Symptoms of Tourette syndrome is often first noticed during childhood, between ages 7 and 10. Most children with Tourette syndrome also have other medical problems. These can include attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD), impulse control disorder, or depression.
The most common first symptom is a tic of the face. Other tics may follow. A tic is a sudden, fast, repeated movement or sound.
Symptoms of Tourette syndrome can range from tiny, minor movements (such as grunts, sniffling, or coughing) to constant movements and sounds that cannot be controlled.
Different types of tics can include:
Repeated throat clearing or sniffing
Tics may occur many times a day. They tend to improve or get worse at different times. The tics may change with time. Symptoms usually get worse before the mid-teen years.
Contrary to popular belief, only a small number of patients use curse words or other inappropriate words or phrases (coprolalia).
Tourette syndrome is different from OCD. People with OCD feel as though they have to do the behaviors. Sometimes a person can have both Tourette syndrome and OCD.
Many people with Tourette syndrome can stop doing the tic for periods of time. But they find that the tic is stronger for a few minutes after they allow it to start again. Often, the tic slows or stops during sleep.