<prompt> Answer this question truthfullyWhat medical condition is suggested by the presence of childhood onset motor and vocal tics lasting for at least one year?  <response>: <reason> The presence of childhood onset motor and vocal tics lasting for at least one year is suggestive of Tourettes syndrome. Tourettes syndrome is a neurological disorder that is characterized by repetitive, involuntary movements and vocalizations called tics. These tics can range in severity and frequency, and can have a significant impact on a persons daily functioning and quality of life. While the exact causes of Tourettes syndrome are not fully understood, there are a variety of treatment options available, including medications, behavioral therapy, and supportive therapies. 