Children with tics are often aware of their peers reactions and may experience anxiety, shame, and social withdrawal. This psychological stress worsens tics in return, creating a vicious cycle, which is why it is important to address both the tic symptoms and their psychological effects at the same time. Cognitive behavioral therapy (CBT) or CBIT (Comprehensive Behavioral Intervention for Tics) through a child and adolescent psychiatrist is effective for the psychological dimension, and parent education including how to explain tics to the child and how to communicate with school teachers is also part of the process. If school-based support is needed, connecting with a special education support center or a Wee-class counselor is another option.

Traditional Medicine Perspective

Traditional medicine treatments that nourish the mind and strengthen gallbladder qi have the effect of reducing anxiety and fearful responses. Prescriptions that cultivate the heart and fortify gallbladder qi reduce psychological tension and hyperreactivity, helping the child feel less withdrawn in social situations. A traditional medicine approach that views tic symptoms and psychological responses as one integrated body is well suited to this situation.