Tourette Syndrome is conceptualized as a neurobehavioral disorder, with behavioral aspects that are sometimes difficult for teachers to understand and deal with. The disorder has five layers of complexity: (1) observable multiple motor, vocal, and cognitive tics and sensory involvement; (2) Attention Deficit Hyperactivity Disorder; (3) obsessive-compulsive disorder or ritualistic behaviors; (4) stereotypical behavior; and (5) associated learning disabilities. Added to this is an emotional overlay of anxiety, fatigue, embarrassment, and depression. Classroom recommendations are presented for use in working with students exhibiting Tourette Syndrome, in the areas of environmental structure and planning, visual motor impairment, attention deficit disorder and impulse control, obsessive compulsive symptoms, cognitive and learning disabilities, emotional overlay, and testing considerations. (Seven references) (JDD)