Mixed Bag: Tics, Compulsions, and More

  • Kenneth L. Grizzle


When Ricky was 6-years old and completing kindergarten at a parochial school, his parents, teacher, and pediatrician were concerned because he was recognizing less than half of the lowercase letters of the alphabet and inconsistently recognizing numbers through 50. However, he could count beyond 100. Ricky made mild articulation errors in spontaneous speech and continued to show difficulties sequencing multisyllabic words, features thought to reflect subtle remaining characteristics of his previously diagnosed developmental apraxia of speech.

At home and school Ricky avoided all tasks requiring literacy. Although he allowed his parents to read to him, he became restless and walked away when asked to read decodable books or to engage in any type of writing. Although not consistent, he sometimes became frustrated to the point of having emotional meltdowns that included screaming and throwing items. Similar behaviors were seen during initial testing.


Phonological Awareness Tourette Syndrome Phonological Processing Phonemic Awareness Rapid Automatize Naming 
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Resources for Clinicians

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Resources for Families

  1. Fitzgibbons, L., & Pedrick, C. (2003). Helping your child with OCD. New Harbinger Publications, Oakland.Google Scholar
  2. I Have Tourette 's, But Tourette 's Doesn't Have Me. DVD available through Tourette Syndrome Association,
  3. Learning Disabilities Association, 4156 Library Road, Pittsburgh, PA 15234, 412–341–1515,
  4. The Obsessive-Compulsive Foundation, 676 State St., New Haven, CT 06511, 203–401–2070,
  5. Tourette Syndrome Association, Inc., 4240 Bell Blvd, Suite 205, Bayside, NY 11361–2820, 718– 224–2999,
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  7. Masonic Learning Center, A multi-sensory code-based intervention. Children involved in this Orton-Gillingham-based program are expected to attend hour long sessions twice a week for 2 years. Services are offered without charge.

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Kenneth L. Grizzle
    • 1
  1. 1.Department of PediatricsMedical College of WisconsinMilwaukee

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