A patient-centered perspective on the future of tic disorder diagnosis: response to “Tic disorders revisited: introduction to the term ‘tic spectrum disorders” by Müller-Vahl et al.

  • Christine A. ConeleaEmail author
  • Jaleesa Jenkins
  • Ben Brown
  • Laura Beljaars
Letter to the Editor

In their recent paper, “Tic disorders revisited: Introduction to the term ‘tic spectrum disorders,” Müller-Vahl, Sambrani, and Jakubovski [1] propose a new diagnostic term “tic spectrum disorders” to encompass and replace DSM-5 [2] and ICD-10 [3] diagnoses of Tourette syndrome (TS), chronic tic disorder (CTD), and provisional tic disorder (PTD). Their argument rests on original and existing data suggesting TS is a severe form of CTD rather than a separate disorder. We recognize the possible benefits of more parsimonious diagnostic categorization and are in favor of making evidence-based changes to improve diagnostic accuracy. However, we wish to raise three critiques that we hope are considered as the future of tic disorder diagnostic terminology is debated.

First, we assert that debates about diagnostic terminology must involve people affected by the diagnosis as key stakeholders and collaborators. We are a group representing this type of collaboration: three of us are adults with TS....


Compliance with ethical standards

Conflict of interest

On behalf of all the authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Psychiatry & Behavioral SciencesUniversity of MinnesotaMinneapolisUSA
  2. 2.Person with Tourette’sCaliforniaUSA
  3. 3.Tourette’s PodcastCaliforniaUSA
  4. 4.Stichting Gilles de la Tourette, TicTalk & MoreParnassia GroupVeldhovenNetherlands

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