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The stigmatising and impairing nature of tics can have a significant impact on the quality of life of the young person and their parents/carers, as well as on family functioning. Management includes education and explanation, behavioural treatments and (sometimes) medication. Attention deficit hyperactivity disorder(ADHD) is the most common neurodevelopmental disorder and is estimated to affect approximately 10% ofchildren and 5% of adults. It is associated with impaired functioning. Recognition and appropriate treatment can make a sub