A psychologist may also be available to help with problems which may arise from low self esteem and specific learning difficulties. Those diagnosed in utero or at birth should be under the care of a paediatrician immediately after birth. Girls with TS usually grow at a normal rate until around 3 or 4 years of age when their growth may begin to slow down.
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Many people with TS have tics that do not get in the way of their living their daily life and, therefore, do not need any treatment. However, medication and behavioral treatments are available if tics cause pain or injury; interfere with school, work, or social life; or cause stress. Educating the community for example, peers, educators, and coworkers about TS can increase understanding of the symptoms, reduce teasing, and decrease stress for people living with TS. People with TS cannot help having tics, and are not being disruptive on purpose.