting walk-ins

Baylor Scott & White Medical Center - Plano

4700 Alliance Blvd , Plano, TX, 75093

Accepting walk-ins

Baylor Scott & White Medical Center - Round Rock

300 University Blvd , Round Rock, TX, 78665

Accepting walk-ins

Baylor Scott & White Medical Center - Sunnyvale

231 S Collins Rd , Sunnyvale, TX, 75182

Accepting walk-ins

Baylor Scott & White Medical Center - Taylor

305 Mallard Ln , Taylor, TX, 76574

Accepting walk-ins

Baylor Scott & White Medical Center - Temple

2401 S 31st St , Temple, TX, 76508

Accepting walk-ins

Baylor Scott & White Medical Center - Waxahachie

2400 N Interstate 35E , Waxahachie, TX, 75165

Accepting walk-ins

Baylor Scott & White Neurology - Dallas

3434 Swiss Ave Ste 400, Dallas, TX, 75204

Not accepting walk-ins

Baylor Scott & White Neurology - Irving

2021 N MacArthur Blvd Ste 210, Irving, TX, 75061

Not accepting walk-ins

Baylor Scott & White Neurology - Lake Pointe

7600 Lakeview Pkwy Ste 150, Rowlett, TX, 75088

Not accepting walk-ins

Baylor Scott & White Neurology - McKinney

5236 W University Dr Ste 3700, McKinney, TX, 75071

Not accepting walk-ins

Baylor Scott & White Neurology - Plano

4708 Alliance Blvd Pavilion I, Ste 550, Plano, TX, 75093

Not accepting walk-ins

Baylor Scott & White Neurology Hospitalist Group - Plano
Baylor Scott & White Neurology Hospitalist Group - Plano

4700 Alliance Blvd , Plano, TX, 75093

Not accepting walk-ins

Baylor Scott & White Neuroscience Center

9101 N Central Expy Ste 400, Dallas, TX, 75231

Not accepting walk-ins

Baylor Scott & White Neurosciences Clinic - Waco

50 Hillcrest Medical Blvd Ste 201-A, Waco, TX, 76712

Not accepting walk-ins

Baylor Scott & White Specialty Clinic - Horseshoe Bay

201 Bay West Blvd , Horseshoe Bay, TX, 78657

Not accepting walk-ins

Baylor Scott & White Specialty Clinic - Killeen Hemingway

2405 S Clear Creek Rd , Killeen, TX, 76549

Not accepting walk-ins

Baylor Scott & White Specialty Clinic - Lakeway

200 Medical Pkwy , Lakeway, TX, 78738

Not accepting walk-ins

Baylor Scott & White Specialty Clinic - Marble Falls

800 W State Hwy 71 , Marble Falls, TX, 78654

Accepting walk-ins

Frequently asked questions

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