<prompt> Tourette is a disorder ofAttention deficitTicsAutismMental retardation  <response>: Tourettes disorderGilles de la Tourette - combined vocal and multiple motor tic disorder. presence of both multiple motor and one or more vocal tics 1 year Onset 18 years involuntary, spasmodic, stereotyped movement of small groups of muscles; seen most predominantly in moments of stress or anxiety Ex: Nose twitching, Shoulder shrugging, Sustained eye closure, Tensing of abdominal or limb muscles Etiology- Neurotransmitter dysregulation in basal ganglia, striatum, and frontal lobes. Rx- Haloperidol , pimozidefirst line , Risperidone , olanzapine comorbidity- ADHD, OCD AUTO IMMUNE-PANDAS Peadiatric Auto immune NeuroPsychiatric disorders assosiated with Streptococcus Akathisia Motor restlessness unpleasant need to move, usually in the lower extremities Ballismus Intermittent, coarse, large-amplitude, jerking, shaking, flinging movements Chorea Irregular, spasmodic movements, usually affecting the limbs or face Tic Non-rhythmic, Stereotyped, rapid, recurring movement, involuntary or semivoluntary, and sudden in onset. TYPES: motor tic or vocalization phonic or vocal tic Tremor Unintentional, somewhat rhythmic, muscle movement involving oscillations of one or more pas of the body Stereotypy Repetitive, usually meaningless, gestures, habits, or automatisms Reference: P 3617: chap 46.Tic DisordersKaplan Sadocks Comprehensive Textbook of Psychiatry, 9th EditionP 81 DSM-5 