Hi, I'm Emily — an occupational therapist and tic specialist sharing practical, honest guidance on tics and anxiety that's grounded in real clinical experience.
If you live with tics, you’ve probably been told—directly or indirectly—to hide them, control them, or stop them.
And it makes sense. Tics can feel uncomfortable, noticeable, and sometimes disruptive.
But here’s something that often surprises people:
Trying to hide your tics at all costs can actually make them worse.
And on the flip side:
Learning to accept and openly acknowledge your tics can reduce their intensity—and completely change your relationship with them.
Let’s talk about why.
Tics aren’t just physical movements or sounds. They’re tied to your nervous system—especially how your brain processes urges, stress, and regulation.
Most people with tics experience something called a premonitory urge:
When you try to suppress tics all the time:
So while suppression can work short-term, over time it often leads to:
Acceptance doesn’t mean “giving up.”
It means:
“I’m not going to fight my body all the time.”
When you stop constantly resisting:
And here’s the key:
Less internal pressure = less intense tics
One of the biggest drivers of tic severity isn’t just neurological—it’s social anxiety.
Thoughts like:
These thoughts increase:
Which then increases tics.
This is where things shift.
In my clinical work, I’ve seen a consistent pattern:
Clients who openly explain their tics to friends, classmates, or coworkers often experience a noticeable reduction in tic severity.
Here’s what changes:
When people know what’s going on:
Less anxiety = less tic amplification.
When you’re trying to hide tics, you’re hyper-aware of:
That level of monitoring actually increases urges.
When you’ve already told people:
And that reduces tic frequency.
Remember the cycle:
urge → suppress → build tension → bigger tic
When you feel safe:
This is one of the most powerful changes.
Instead of:
“I need to hide this part of me”
It becomes:
“This is something I have—and I can still function, connect, and show up”
That shift reduces:
All of which impact tic severity.
I’ve had clients:
And the feedback is remarkably similar:
“It wasn’t as big of a deal as I thought”
“People were actually understanding”
“I feel less stressed all the time now”
“My tics don’t feel as intense anymore”
And in many cases:
You don’t need a long explanation.
Something simple works best:
“I have tics—it’s a neurological thing. I can’t always control it, and it helps if it’s just ignored.” or “It’s something my brain and body does sometimes, it’s no big deal. You can just ignore it.”
That’s it.
Clear, direct, and removes pressure.
No.
There’s a difference between:
Approaches like CBIT (Comprehensive Behavioral Intervention for Tics) are still very effective.
But here’s the nuance:
CBIT works BEST when it’s not driven by shame or fear.
It should come from:
Not:
The most effective approach looks like this:
This combination leads to:
Tics don’t just live in the brain.
They’re influenced by your nervous system, stress levels, and environment.
And one of the most powerful shifts you can make is this:
Stop fighting your body—and start working with it.
For many people, that starts with:
And ironically…
That’s often when tics become easier to manage.
Embracing tics and reducing the pressure to hide them is a powerful—and often overlooked—part of tic management. When you lower anxiety, shift your mindset, and feel more comfortable being seen, the nervous system becomes less reactive, and tics often become easier to manage.
That said, this works best as part of a whole-body approach. Tics are influenced by multiple factors, including sleep, movement, sensory processing, emotional regulation, and daily routines. When these areas are supported together, the overall impact on nervous system regulation is far greater than focusing on just one piece.
If you’re looking for a clear, structured way to understand all of the factors that influence your tics—and what to do about them—the Empower Your Brain and Body Workbook brings it all together in one place.
Inside, you’ll find guidance on:
68 pages. Evidence-informed. Designed for real life.
Get the Empower Your Brain and Body Workbook — $57 →
If you’re ready for guided, hands-on support alongside your at-home strategies — we’d love to work with you directly.
A comprehensive, affordable 8-week CBIT-based program with live group teaching and individual competing response coaching. Limited enrollment, offered a few times per year. Learn More →
One-on-one sessions with Emily, fully personalized to your unique tic presentation, triggers, and daily life. The gold standard in tic treatment, available via telehealth nationwide. Book a Free Discovery Call →
A practical guide to help families, educators, and providers distinguish between typical and functional tics and support informed decisions about care and treatment
A comprehensive checklist to track motor and vocal tics, related behaviors, and patterns to support monitoring and communication with healthcare providers.
A parent-friendly guide to help teachers understand tics, respond appropriately, and implement classroom strategies that support students’ learning and well-being.
Tackling tics and taming anxiety — one skill at a time, from the comfort of home.
GET IN TOUCH
emily@three23therapy.com
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Reach out anytime. Every inquiry is responded to within 24–48 business hours, Monday–Friday.