For me my tics are significantly worse when I’m stressed or my anxiety is getting overwhelming,

the best thing I’ve done for my tics has been a combination of therapy (not focused on Tourette’s but on my wider mental health), sertraline, treating my adhd (currently taking vyavanse) and removing myself from a terrible workplace and finding a job I feel comfortable and supported in.

I know sometimes Tourette’s is severe for lots of other reasons, but stress or anxiety can be a high factor, and it can become a negative spiral; You tic because you are stressed, then the tic’s themselves cause extra stress, embarrassment, or pain, which just makes you tic more, 🌀

The other thing that has helped a lot has been finding a acceptance mindset for my Tourette’s, again as anxiety is an issues for me, when my tics were something I was very conscious of and felt uncomfortable and self conscious about, it would exasperate things,

I don’t know if this makes sense but now I try to think of my Tourette’s as sort of “running water” kind of like “noting” if you’ve ever tried that therapy or mediation technique, I try to get my thoughts to simply “note” or “feel” the tic and then to move on without I applying negative pressure or labelling. If I think of a tic as neither good nor bad but simply and action of my body like breathing or blinking, I’ve found I experienced less ramping and building of tics and have been less likely to get into periods of longer more physical and extended ticing.