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Many people try and suppress their tics until they can find a secluded spot in which to release them.

Even then, the feeling of relief tends to be only momentary.

The estimated incidence of this ranges from 35% to 50%.

The incidence of TS in OCD is lower (5% to 7%), although tics are reported in 20% to 30% of individuals with OCD.

It is possible that the antigen could be linked to the motor component of the various disorders.

Two categories of tic have been identified, namely simple and complex tics.

The simple type includes eye blinking, head and limb jerking, shoulder shrugging and grimacing (motor tics); plus sniffing, grunting, throat clearing and yelping (vocal tics).

In addition to anti-obsessional drugs (eg SSRIs such as Fluvoxamine and Paroxetine), individuals with TS seem to respond better to a combination of SSRI and neuroleptic treatment (eg Sulpiride and Pimozide), although there have been no good trials undertaken in this area at all.

Current theory suggests that immunological alterations may have occurred in individuals with OCD, either through haemolytic streptococcal or viral infections during childhood.

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