Providing authoritative and up-to-date medical and scientific information about Tourette syndrome, A Family's Guide to Tourette Syndrome speaks to patients, families, care providers, academic institutions, and medical centers in easy-to-understand language about this neurodevelopmental disorder that affects children, adolescents, and adults worldwide. Each chapter is authored by leading neurologists, psychiatrists, psychologists, scientists, and others with expertise and research interests in Tourette syndrome. Praise for A Family's Guide to Tourette Syndrome "I am delighted to see the breadth and wealth of valuable clinical and scientific findings that have been gathered together in this comprehensive resource for families. The information provided in this book is testimony to the talent, abiding intellectual curiosity, and dedication to compassionate care and sheer persistence of each of the professionals who have contributed chapters. Their common goal was clear and selfless-to uncover sound medical and scientific data that could provide much needed answers to the baffling complexities of Tourette syndrome. A mere two decades ago, it was clear to all in the field that the prospect of obtaining sufficient funding to explore more deeply the intriguing preliminary findings uncovered about the disorder was all but non-existent. Simply put-other research funding priorities prevailed at the time. And so we can appreciate that the decision by each of them to dedicate their professional efforts to the study of Tourette syndrome is especially laudable. And for this we all owe the contributing authors a profound debt of gratitude" -Sue Levi-Pearl, Emeritus TSA Vice President Medical and Scientific Programs A Family's Guide To TOURETTE SYNDROME iUniverse, Inc. Copyright © 2012 Tourette Syndrome Association, Inc. All right reserved. ISBN: 978-1-4620-6857-9 Contents Preface................................................................................................................................................................................................................viiForeword...............................................................................................................................................................................................................ixContributors...........................................................................................................................................................................................................xiAbbreviations..........................................................................................................................................................................................................xvChapter 1: Introduction Joseph Jankovic, M.D...........................................................................................................................................................................1Chapter 2: The Diagnosis of Tourette Syndrome James F. Leckman, M.D., Michael H. Bloch, M.D., and Robert A. King, M.D..................................................................................................8Chapter 3 Psychiatric Conditions Associated with Tourette Syndrome Barbara J. Coffey, M.D., M.S. and Amanda Zwilling, B.A..............................................................................................24Chapter 4 Problems with Anger, Aggression, and Impulse Control in Tourette Syndrome Cathy L. Budman, M.D. and Joanna Witkin, B.S.......................................................................................48Chapter 5 How Common is Tourette Syndrome in Children? Lawrence Scahill, M.S.N., Ph.D..................................................................................................................................67Chapter 6 The Causes of TS and Changes that Occur in the Brain Jonathan W. Mink, M.D., Ph.D............................................................................................................................73Chapter 7 Inheritance, Genes, and TS Jeremiah M. Scharf, M.D., Ph.D. and Carol A. Mathews, M.D.........................................................................................................................82Chapter 8 Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection (PANDAS) and Tourette Syndrome Tanya Murphy, M.D., M.S...............................................................97Chapter 9 Drug Treatments for Tourete Syndrome and Co-Morbid Disorders Donald L. Gilbert, M.D., M.S....................................................................................................................110Chapter 10 Tourette Syndrome, Pregnancy and Breastfeeding Emilie R. Muelly, Ph.D. and Cheston M. Berlin Jr., M.D.......................................................................................................125Chapter 11 Behavior Therapy Matthew R. Capriotti, B.S.,