Tourette Syndrome and Other Tic Disorders Clinical Practice Guidelines (ESSTS, 2021)

European Society for the Study of Tourette Syndrome (ESSTS)

These are some of the highlights of the guidelines without analysis or commentary. For more information, go directly to the guidelines by clicking the link in the reference.

September 03, 2021

Guidelines for the management of Tourette syndrome and other tic disorders were published in July 2021 by the European Society for the Study of Tourette Syndrome (ESSTS) in European Child and Adolescent Psychiatry.[1]

Psychoeducation is recommended as an initial intervention for all individuals diagnosed with Tourette syndrome (TS).

For patients without functional impairment from their tics, a "watch-and-wait" approach may be reasonable.

Behavior therapy, specifically Habit Reversal Training (HRT)/Comprehensive Behavioral Intervention for Tics (CBIT) and Exposure and Response Prevention (ERP), is recommended as first-line treatment for children and adults with tic disorders when psychoeducation alone is insufficient.

If behavior therapy causes unsatisfactory effects, switching from one behavioral intervention (HRT/CBIT or ERP) to another or switching to pharmacotherapy can be considered.

Cognitive interventions and third-wave interventions are not recommended as standalone treatments for tic disorders.

Relaxation techniques are recommended as second-line intervention only.

For more information, go to Tourette Syndrome and Other Tic Disorders.

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