“There is no single most effective medication,[2] and no one medication effectively treats all symptoms. Most medications prescribed for tics have not been approved for that use, and no medication is without the risk of significant adverse effects.[6][35][108] Treatment is focused on identifying the most troubling or impairing symptoms and helping the individual manage them.[35] Because comorbid conditions are often a larger source of impairment than tics,[20] they are a priority in treatment.[109] The management of Tourette’s is individualized and involves shared decision-making between the clinician, patient, family and caregivers.[109][110] Practice guidelines for the treatment of tics were published by the American Academy of Neurology in 2019.”