Tourette Syndrome (TS) is a neuropsychiatric disorder that is often under-diagnosed and misdiagnosed in children because of the lack of education and awareness of the wide range of indicators and symptoms of the disorder. Through the use of a case study and review of the empirically based literature, this article aims to describe the etiology and symptomatology of the disorder using a biopsychosocial paradigm that informs clinical practice with children who have TS and their families.