Tourette Syndrome Awareness
Malaysia
1. Both multiple motor and one or more vocal tics have been present
at some
time during the illness, although not necessarily concurrently.
2. The tics occur many times a day (usually in bouts) nearly every day
or
intermittently throughout a period of more than 1 year, and during
this period
there was never a tic-free period of more than 3 consecutive months.
3. The disturbance causes marked distress or significant impairment
in social,
occupational, or other important areas of functioning.
4. The onset is before age 18 years.
5. The disturbance is not due to the direct physiological effects of a
substance
(e.g., stimulants) or a general medical condition (e.g., Huntington’s
disease or
post viral encephalitis).
There is no requirement that motor tics and phonic tics be present
at the same time, and
there is no requirement that the child must have involuntary cursing.