Tic disorders may respond to intense behavioral therapy--E.G., comprehensive behavioral therapy for tics (CBIT). Dr. Piacentini said It "is not to eliminate tics, but [rather] to teach kids how to manage the urge to tic so they don't have to tic as often or intensely."

CBIT is based primarily on habit reversal training. The child is taught to be aware of the urge to tic and to use a competing response; for vocal tics, for example, they might focus on diaphragmatic breathing until the urge to vocalize subsides. However, "the success of this behavioral management is critically dependent on active involvement by the parents and the therapist, both of whom must be well trained and skilled in the various CBIT techniques, including [habit reversal training]. Given the demands on time and effort on the part of the patient, the therapist, and the parents, it is unlikely that all parties will be able to maintain the needed compliance with the training program to provide sustained benefit."  Unfortunately, such therapy mat not be coverd by "health" insurance

Children With Tourette's Syndrome and Chronic Tic Disorders Respond to Behavioral Therapy
Clinical Review, May 2010