Friday, June 5, 2009

The Tourette Syndrome Child

I have taught a tourette syndrome child and I know that a lot of difficulty associated with these children is the public's misunderstanding of their behavior and situation.

Tourette syndrome or TS is a genetic, neuro-chemical disorder characterized by involuntary muscle movement called tics. These tics can appear as simple repetitive movements such as blinking or exaggerated actions like gyrations on the floor.

Working with children with TS can be challenging especially when they sometimes present with accompanying conditions such as ADHD and OCD (Obsessive Compulsive Disorder). Rage or aggressive behavior has been reported as a clinical problem in about 25-40% of TS patients. However, understanding the mechanics behind the syndrome can bring about successful management of the Tourette syndrome child in the classroom.

What is a Tic?

Integrating the TS child into a regular classroom works best when the children in the classroom understand what a tic is. Tics often begin as uncomfortable tingling urges or sensations to move a set of muscles. Studies suggest that repressing a tic is not a good idea because the urge becomes increasingly insistent until it becomes an outburst. Telling the children in class what a tic is and emphasizing how it is as natural as sneezing can teach them the importance of sympathy and understanding for those who are different. As well, this approach de-mystifies the syndrome. A tic is as natural to the TS child as a sneeze. Moreover, tics usually disappear in frequency and severity as the child gets older. They are barely noticeable after the age of 19.

This being said, it is worthy to note that many teachers claim that tics can be stopped in mid-track through diversion or distraction. Encouraging the Tourette syndrome child to concentrate on a set of math problems or reading a book can actually divert his attention away from the tic and calm down the involuntary muscle movements. One teacher claims that her TS child gets on the computer when she feels a tic coming one. Physically moving the mouse and concentrating on the screen are enough to stop the oncoming tic.

There are many other adjustments we can make to help our tourette syndrome children in the classroom and at home.

More on this at a later date!

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