Tics are very common in childhood and most do not require any investigation or treatment. They generally improve over time but can have a waxing and waning pattern, often with different types of tic. They can be both vocal, most commonly sniffing or grunting, and motor. Older children can often suppress them for a short period of time and therefore they may be worse at home than at school. Tics are often accompanied by other associated disorders such as ADHD, OCD, ASD, mood disorders and problems in relation to conduct.
Referral to medical paediatrics is often not required and the parents can be directed to the self-help information below. If the diagnosis is uncertain videos can be reviewed by a paediatrician using the vCreate system via SCI gateway.