Tic or Compulsion?

  title={Tic or Compulsion?},
  author={Charles S. Mansueto and David J. Keuler},
  journal={Behavior Modification},
  pages={784 - 799}
A subgroup of individuals suffering from obsessive-compulsive disorder (OCD) frequently present to treatment with an atypical yet distinguishable array of symptoms akin to both Tourette’s disorder (TD) and OCD. These individuals often receive standard treatments for OCD (or less likely, TD) that fail to address the blended features of their presentation. It is argued that these individuals would be better served, both psychotherapeutically and pharmacologically, by the adoption of a Tourettic… 
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Multimodal interventions that include focused treatment of comorbid conditions as well as educational and long term supportive relationships are usually the best approach to the treatment of Tourette’s syndrome.
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The patients with obsessive-compulsive disorder showed less coprolalia, echo phenomena, self-destructive behavior, and childhood attention deficit, than the patients with Tourette's disorder, which had high rates of unipolar depressive and generalized anxiety disorders.
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Investigating the sensory phenomena in patients with OCD and/or Tourette's disorder to determine if these phenotypic features represent valid clinical indices for differentiating tic- related OCD from non-tic-related OCD found that feelings of incompleteness and a need for things to be "just right" were reported more frequently in the OCD plus Tourette't disorder group compared with the other 2 groups.
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