[Differential diagnosis and therapeutic problems in tics and obsessive-compulsive disorders during the developmental age].

In order to point to the differential-diagnostic issue of tics and obsessive-compulsive disorders because of similar clinical manifestations of some forms of tics with compulsive behavior, and ebcause of frequent obsessive features found in children with tics, we have examined 121 patients with tic and 9 patients with obsessive-compulsive disorder. In the tic group we found a significant occurrence of differently manifested obsessive line, while in the compulsive disorders group we found a great percentage of tics. Attempts made in order to differentiate these two clinical pictures in practice were based on the recognition that in both cases we deal with a unique etiopathogenetic factor in the form of frustration which in some children cause a feeling of tension which in some cases further manifests itself in the deterioration of voluntary movements initiating tics, sometimes provoke defensive mechanisms leading to the obsessive-compulsive syndrome and sometimes both issues are present. Such recognition implicates a more complex approach to the child's personality by neglecting the differences between the two disorders and includes a therapeutic program consisting of psychomotor reduction and relaxation, medication, parent assistance and school cooperation.