Tourette Syndrome and Alternative & Complementary Medicine What do the data say? (Part I) Samuel H. Zinner, M.D. Assistant Professor – Pediatrics Developmental-Behavioral.

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Presentation transcript:

Tourette Syndrome and Alternative & Complementary Medicine What do the data say? (Part I) Samuel H. Zinner, M.D. Assistant Professor – Pediatrics Developmental-Behavioral Pediatrics University of Washington, Seattle

Treatment Integrative Medicine “Complementary/Alternative” Reaffirms relationship between patient and practitioner Focuses on whole person Is informed by evidence Makes use of all appropriate therapeutic approaches

Treatment Integrative Medicine “Complementary” “Alternative”

Treatment Integrative Medicine Why the interest? –Medication problems –Autonomy –Readily available information and “information” –Personal values –Liabilities in conventional medicine

Integrative Medicine problems Not easily integrated into the dominant healthcare model Poses significant challenges to society beliefs and practices

Integrative Medicine Tourette syndrome Six of the categories –Medical –Manual and Energy Medicine –Mind-body –Nutritional –Foreign substances –Behavioral and cognitive

Integrative Medicine Tourette syndrome Six of the categories –Medical –Manual and Energy Medicine –Mind-body –Nutritional –Foreign substances –Behavioral and cognitive

Integrative Medicine Tourette syndrome Six of the categories –Medical –Manual and Energy Medicine –Mind-body –Nutritional –Foreign substances –Behavioral and cognitive

Integrative Medicine Tourette syndrome Six of the categories –Medical Homeopathy Naturopathy Aromatherapy Candida/yeast hypersensitivity

Integrative Medicine Tourette syndrome Six of the categories –Medical –Manual and Energy Medicine –Mind-body –Nutritional –Foreign substances –Behavioral and cognitive

Integrative Medicine Tourette syndrome Six of the categories –Manual and Energy Medicine Massage therapies Chiropractic Acupuncture Transcranial magnetic stimulation

Integrative Medicine Tourette syndrome Six of the categories –Medical –Manual and Energy Medicine –Mind-body –Nutritional –Foreign substances –Behavioral and cognitive

Integrative Medicine Tourette syndrome Six of the categories –Mind-body: self-healing CBT (cognitive-behavioral therapy) Relaxation/habit-reversal Hypnosis Peer support groups

Integrative Medicine practical guidelines Seek reliable evidence-based info Common sense Discuss any relevant treatment options Be aware of basic principles of biomedical ethics –Kemper K, Cohen M. Contemporary Pediatrics (March 2004) 21:61

Integrative Medicine practical guidelines Seek reliable evidence-based info Common sense Discuss any relevant treatment options Be aware of basic principles of biomedical ethics –Kemper K, Cohen M. Contemporary Pediatrics (March 2004) 21:61

Integrative Medicine practical guidelines Basic principles of biomedical ethics –Autonomy –Non-maleficence –Beneficence –Justice –Beauchamp and Childress. Principles of Biomedical Ethics, ed 5 (2001), NY, Oxford University Press

Integrative Medicine websites National Center for Complementary and Alternative Medicine Consortium of Academic Health Centers for Integrative Medicine Quackwatch