The majority of tic disorders, including Tourette’s, need little intervention. Usually psychoeducation is all that is required. If the tics are painful however it is thought that intervention may help in order to relieve discomfort or reduce the embarrassment caused by tics in social environments. The use of medication is the main form of treatment in these instances (Piacentini & Chang, 2006). Some psychological strategies may help but this has relatively little backing in the evidence to date (Robertson, 2000).
It may be possible to help the child manage stress which may reduce the frequency of tics, such as using relaxation and exercise. Dr Chowdhury’s book recommends ‘massed practice’ where a child is encouraged to practice their tics before school or events which may cause a natural period of rest for that particular tic. Habit reversal has some backing.
Tics and Tourette syndrome: a handbook for parents and professionals by Uttom Chowdhury.
‘Tic Tips’ factsheet suggests a number of strategies for managing various tics
Guide for young people that covers some of the frequently asked questions of young people