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Tourette outpatient clinic

Doctor in charge

Dr. Richard Musil


Dr. med. Elif Weidinger, Dr. med. Lisa Löhrs, M. Sc. Julia Winter, Mag. rer. nat. Bianka Leitner, M.Sc.Psych Jaana Schnell

Tics are involuntary, rapid, usually sudden movements and vocal utterances that can be very noticeable. Tic disorders can be transient and appear as simple motor tics such as winking, shaking or nodding the head and shrugging the shoulders. More complex motor tics include hopping, kicking or jumping, for example. Simple vocal tics are defined as specific sounds such as frequent clearing of the throat or coughing. Examples of complex vocal tics are humming, whistling or repeating syllables or words. The presence of motor and vocal tics indicates an illness called Tourette syndrome. The illness was named after the French doctor who first described it, Georges Gilles de la Tourette.

Tourette syndrome is not infrequently accompanied by an attention deficit hyperactivity disorder (ADHD) or compulsions. Emotional disorders may also be present.

This quote will help you understand the condition:
’I understood that this hopping wandered around in his body, that it was attempting to break out here or there. I understood his fear of people, and I myself began to look carefully whether the passersby noticed anything.‘
Rainer Maria Rilke, The Notebooks of Malte Laurids Brigge

Below you can find answers to the most important questions about our outpatient clinic:

What kind of patients do we see?

The specialist outpatient clinic sees all children, adolescents and adults who have a tic disorder, or who are suspected of having a tic disorder, and their relatives.

Do I need to have a diagnosis already?

Because we offer advice, diagnostic assessments and symptomatic treatment, you do not need a diagnosis to make an appointment with us. If you happen to be in a symptom-free phase when you have your first appointment, we encourage you to still attend your appointment because an episodic course is typical of a tic disorder.

What happens at the outpatient clinic?

Our goal is to provide thorough and expert advice, diagnostics and treatment. We are happy to cooperate closely with the doctor treating you locally.

Because the type and severity of symptoms can differ greatly between patients, we have to perform a detailed diagnostic assessment both at the beginning and over the course of the illness so that we can develop or adapt your personal treatment plan. Key components are:
•    Medical history and diagnosis with the help of questionnaires
•    Physical-medical diagnostics
•    Neuropsychological diagnostic tests, if necessary

Depending on the results of the diagnostic evaluations, we give advice and information to patients and their relatives about possible treatment options so that together we can prepare a treatment plan. We have the following treatment options at our hospital:
•    Psychopharmacological treatment and other drug treatments
•    Behaviour therapy (habit reversal, exposure and response prevention)
•    Deep brain stimulation
•    Transcranial direct current stimulation (tDCS)

How often do I have to go to the outpatient clinic?

The number and frequency of appointments depends to a large extent on the individual treatment plan and the type and severity of symptoms.
We provide one-time consultations and also the treatment options mentioned above. To optimise and ensure treatment options in the long term, we strongly urge our patients to participate in studies and to attend the associated appointments.

Do I have to register beforehand, and/or do I need a referral?

You must register beforehand but you do not need a referral. You can make an appointment by ringing +49-89-4400-53307 daily from 9 a.m. to 5 p.m.

Can I participate in studies?

Yes! Patients can participate in a variety of research projects that we are performing to expand the knowledge about tic disorders and Tourette syndrome:

European Multicentre Tics in Children Study (
Both studies are investigating the role of the immune system and certain infections in the development of tic disorders.
The study is evaluating the efficacy of an online behaviour training programme (habit reversal)
•    Study on driving ability in tic disorders
The study is examining the effects of tics on driving ability. Patients have the option to test their own driving ability.


If you have questions, please contact our team at the Tourette outpatient clinic.
Clinic hours every Tuesday, 9 a.m. to 12 p.m.
Appointments can be made daily from 9 a.m. to 12 noon and 2 p.m. to 3 p.m. by ringing Tel. +49-89-4400-53307.

Hospital of the University of Munich 
Department of Psychiatry and Psychotherapy
Tourette outpatient clinic
Nussbaumstrasse 7
80336 Munich