European clinical guidelines for Tourette syndrome and other tic disorders: summary statement

• Published in: European child & adolescent psychiatry Vol. 31; no. 3; pp. 377 - 382
• Main Authors: Müller-Vahl, Kirsten R., Szejko, Natalia, Verdellen, Cara, Roessner, Veit, Hoekstra, Pieter J., Hartmann, Andreas, Cath, Danielle C.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.03.2022; Springer Nature B.V; Springer Verlag (Germany)
• Subjects: Child & adolescent psychiatry; Child and Adolescent Psychiatry; Clinical practice guidelines; Deep brain stimulation; Drug therapy; Gilles de la Tourette syndrome; Humans; Life Sciences; Medicine; Medicine & Public Health; Patients; Psychiatry; Psychological assessment; Review; Stimulation; Tic Disorders - diagnosis; Tic Disorders - therapy; Tics; Tics - diagnosis; Tics - therapy; Tourette syndrome; Tourette Syndrome - diagnosis; Tourette Syndrome - psychology; Tourette Syndrome - therapy; Treatment methods; Tics; Treatment; Comorbidities; Tourette syndrome; Classification; Guidelines
• ISSN: 1018-8827; 1435-165X; 1435-165X
• DOI: 10.1007/s00787-021-01832-4

In 2011 a working group of the European Society for the Study of Tourette syndrome (ESSTS) developed the first European Guidelines for Tourette syndrome (TS) published in the ECAP journal. After a decade ESSTS now presents updated guidelines, divided into four sections: Part I: assessment, Part II: psychological interventions, Part III: pharmacological treatment and Part IV: deep brain stimulation (DBS). In this paper, we summarise new developments described in the guidelines with respect to assessment and treatment of tics. Further, summary findings from a recent survey conducted amongst TS experts on these same topics are presented, as well as the first European patient representative statement on research. Finally, an updated decision tree is introduced providing a practical algorithm for the treatment of patients with TS. Interestingly, in the last decade there has been a significant shift in assessment and treatment of tics, with more emphasis on non-pharmacological treatments.