Tic or Compulsion?

@article{Mansueto2005TicOC,
  title={Tic or Compulsion?},
  author={Charles S. Mansueto and David J. Keuler},
  journal={Behavior Modification},
  year={2005},
  volume={29},
  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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50 Citations
Background Citations
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50 Citations

Treatment of Childhood Tic Disorders with Comorbid OCD
TLDR
The present chapter compares the phenomenology of TD and OCD, followed by a discussion on the available treatment plans, both pharmacological and psychological.
Assessment of Tics and Comorbid Obsessive–Compulsive Symptoms
TLDR
This chapter covers interview, clinician-administered, and self-report methods of assessing each condition, and approaches for distinguishing between the diagnoses, with special attention to assessment of a prominent symptom of tics, premonitory urges.
Obsessive-Compulsive Disorder in Children and Adolescents
TLDR
This chapter reviews the literature on pediatric OCD, including clinical characteristics and etiological theories, assessment methods, available treatment modalities, methods of treatment augmentation, and directions for future research regarding treatment dissemination are discussed.
Treatment of a Youngster with Tourettic Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) and persistent tic disorders (TD) are known to be highly comorbid, and recent research has suggested that the combination of OCD + TD may represent a distinct OCD…
Current issues in the treatment of OC-spectrum conditions.
TLDR
A review of some understudied OC-spectrum conditions, with particular focus on phenomenology and overlap with obsessive-compulsive disorder, etiology, treatment outcome, treatment refractory issues, and new developments in treatment research.
Tic Disorders and Tourette’s
Pediatric obsessive–compulsive disorder with tic symptoms: clinical presentation and treatment outcome
TLDR
The results underscore the effectiveness of CBT for tic-related OCD and the two groups showed no difference in terms of OCD severity or outcome ofCBT.
Evaluation of cognitive behaviour therapy for paediatric obsessive-compulsive disorder in the context of tic disorders.
Repugnant obsessions: a review of the phenomenology, theoretical models, and treatment of sexual and aggressive obsessional themes in OCD
Obsessions and Compulsions in Children with Asperger's Syndrome or High-Functioning Autism: A Case-Control Study
TLDR
It is suggested that it is useful to establish both diagnoses given that obsessions and compulsions may respond to treatment, and their alleviation may improve functioning in children on the autism spectrum.
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References

SHOWING 1-10 OF 24 REFERENCES
Obsessive–Compulsive Disorder with and without a Chronic Tic Disorder
TLDR
Preliminary findings suggest that the types of compulsions present may help to discriminate between two putative subgroups of OCD, i.e. those with and without tics.
Symptoms in Obsessive-Compulsive Disorder and Tourette Syndrome: A Spectrum?
TLDR
The results suggest that, despite the many overlapping dimensions of these disorders, the symptoms and associated impairment in “pure” OCD, tic-related OCD, and TS do not form a simple continuous spectrum.
Fluvoxamine/Pimozide Treatment of Concurrent Tourette's and Obsessive-Compulsive Disorder
TLDR
Pimozide alone reduced only tics and the combination of fluvoxamine and pimozide was required for the improvement in OCD and some OCD patients unresponsive to a 5-HT reuptake inhibitor alone may benefit from the addition of a dopamine antagonist.
Obsessive-compulsive-related disorders
TLDR
This book discusses cognitive-behavioral approaches to obsessive-compulsive--related disorders and the spectrum of obsessive-Compulsive-- related disorders.
Tourette’s Syndrome and Tic Disorders
TLDR
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.
Clinical comparison of Tourette's disorder and obsessive-compulsive disorder.
TLDR
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.
Clinical and psychological features distinguishing obsessive-compulsive and chronic tic disorders.
Sensory phenomena in obsessive-compulsive disorder and Tourette's disorder.
TLDR
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.
Phenomenological differences appearing with repetitive behaviours in obsessive-compulsive disorder and Gilles de la Tourette's syndrome
TLDR
The presence or absence of cognitions, sensory phenomena, and autonomic anxiety distinguishes repetitive behaviours in patients with OCD from those with OCD plus GTS, and GTS.
Repetitive behaviors in Tourette's syndrome and OCD with and without tics: what are the differences?
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