Tic Disorder Study Guide
Amber Lalani
College of Nursing-PMHNP, Walden University
NRNP 6665: PMHNP Care Across the Lifespan I
Walden University
Due: April 20, 2021
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, 1. Signs & symptoms
a. Sudden uncontrollable repetitive movements that occur without warning without a
purpose
b. Vocal outbursts (often unrelated to any topic/situation)
c. Excessive blinking
d. Facial grimacing and expressions
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e. Rapid movements of the extremities and/or head
f. Sounds such as grunting or snorting
g. Often exacerbated with increased emotion (stress or excitement)
h. DSM-5 criteria (APA, 2013):
i. Either motor or vocal tics, but not both
ii. Either occur multiple times throughout the day almost every day or
intermittently for at least 1 year.
iii. Tics must begin prior to the age of 18
iv. Other causes such as medication, other diseases, or drugs must be ruled
out
v. Cannot be diagnosed with Tourette Syndrome
2. Differential Diagnoses
a. Tourette Syndrome
i. Tics must be both motor and vocal, but can occur at different times (CDC,
2021)
b. Seizures (Mount Sinai, 2021)
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