Can you say "STRESS!"

Here that is the MAJOR trigger! Something as small as being in trouble for not doing a chore can set my son's facial tics off.

As for my daughter, being without her ADD meds sets her off vocally (grunts) due to the stress of trying to control her voice volume. It does sound strange that NOT taking stimulants will increase tics, but it is on account of the stress!

Oh and I nearly forgot- my son tics ALOT less when he's had an hour or so of activity- wrestling practice, basketball or the dog outside. All that reduces the stress!