Tic disorder

Template

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

TypeChoose oneFirst line

AssessmentChoose any

ImpactChoose one

ExamChoose one

Co-occurring concerns presentChoose any

Co-occurring concerns absentChoose any

PlanChoose one

SchoolChoose any

Follow-upChoose one

Counseling

Tics are common in children, tend to come and go, and are often worse with stress, excitement, or tiredness. Many improve over time. Pointing them out or asking a child to stop usually makes them worse. Recommended supportive care with an emphasis on regular sleep, daily physical activity, regular meals, and lower stress, without drawing attention to the tics. Return precautions given including tics causing pain or injury, tics interfering with school or friendships, new weakness or other neurologic symptoms, worsening mood or anxiety, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Tic disorder
• Reviewed onset, types of tics, frequency, ability to suppress, urge before tics, triggers, and impact
• Tics not causing pain, injury, or impairment at school or with friends
• Neurologic exam otherwise normal
• No concerns for ADHD, anxiety, obsessive-compulsive symptoms, mood symptoms, or sleep problems
• Education and watchful waiting given tics without impairment
• Follow up if tics increase or cause impairment

Tics are common in children, tend to come and go, and are often worse with stress, excitement, or tiredness. Many improve over time. Pointing them out or asking a child to stop usually makes them worse. Recommended supportive care with an emphasis on regular sleep, daily physical activity, regular meals, and lower stress, without drawing attention to the tics. Return precautions given including tics causing pain or injury, tics interfering with school or friendships, new weakness or other neurologic symptoms, worsening mood or anxiety, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Type (provisional, persistent motor or vocal, Tourette)
ADHD, anxiety, OCD, mood, sleep
Watchful waiting; CBIT; neurology
School collaboration

Return precautions in the template

tics causing pain or injurytics interfering with school or friendshipsnew weakness or other neurologic symptomsworsening mood or anxiety

Sources

Pediatric Care Online, Tics
Other AAP

Few formal guidelines cover this topic, so the template also leans on expert opinion.