This is mainly written for educators and children, but largely still applies:
https://tourette.org/resource/unders...ette-syndrome/
Tourette Syndrome and its related disorders can manifest as behaviors that often appear to be purposefully disruptive, attention seeking or manipulative. It is therefore not unusual to misinterpret symptoms of the disorder as behavioral problems rather than the neurological symptoms that they are.
TOURETTE SYNDROME BEHAVIORAL SYMPTOMS
1. DYSINHIBITION
Difficulty consistently inhibiting thoughts and/or actions. Inappropriate statements or behaviors result from the student’s inability to consistently apply “mental brakes” – the child can’t stop himself consistently from expressing behaviors, thoughts, or displaying actions that someone else might be able to control. Behaviors might seem to be excessive silliness, being sassy, free-associative comments, emotional outbursts, contextual swearing, blurting out, inappropriate comments, explosive anger, and oppositional defiance.
For those with dysinhibition, a sign saying “Don’t Touch, Wet Paint” is an invitation to touch the paint. Obeying the sign means inhibiting the very behavior suggested by the sign. Inhibiting behaviors is challenging for all children, but presents a far greater challenge for students with TS due to their impulsivity and inconsistent ability to apply their mental brakes. This is not purposeful disobedience, but the inconsistent dysfunction of a brain affected by the chemical imbalances that cause TS.
2. OPPOSITIONAL BEHAVIORS
Many students with TS have a secondary diagnosis of Oppositional Defiant Disorder (ODD). Dr. Ross Greene refers to these children as being chronically inflexible and will typically display ODD behavior. The support team must look for the underlying difficulties such as OCD, ADHD, tics, processing difficulties, written language deficits, and sensory issues which prevent the child from expressing his needs or responding appropriately.
3. IMMATURE BEHAVIORS
4. REFUSING SUPPORTS AND ACCOMMODATIONS
5. OBSESSIVE COMPULSIVE BEHAVIORS
6. ‘RAGE’
7. ‘FIGHT OR FLIGHT’
8. DIFFICULTIES WITH TRANSITIONS
9. USE OF INAPPROPRIATE LANGUAGE