Condition
Tics and Tourette's syndrome
Tics are sudden, repetitive movements or sounds. Most are temporary; some persist and meet criteria for a tic disorder or Tourette's syndrome. The right support can substantially reduce how much tics interfere with daily life.
Signs and symptoms
- Motor tics: eye blinking, head jerks, shoulder shrugs, facial grimaces
- Vocal tics: throat clearing, sniffing, grunting, repeating words or phrases
- Premonitory urges — an uncomfortable sensation relieved by the tic
- Worsening with stress, fatigue, illness, or after periods of suppression
- Common co-occurring presentations: OCD, ADHD, anxiety
How therapy helps
Comprehensive Behavioural Intervention for Tics (CBIT)
CBIT, which includes habit reversal training, is the evidence-based first-line behavioural treatment for tic disorders. It helps a person notice the premonitory urge and use a competing response that is incompatible with the tic, alongside changes to environmental factors that reliably worsen tics.
Who Dr Turner works with
Dr Turner works with tics and Tourette's across the lifespan, including paediatric and adolescent presentations and co-occurring OCD or anxiety.
Frequently asked questions
Will my child grow out of tics?+
Many childhood tics are transient. For tics that persist beyond a year or are interfering with school, sleep, or wellbeing, evidence-based behavioural treatment is recommended rather than waiting.
Does suppressing tics make them worse?+
Brief suppression is possible but typically followed by a rebound. CBIT teaches a sustainable alternative — noticing the urge and using a competing response — rather than effortful suppression.
Can tics and OCD occur together?+
Yes, OCD and tic disorders commonly co-occur. Treatment is sequenced and adapted accordingly.
Related conditions
Sources & review
- European clinical guidelines and AACAP: behavioural therapy (CBIT, incorporating habit reversal training) is first-line for tic disorders and Tourette's syndrome.
Last clinically reviewed: July 2026
This page is general clinical information and does not constitute personal clinical advice. For assessment and treatment, please make an enquiry.
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