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Distinguishing between certain complex motor tics and certain compulsions (e.g., repetitive touching) can be a problem. By convention, tics are distinguished from "tic-like" compulsions (e.g., compulsive touching or blinking) based on whether the patient attaches a purpose or meaning to the behavior. For example, if a patient feels an urge to repeatedly touch an object, this would be classified as a compulsion only if it was preceded by a need to neutralize an unwanted thought or image; otherwise it would be labeled a complex motor tic. Tics are often identified by "the company that they keep": if a complex motor act is accompanied by clear-cut tics (e.g., head jerks), it is most likely a tic itself.

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