Tics and Tourette’s
Assessment and Treatment

Clear answers. Practical support.

Tics are sudden, repetitive movements or sounds such as blinking, facial movements, or throat clearing. They often change over time and may become more noticeable with stress or tiredness.
Tourette’s syndrome is diagnosed when both motor and vocal tics have been present for more than a year.
Tics commonly occur alongside ADHD, anxiety, and obsessive-compulsive symptoms.

Do you need an assessment?

You may benefit from an assessment if:
Tics have been present for several months or longer

  • They are becoming more frequent or noticeable
  • They are causing distress or affecting daily life
  • There are additional difficulties, such as attention, anxiety, or obsessive thoughts

What to expect

The assessment is structured, thorough, and based on European clinical guidelines for tic disorders and Tourette’s syndrome.
You will receive:

  • A clear explanation of what is happening
  • A diagnosis where appropriate
  • A written report
  • A personalised treatment plan

Treatment options

Support is tailored to the individual and may include:

  1. Medication
  2. CBIT (Comprehensive Behavioural Intervention for Tics). Which invloves:
  • Awareness training
    Learning to spot early warning signs (the “premonitory urge”)
  • Competing response training
    Practising a subtle, incompatible movement when the urge appears
    (e.g. gently tensing muscles instead of jerking)
  • Functional interventions
    Identifying and adjusting environmental factors that worsen tics
  • Psychoeducation and support
    Helping the person (and family) understand tics and reduce anxiety around them

Where ADHD or other conditions are present, treatment can be coordinated.

Fees

  • Assessment: £850
    Includes full assessment, report, and medication titration where appropriate
  • CBIT: £300
    6 sessions (30 minutes each)

Get started

If you would like to arrange an assessment or ask a question, please get in touch.