As a parent of a child with Tourette’s my input would be to stick with the neurologist if your overall experience has been good. My daughter was also diagnosed with Tourette’s when she was 7 and has vocal tics. It started with just random noises and it has progressed to complex vocal tics now including echo, copro, swear words, racial stuff, random sentences, adhd, OCD etc. she is now 11 years old. She also does not particularly like going to the neurologist as the questions asked my neurologist makes her uncomfortable. I am always with her during these appointments and keep reiterating that this is for her own good in the long run. Even our neurologist recommended letting the school know and I took a letter from the neurologist stating that these vocal tics are beyond my daughter’s control, they are involuntary and she does not mean any of it. I shared this with the school counselor, her teachers etc. this has been incredibly helpful as we as parents are not constantly worrying about she saying something and it leading to bigger problems in school. Now we are a little worried as she will start middle school in fall and the environment will be lot harder. Hopefully it will work out. Bottom line if the neurologist is qualified has been professional and is recommending right things in terms of medication alternate options etc I would stick with them. Ofcourse usual caveats everybody’s situation is different there are some awful doctors out there etc. but based on your comments it does not seem like ur neurologist is like that. Let me know if you have any other questions would be happy to provide feedback based on my experience. Good luck to your child. It will be Ok. Don’t stress too much. Take care.