Psychological interventions in Gilles de la Tourette's syndrome.

Even with the advent of successful pharmacotherapy of TS, emotional sequelae of chronicity, the public and intrusive nature of the disorder, and the potential side effects of the medications challenge the family's and the patient's capacity to successfully adjust to the disorder. Psychological intervention provides the physician with a comprehensive assessment of related problems that can affect family dynamics and social and academic adjustment, thus enhancing the ability to treat the patient successfully. Behavioral intervention may improve the patient's capacity to alter or inhibit a tic, which can lead to a reduction in medication dosage. Supportive psychotherapy in various forms can enhance adjustment, family relations, and self-esteem.