Ask the Pediatrician: Dr. Molly Forum

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Mon. 11/02/09 01:29 PM

Early diagnosis of Tics in kids?

Among other things, you learned "Tics in kids really can't be diagnosed until they are around age 5." Can you speak to the fact that my son was diagnosed with Tourette Syndrome before age 4 (based on a couple of persistent, but changing, motor and vocal "tics"). Based on your recent experience, do you think it was too early to diagnosis and is it possble that I have been worrying for nothing (since he was diagnosed about six months ago)?

michelle31, Troy, MI

Although there are rare times when tic behavior can be severe enough to warrant the diagnosis of Tourette's at a young age, I feel that it is inaccurate. Even if some proportion of kids with stereotypies go on to have true tic disorders and a smaller percent of those go on to have Tourette's, I see little value in labeling a young child. I will write more about this topic in the next couple of weeks too.

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