Complex obsessive compulsive and impulsive symptoms in Tourette’s syndrome

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Authors: Donna Palumbo, Roger Kurlan

Published Date November 2007 Volume 2007:3(5) Pages 687 - 693

DOI: http://dx.doi.org/10.2147/NDT.S

Donna Palumbo, Roger Kurlan

Department of Neurology, University of Rochester School of Medicine, Rochester, NY, USA

Abstract: Obsessive compulsive and impulsive symptoms are prevalent in patients with Tourette’s Syndrome (TS) and well recognized as part of the TS spectrum. However, some complex obsessive compulsive and impulsive behaviors may be mistaken for other symptoms, such as complex tics or psychotic behavior. In addition, the overlap between tics, compulsions, and impulsive actions can make them impossible to discern from each other. Yet, the proper recognition of these symptoms is critical in optimizing treatment outcome in TS patients. This paper will review complex obsessive compulsive and impulsive behaviors that may occur in patients with TS and discuss implications for diagnosis and treatment.

Keywords: obsessions, compulsions, tics, psychosis, Tourette’s syndrome