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UF Health Center

Fixel Institute

The UF Health Tourette Center of Excellence is comprised of two world-renowned clinical care centers. The Norman Fixel Institute for Neurological Diseases (FIND) and the Center for OCD, Anxiety and Related Disorders (COARD) are home to clinicians and scientists at UF Health who are committed to the multi-disciplinary care of people living with tics, Tourette syndrome, and related disorders.  Our core team consists of fellowship-trained movement disorder neurologists who are focused on Tourette syndrome along with our expert psychiatrists and psychologists, focusing on co-occurring conditions including anxiety, depression, obsessive-compulsive disorders and ADHD. Our occupational therapists are trained in Comprehensive Behavioral Intervention for Tics (CBIT) and organize community outreach with support groups.  We treat patients of all ages at our center.  We offer botulinum toxin therapy if indicated, and have clinical trials in new medications for Tourette syndrome, deep brain stimulation therapy, and studies to unravel the complex genetics and other aspects of TS.  We are committed to educating our patients and their families and to driving the field forward toward ever-improving therapeutic options. ​

 Comprehensive Behavioral Intervention for Tics (CBIT) is provided on site by TSA-BTI trained Occupational Therapists.  Cognitive Behavioral Therapy and Exposure Response Prevention for OCD and Anxiety are completed by the UF Health psychology and psychiatry services at COARD.  Medication management is also provided at each center to ensure maximum impact.




Michael S. Okun, MD

Chair, Department of Neurology

Fixel Center for Neurological Disease

TAA Medical Advisory Board Member


Dr. Irene Malaty

Irene A. Malaty, MD

Associate Professor-Neurology

Director of TAA Center of Excellence

Fixel Center for Neurological Diseases

TAA Medical Advisory Board Member


Wissam Deeb, MD

Wissam Deeb, MD

Assistant Professor-Neurology

Fixel Center for Neurological Diseases



Carol Mathews, MD

Carol Mathews, MD

Brooke Professor-Psychiatry

Director, Center for OCD, Anxiety and Related Disorders

Co-chair TAA Scientific Advisory Board Member

Herbert E. Ward, MD

Herbert E. Ward, Jr. MD


Medical Director Department of Psychiatry


Ancillary Services (CBIT)

Heather Simpson, MOT, OTR/L

Heather Simpson, OTD, MOT, OTR/L

Clinic Coordination-UF TAA Center of Excellence

Occupational Therapy


Laura Frahm

Laura Frahm, MOT, OTR/L

Occupational Therapy




Fixel Institute for Neurological Diseases

Psychiatry & Psychology

Center for OCD, Anxiety and Related Disorders (C-COARD)