Tourette syndrome was initially seen as a diagnosis for verbal and motor tics. If we perceive this affection as a cerebral activity disorder, we can conclude that this syndrome represents a hyperactivity of the motor and sensorial circuits, associated with reward circuitry disregulation. This leads to a behavior that has similar symptoms as obsessive-compulsive disorder, more compulsive and with reward deficit, followed by hyper-masculinity and hyper-sensuality attitudes, and accompanied by pathological sexual relationships. The case history can indicate a trauma, and this association can lead to a “calamity” because the cerebral trauma disregulates the brain’s function. The trauma is coded into the declarative memory  and it is gradually reinforced by the events that follows.

          Neurofeedback can be useful on more levels: training of brain’s functionality in calmer periods, training the prefrontal circuits function to normalize the inhibitory functions, and normalization of dopaminergic pathways that are involved in motion and reward circuits adjusting. If a trauma exists, there are other ways of training.

          Self-aggressive behavior can be a clue of Tourette syndrome, as stated by Thorn Hartmann. He states that this behavior is described by persons that suffer from this syndrome as a “need to feel alive”, as an instinctual need appeared because of the lack of reward. The centre involved in reward appearance is affected when dopaminergic circuitry deficiency occurs. Other implications of this deficiency are: different addictions, obsessions and compulsions.

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