A 4th grader has a history of tics and attention-deficit hyperactivity disorder (ADHD), treated with a stimulant medication. Recently, the tics worsened significantly and the
stimulant was discontinued; however, the tics persisted. When a psychiatrist is consulted,
the diagnoses of ADHD and Tourette syndrome are confirmed. Which of the following
is the best next medication trial for this child?
A. Benzodiazepine
B. Atypical antipsychotic
C. Alpha-adrenergic agonist
D. Tricyclic antidepressant (TCA)
E. Selective serotonin reuptake inhibitor (SSRI)