Holly Wayment talks with Dr. Sheldon Gross about how to tell tics from twitches, common causes and triggers (stress, stimulants, sleep), and simple first steps families and pediatricians can take to reduce symptoms without medication. They review Tourette’s criteria, behavioral approaches like CBIT, medication options (guanfacine, clonidine, antipsychotics, topiramate), red flags for seizures or other neurological causes, and the overlap between neurological and psychiatric conditions.