Orlando, 14, frequently twists his head uncontrollably and yelps or grunts. If he has not done this for several hours, he has a sensation that can only be relieved by engaging in these movements and sounds. Orlando has had this problem since he was 8. The most likely diagnosis is ________

Question

Quizplus · Accepted Answer

Orlando's symptoms of uncontrollable head movements, yelps or grunts, and the relief he experiences from engaging in these movements and sounds suggest a diagnosis of Tourette's syndrome. Tourette's syndrome is a tic disorder that involves repetitive, involuntary movements and sounds that are difficult to control. The onset of symptoms typically occurs during childhood or adolescent years, which is consistent with Orlando's history. The other options are less likely as Orlando's symptoms are not consistent with the core features of OCD, autism spectrum disorder, or other tic disorders.

Orlando, 14, Frequently Twists His Head Uncontrollably and Yelps or Grunts