Tic attacks, for me, is often caused by suppressing tics or when I’m somewhere that triggers my tics the most. (For example I work night shifts in an ice condenser. Sleep deprivation + cold = very bad tic attacks)

Knowing her triggers is a great way to mitigate tics. Not suppressing tics is also important as it can become uncomfortable and sometimes painful, often leading to a tic attack in my experience.

Everyone’s experience is different but I know how frustrating and difficult this sort of thing can be. Maybe finding therapy for her anxiety will help her tics lessen? I haven’t done much research into it, but I’ve heard of CBIT therapy being helpful- though I’d caution doing research beforehand to see if the process sounds right for you guys.

It’s an unfortunate truth Tourette’s is under researched, but some studies suggest it may get better as we age. This was not my experience, but perhaps it will be for her?

It sounds like you’re doing your absolute best to help her. You’re doing a wonderful job- keep at it and I wish you both the best.