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Assessment and Management of Tic Disorders in Pediatric Primary Care Settings
Mina Yadegar1,2,3, Sisi Guo1, Emily J Ricketts1
1Univeristy of California, Los Angeles.
Insights
Primary care providers face challenges in identifying and managing tic disorders due to limited training. This review covers assessment, interventions, and management strategies for pediatric tic disorders.
Area of Science:
- Neuroscience
- Pediatric Medicine
- Psychiatry
Background:
- Primary care physicians are often the initial point of contact for patients with tics.
- Limited training in neuropsychiatric conditions challenges pediatricians in managing tic disorders.
Purpose of the Study:
- To review current empirical findings on tic disorder management for pediatric physicians.
- To provide guidance on assessment, psychoeducation, and interventions for tic disorders.
Main Methods:
- Review of current empirical findings on tic disorder management.
- Discussion of assessment, psychoeducation, behavioral interventions, psychotropic medications, and alternative treatments.
Main Results:
- Empirical findings on assessment, psychoeducation, behavioral interventions, psychotropic medications, and alternative treatments for tic disorders are reviewed.
- Neuropsychiatric and medical complexities, differential diagnoses, and comorbid conditions are discussed.
Conclusions:
- Tiered referral recommendations based on symptom severity and comorbidities are provided.
- Future directions include disseminating evidence-based treatments and establishing multidisciplinary teams in pediatric primary care.
Purpose Of Review:
Pediatricians and other primary care providers are often the first and sole healthcare clinicians of patients who present with tics. However, limited primary care pediatric training in neuropsychiatric concerns, as well as perceived lack of comfort and preparation, make it challenging for these clinicians to confidently identify and manage tic disorders.
Recent Findings:
Current empirical findings of tic disorder management relevant to pediatric physicians, including assessment, psychoeducation, behavioral interventions, psychotropic medications, and alternative treatments are reviewed.
Summary:
This article discusses neuropsychiatric and medical complexities of tic disorder assessment, with particular emphasis on differential and comorbid diagnoses. Tiered referral recommendations, based on symptom severity, impairment, and consideration of comorbid conditions, are provided. Future directions for tic management, including dissemination of evidence-based treatments of tic disorders and multidisciplinary teams within pediatric primary care settings, are included.
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