AM tuba - me too. I have had to basically do major research on my own to figure out the other stuff. My son's pediatrician just said lots of kids have tics they grow out of them. Not until my son wouldn't go into any room in our house by himself, and stopped wanting to do anything outside the house (wouldn't go to day camp with his best friend for instance) and started getting picked on in school did I realize something was off and I had to do something immediately. On the advice of a friend who had a gifted child (and his who teacher thought he was gifted) I took him to an educational consultant and she tested him and found him to be HG. However she just dismissed all the other stuff by saying he's highly gifted, that's how they all are, just ignore it. But I couldn't because he wouldn't go in his room by himself. I took him to a psych who said he sees a lot of gifted kids who do not have these issues, and he told me about the other stuff. There is a spectrum of it as well, not all kids with TS have co-morbid conditions or learning disorders. A child can have TS alone, or TS with ADHD, or TS with OCD or TS with all of the above. They aren't even sure they know what actually causes TS�.however it appears to be developmental in nature since many kids outgrow it.