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What Is Tourette Syndrome? Symptoms, Causes, and Treatment Explained

29 May 2026 By Alan Straton

Table of Contents

Affinity Health, a leading provider of high-quality health cover, is raising awareness of Tourette’s Syndrome, a neurological condition often misunderstood.

Tourette’s Syndrome (TS) causes repeated, involuntary movements and sounds known as tics. It usually begins in childhood, most commonly between the ages of five and ten, and tends to affect boys more often than girls.

While many people associate Tourette’s with swearing, this is uncommon and only seen in a small percentage of cases. Better awareness and early support can make a meaningful difference, helping those with TS manage symptoms and live full, active lives.

What Are Tics?

Tics are sudden, repetitive movements or sounds that are difficult to control. They are the main feature of Tourette’s Syndrome and can vary from mild to more noticeable.

There are two main types:

  • Motor tics involve movement. These can include blinking, facial grimacing, head jerking, shoulder shrugging, or arm movements.
  • Vocal tics, which involve sounds. Examples include throat clearing, sniffing, grunting, coughing, or repeating words or phrases.

Tics can be simple (quick and repetitive) or complex (more coordinated or involving longer actions or phrases).

Many people experience a build-up of tension or an urge before a tic, followed by relief once it happens. Tics often become more noticeable during stress, excitement, anxiety, or fatigue, and may come and go over time.

Common Symptoms of Tourette Syndrome

Symptoms vary from person to person, but TS is generally diagnosed when both motor and vocal tics have been present for at least a year.

Common signs include:

  • Frequent blinking or eye movements.
  • Facial grimacing.
  • Shoulder shrugging.
  • Head jerking.
  • Throat clearing or sniffing.
  • Repeating words or sounds.
  • Sudden body movements.

Some children experience mild symptoms that improve as they grow older, while others may continue to have tics into adulthood.

What Causes Tourette Syndrome?

The exact cause of TS is not fully understood, but it is believed to involve a mix of genetic and neurological factors. Research suggests that differences in brain areas responsible for movement control, as well as imbalances in neurotransmitters such as dopamine, may play a role.

Tourette’s syndrome can run in families, although not everyone with a family history will develop it. Other factors, such as complications during pregnancy or birth, may influence how the condition presents, but these links are still being studied.

Conditions Often Linked to Tourette Syndrome

Many people with TS also experience other conditions, known as co-occurring conditions.

These commonly include:

In some cases, these conditions can have a greater impact on daily life than the tics themselves.

How Is Tourette Syndrome Diagnosed?

There is no single test for TS. Diagnosis is based on symptoms, medical history, and a clinical assessment.

A diagnosis typically includes:

  • Both motor and vocal tics.
  • Symptoms starting before the age of 18.
  • Tics lasting for more than one year.

Doctors may also rule out other conditions that could cause similar symptoms.

Treatment and Management Options

There is no cure for TS, but many people manage their symptoms well with the right support. Treatment depends on how severe the tics are and how much they affect daily life. Behavioural therapy is often the first step. A widely used approach is Comprehensive Behavioural Intervention for Tics (CBIT), which helps individuals recognise urges and manage their response.

In some cases, medication may be recommended to reduce severe tics or help manage related conditions such as ADHD or anxiety. Simple lifestyle changes can also help. Getting enough sleep, reducing stress, and having a supportive home and school environment can make a noticeable difference.

Living Well with Tourette Syndrome

Many people with TS live full, independent lives, and symptoms often improve with age. With the right support and understanding, individuals can manage their condition with confidence.

In conclusion, reliable healthcare support is essential, and Affinity Health offers members 24/7 telehealth GP consultations and access to a nationwide network of healthcare providers, helping families get the care they need when it matters most.

About Affinity Health

Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

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Alan Straton

Chief Cook, Bottle Washer and Broom Mechanic at MyPE
Passionate about Port Elizabeth and definitely NOT packing for Perth. Alan's ethos is epitomised in the words of Nelson Mandela; "I have fought against white domination and I have fought against black domination. I have cherished the idea of a democratic and free society. If need be, it is an ideal for which I am prepared to die." See more articles by Alan.
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