In most children and young people, motor tics subside on their own without medical intervention. It is important that parents are reassured, that tics are common and the majority of tics subside without the need for referral or therapy. In persistent tics lasting > 1 year, families may need help managing the tics and any associated co morbidities.
These are not generally managed by General Paediatrics, unless there is a very abrupt (overnight) onset, or any abnormal neurological findings.
In the absence of any ‘Red Flags’, families should be given reassurance that most motor tics resolve, and advice for avenues of support. Reducing any stressors, and advocating techniques to help relieve stress are key. These may involve yoga, mindfulness and relaxation techniques. The Tourettes Action website is listed under ‘Supporting Information’ and has helpful suggestions for parents.