We describe various components of a specialist service for children and adolescents with Tourette’s syndrome, and their parents. The clinical demand was such that the structure of the service has had to be changed several times. Support groups, one for the parents, one for the adolescents and one for the children have proved very helpful. A drop-in format, initially considered to be a useful way of coping with demand, has not worked well. These developments and changes are described and discussed, and future developments considered.
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