TOURETTE'S / TIC
DISORDER

Tourette’s Disorder and other tic disorders are neurodevelopmental conditions characterized by sudden, repetitive, non-rhythmic movements or vocalizations known as tics. These can include motor tics such as blinking, facial movements, or shoulder shrugging, and vocal tics such as throat clearing, sniffing, or repeating sounds. Tics typically begin in childhood and may change in type, frequency, and intensity over time, often influenced by stress, fatigue, excitement, or anxiety. While many children experience transient tics, Tourette’s Disorder is diagnosed when both motor and vocal tics are present for more than one year. In adolescents and adults, tics may persist or fluctuate and are often accompanied by co-occurring conditions such as ADHD, OCD, or anxiety. Although tics are involuntary, individuals may be able to temporarily suppress them, which can lead to internal discomfort or rebound effects. Tic disorders are neurological in nature and not behavioral problems.

 

One of the most effective evidence-based treatments is Habit Reversal Training (HRT), a structured behavioral approach that increases awareness of tics and teaches individuals to implement a competing response that reduces or replaces the tic behavior over time. With consistent treatment and support, individuals of all ages can significantly reduce tic severity and improve daily functioning.

 

 

FAQs: Treating Tourette's / Tic Disorder at CARE-LA

​

How do I find the best therapist for Tourette’s or tic disorders in West Los Angeles?

Look for a licensed therapist or psychologist trained in Habit Reversal Training (HRT), used to treat tics, Tourette’s Disorder, and body-focused repetitive behaviors such as hair pulling (trichotillomania) and skin picking (excoriation).

​

What are common types of tics?

Motor tics include blinking, facial grimacing, or shoulder movements. Vocal tics include throat clearing, sniffing, grunting, or other sounds.

​

What is the difference between a tic disorder and Tourette’s Disorder?

Tourette’s Disorder involves both motor and vocal tics lasting more than one year, while other tic disorders may involve only motor or vocal tics or be present for a shorter duration.

​

At what age do tics typically start?

Tics usually begin in early childhood, often between ages 5 and 7, and may peak in severity during late childhood or early adolescence.

​

Are tics voluntary or involuntary?

Tics are involuntary, though some individuals can temporarily suppress them. Suppression often leads to a buildup of internal discomfort.

​

What is HRT?

Habit Reversal Training for Tics (HRT) helps individuals first build awareness of the urge or sensation that occurs before the behavior, and then learn a “competing response”—a specific, incompatible action that can be used in place of the tic or habit.

​

Can stress or anxiety make tics worse?

Yes. Stress, anxiety, excitement, or fatigue can increase tic frequency or intensity.

​

Do tic disorders go away over time?

For many children, tics decrease significantly during adolescence. However, some individuals continue to experience tics into adulthood.

​

Is medication necessary for treating tic disorders?

Not always. Many individuals benefit from behavioral therapy like HRT alone, though medication may be considered in more severe cases.

​

How are tic disorders related to ADHD or OCD?

Tic disorders commonly co-occur with ADHD and OCD, and treatment plans often address all relevant conditions together.

​

Do you offer in-person and virtual therapy for tic disorders at CARE-LA?

Yes, CARE-LA offers both in-person and virtual HRT-based therapy options.

​

What should I look for in a tic disorder specialist in West LA?

Look for clinicians trained in HRT, with experience treating children, teens, and adults, and a collaborative, individualized approach to care.