Tourette Disorder (TD) is more common than previously suspected. In the state of North Dakota, the prevalence rate among school-aged children is 5.2 per 10,000. In this paper the authors discuss diagnosis and management of children with TD in a rural state. Particular emphasis will be paid to identifying children for referral from a public school or institutional setting, identifying appropriate referral sources, and discussing methods to facilitate multidisciplinary long-term management of these children.
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