Margaret J. Kay, Ed.D. NCSP
Licensed Psychologist
School Psychologist

Margaret J. Kay, Ed.D. Psychologist

Nationally Certified School Psychologist (NCSP)
Pennsylvania Licensed Psychologist #PS003431L
Delaware Licensed Psychologist #
B10000780
Pennsylvania Certified School Psychologist #
5961681
National Provider ID:
#1013058585


Lancaster PA Office (Main)
2818 Lititz Pike
Lancaster, PA 17601-3322
Phone:  (717) 569-6223
FAX: (717) 560-9931
 

Delaware Office (IEEusa.net)
37497 Leisure Drive
West Fenwick, DE 19975
Phone:  (717) 569-6223
FAX: (302) 436-0865

EMAIL: MJK@MargaretKay.com

Specializing in the recognition and understanding of individual differences...

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Tourette

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Tourette Syndrome Disorder

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What is Tourette Syndrome?

Tourette Syndrome (TS) is a neurological disorder characterized by tics.  Tics are involuntary, rapid, sudden movements or vocalizations that occur repeatedly in the same way.

Individuals with Tourette disorder feel an irresistible urge to tic.   Although it is often possible to suppress tics for a time, suppression leads to stronger tics when they are expressed.

The range of tics experienced by people with TS is often very broad.   In addition, individuals with Tourette Syndrome often experience a complexity of other problems, including:

  • Attention Deficit Hyperactivity Disorder (ADHD)

  • Obsessive-Compulsive Disorder (OCD)

  • Poor impulse control (disinhibition)

  • Learning disabilities, particularly disorders of written expression

Tourette Syndrome is believed to be caused by the abnormal metabolism of the neurotransmitters dopamine and serotonin.  It is genetically transmitted and parents have a 50% chance of passing the gene to their children.

To schedule an evaluation, click here.


What are the Educational Needs of Children with
Tourette Syndrome?

Children with Tourette Syndrome almost universally experience problems with written expression.  Problems with writing may range from severe dysgraphia to extreme compulsiveness about executing perfect printing in a great amount of time.

Students with disorders of written expression often face a classic "double bind"----slow and accurate or fast and inaccurate.  In either case, grades often suffer, particularly as the child gets older and the demand for written work increases.

Students with Tourette Syndrome also may suffer from a variety of learning disabilities and attentional problems, including:

  • Language-based disorders, such as dyslexia

  • Non-Verbal learning disorders

  • Executive dysfunction

  • Math disabilities

  • Comprehension problems

    To schedule an evaluation, click here.


What are the Emotional & Social Needs of Children with Tourette Syndrome?

Children with Tourette Syndrome are often picked on by peers and viewed as "behavior problems" by teachers and other adults, who find it hard to believe that their actions and vocal utterances are not deliberate.

Because the range of tics or tic-like symptoms can be very broad, the complexity of some symptoms is often perplexing to family members and friends.  For this reason, Tourette Syndrome is a socially stigmatizing handicap which requires special handling at school and at home.


Margaret J. Kay, Ed.D., has been evaluating and serving the needs of children & adults with Tourette Syndrome for over 27 years.  Here's what the Executive Director of the Pennsylvania Tourette Syndrome Association has to say:

"Your reports are wonderful.  I am able to use them successfully 99% of the time.  It feels so good to get hugs from the parents and kids when school becomes manageable for them.  Keep up the good work."  Mary Lou Reaver, Executive Director, PA Tourette Syndrome Association

To schedule an evaluation, click here.


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Suggested Readings


 


This site was designed by Margaret J. Kay, Ed.D.  Its contents are presented for informational and educational purposes only and are not to be construed as professional advice on medical, legal, technical or therapeutic matters.  By using and accessing the information on this site, you agree to waive any rights to hold the site developer, or any individual and/or group associated with this site, liable for any damage that may result from the use of the information presented here.

© Copyright 2010 Margaret J. Kay. All rights reserved.

The copyright of design, text and images on this web site is owned by Margaret J. Kay or the individual copyright owners as noted elsewhere on this site.  You may download and reprint articles from this web site for non-commercial, private, educational purposes only.  You may not in any way modify, or publicly distribute, any information contained within this site without specific permission form the copyright owner.

Send mail to MJK@MargaretKay.com with questions or comments about this web site.

Last modified: July 11, 2010