   
Tourette's and ADHD
Q:
"My five-year-old son is being evaluated for ADHD. Recently he has shown accelerated signs of facial tics and hyperactivity. Does he have Tourette's?" 
A:
Motor tics often start between the ages of five and nine. It may not be unusual to have a tic disorder and ADHD. If your son has a tic disorder, it might be best not to use Ritalin, Dexedrine, or Adderall. Instead, consider a non-stimulant medication. Does he have Tourette's Disorder? It would be best to discuss this with your family doctor or a pediatric neurologist.
Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.
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