Talk:Treatment of Tourette syndrome

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Treatment of Tourette syndrome is included in the 2007 Wikipedia for Schools, or is a candidate for inclusion in future versions. Please maintain high quality standards, and make an extra effort to include free images, because non-free images cannot be used on the CDs.

[edit] GA review: comments

  • A lot of hard work has been put into this article. Good job!
  • This article appears to have been written by a domain expert. I would suggest going through and re-reading it carefully for terms that have become quite familiar to you, but may not be familiar to the intelligent layman (comorbidity, dopamine, serotonin, "cognitive blunting," placebo etc.). If the term can be neatly paraphrased (as perhaps in, "they often take treatment priority," "treatment-refractory," "monotherapy" and "modality," and certainly in "ameliorate" and "exacerbate"), then the paraphrase may be preferable. Paraphrases within a quotation should be enclosed in square brackets, of course. If a term or phrase cannot be rephrased (as is frequently the case in this article), then a wikilink would be a good idea. Even "insomnia" and "cannabis," which are in fairly widespread use, deserve a wikilink.
  • If there is no article to wikilink to, please consider putting that on your "to do" list ;-).
  • Also consider poking around a bit to see if links to articles such as Social anxiety may be applicable and helpful. Your "See Also" (I prefer "Further Reading") section is empty. Incorrect, See also (preferred to Further reading) contains an entire template. Sandy (Talk) 01:44, 20 November 2006 (UTC)
  • Lead section: Suggest re-writing the opening sentence to place the non-negative clause first. I'm not editing it for fear of making unintended substantive changes, but suggest something like, "Treatment of Tourette syndrome has the goal of managing symptoms rather than eliminating them, since there is no cure and no universally effective medication." Also, since education of "the patient, family, and surrounding community" is a key part of treatment, suggest putting a paraphrase of that sentence into the lead as well. That's a judgment call; it depends upon how important presenting that point to the audience is. The lead should be a quick look (written in clear and interesting prose) at whatever main points you wish to present.
  • --Ling.Nut 14:56, 8 November 2006 (UTC)
  • Thanks for your comments, Ling.Nut. I am traveling, did not submit these article to GA, did not feel they were ready, and do not have time to complete them now. This series of articles, nominated by someone else for GA, are daughter articles for the recently promoted FA on Tourette syndrome, and they aren't yet polished. I can work on these items next week. You are correct in the items which have not yet been completed here except for one area — See also is not at all empty: it has an entire template which links it to every article about Tourette syndrome on Wikipedia. See also is preferable to Further reading, as it shows the extent to which relevant content has been wikified, which is always preferable to external content. Thanks for the review, and I will let you know when the article is completed. Sandy (Talk) 16:18, 8 November 2006 (UTC)

[edit] Failed GA Nomination of October 29, 2006

This article has failed a the good article nomination of October 29, 2006. While interesting and comprensive, the language of the article remains far too technical to be easily comprehended by the average reader. On November 8, Ling.Nut made some excellent suggestions on how to improve this article, but they still haven't been addressed. After taking another look at the article and polishing it up, please feel free to resubmit it to WP:GAC. Best of luck. Neil916 (Talk) 05:59, 18 November 2006 (UTC)

Repeat message (most unfortunate that another author put up four articles for GA at once, all written by me, without inquiring if these articles were ready or if I had time to finish them.) Thanks for the input, Neil916, but there's no need to give it time. As I've explained elsewhere, I did not nominate the article for GA, someone put all the TS daughter articles up for review just as I was traveling and did not have time to finish them, I am the only author, and I don't have time for this polishing/finishing right now. My preference would be to remove them all from GA, and strike all GA templates from the page: I'm not a fan of the entire GA process anyway, and would not have submitted these articles:-) When I have time to polish and finish the article, I will ask for review from the medical project and other copyeditors I know, and not from GA. I'm sorry you had to go to the trouble; thanks again for the input. I will finish the article when I have time, and then submit it to the Medicine Project for peer review. Sandy (Talk) 14:21, 18 November 2006 (UTC)

[edit] Contemporary Assessment and Pharmacotherapy of TS article

Regarding this edit, deleting material sourced to Scahill L, Erenberg G, Berlin CM Jr, Budman C, Coffey BJ, Jankovic J, Kiessling L, King RA, Kurlan R, Lang A, Mink J, Murphy T, Zinner S, Walkup J; Tourette Syndrome Association Medical Advisory Board: Practice Committee. Contemporary assessment and pharmacotherapy of Tourette syndrome. NeuroRx. 2006 Apr;3(2):192–206. PMID 16554257

Page 5

In order to guide clinical practice, the medications used in TS are classified according to their level of empirical support. The following criteria from the International Psychopharmacology Algorithm Project were selected:

CATEGORY A reflects treatments with Good supportive evidence for short-term safety and efficacy derived from at least two randomized placebo-controlled trials with positive results.

CATEGORY B corresponds to treatments with Fair supportive data as evidenced by at least one positive placebo-controlled study; and

CATEGORY C reflects treatments with Minimal supportive evidence such as open-label studies and acumulated clinical experience (Jobson and Potter, 1995).

From Page 7
Table 3
Antipsychotic drugs used in the treatment of tics: empirical support and dosing guidelines

  • Haloperidol (Haldol) - Empirical support A
  • Pimozide (Orap) - Empirical support A
  • Risperidone (Risperdal) - Empirical support A
  • Fluphenazine (Prolixin) - Empirical support B
  • Tiapride - Empirical support B
  • Ziprasidone - Empirical support B
  • Olanzapine - Empirical support C
  • Sulpiride - Empirical support C

Table 4
Non-antipsychotic drugs ...

  • Clonidine - Empirical support B
  • Guanfacine - Empirical support B
  • Pergolide - Empirial support B
  • etc ...

Where is the problem and what is the suggested wording change? SandyGeorgia (Talk) 23:22, 5 February 2007 (UTC)