Before Your Visit

Your initial visit allows us to gain as full an understanding as possible of the broad spectrum of neurological, developmental and emotional symptoms that may accompany Tourette syndrome and other tic disorders. Results of previous treatments, if any, are also very important. For this reason, we appreciate your filling out the intake questionnaire. It is most efficient if you can fill this out before the visit. To receive a copy prior to your scheduled visit, contact us at tics@cchmc.org. You may feel free to email it back to us at this HIPAA secure email.

What to Bring

  • Medical records are not needed unless they specifically address the tic disorder or other neurological or psychiatric symptoms. However, if you would like us to review medical, psychological, neuropsychological or educational assessments, bring them to the visit.
  • Brain imaging studies (CT Scans, MRI scans) and EEGs are not needed. However, if imaging studies have been obtained and you want us to review them, bring them to the clinic visit on a CD.
  • Sometimes tics and other movements are best seen on home videos. Feel free to bring videos for our review as this can be extremely helpful. Contact us if you want to send them digitally.

During Your Visit

All new patients are evaluated by a movement disorder and Tourette syndrome specialist. Because this is a teaching hospital, you may meet a movement disorder fellow, a Cincinnati Children's resident and/or medical students. You will also meet nurses or our nurse practitioner at your first visit.

The physician’s assessment begins with a review of the information on the questionnaire, any other information you have brought and a detailed neurological examination. We will discuss the diagnostic testing we recommend, if any, and review our recommendations for a treatment plan. This may include education about the diagnosis, discussion of how to be proactive with peers, family and the school, medical treatment, behavioral assessment or treatment through a psychologist, or referral to psychiatrists or other specialists if necessary.

After Your Visit

Follow-up care by the Tourette Syndrome and Tic Disorder Clinic varies depending on the needs of children and adults we evaluate.

Milder cases may need education at the first visit, and follow-up only as needed if symptoms worsen.

Other individuals with more impairing symptoms may opt for medical treatment or behavioral treatments at the first visit, in which case follow-up appointments will be recommended to monitor treatment benefits and possible side effects. Follow-up may also be needed to discuss results of recommended tests or referrals.