TOURETTE SYNDROME + TICS

Support and resources for people living with Tourette Syndrome + tics

One-on-one coaching, family sessions, and group support to help you navigate tics and find greater ease

A man sitting and speaking to two women in a casual meeting

You’ve talked to countless specialists. Googled up, down, and sideways. Read lots of articles. But nothing seems to pull it all together for you.

Whether you’re recently diagnosed with Tourette Syndrome, have been living with tics for decades, or are the parent or family member of someone living with tics, chances are you’ve looked everywhere for a resource that could offer some guidance or support.

A person pushing a rock icon

“Nothing seemed to help.Nothing gave me answers.”

Navigating Tourette Syndrome can feel like being stuck in a dizzying web of specialists.

Each can speak to one piece of the puzzle – medications, emotional health, behavioral therapies – but none of them do it all.

And while treatment options do exist, they leave a lot to be desired in terms of effectiveness or potential side effects.

With so many different options, each with drawbacks, it can feel a lot like throwing spaghetti at the wall to see what sticks.

But what if you could talk to someone who’s been where you are?

Hi, I’m Alan.

I was diagnosed with Tourette Syndrome in sixth grade.

At the time, there were only two treatment options: to take heavy antipsychotic meds with big side effects, or to ignore the tics to the best of my ability.

I spent much of my young adult life trying to make tics go away, and I later understood that I also had the commonly co-occurring conditions of OCD and ADHD.

But then I discovered mindfulness. And it entirely changed the way I navigate my tics.

Not only did I learn practices that helped me settle my nervous system, but more importantly, I learned how to befriend instead of fight against the discomfort in my body.

A sapling icon
Now, I’m working to improve treatment options for people with Tourette Syndrome.

In partnership with Mass General, Johns Hopkins Medicine, and Bowdoin College, I’m co-developing MBIT* – a promising non-pharmacological treatment option for people with TS.

Because I know what it’s like to navigate Tourette Syndrome.

I understand how it feels to experience tics.

And I know the complicated web that is the medical world.

But the bottom line is this:

Since discovering the practices that have helped me manage my own tics, I want to help you find what supports and empowers you, too.

*MBIT is currently only available through an ongoing clinical trial. Learn more about participating here.

*Hi there - nice to see you down here! This is just a friendly disclaimer that even though I work very closely with a number of medical professionals, I myself am not one, and the information on this page should not be taken as (or in lieu of) medical advice from a licensed clinician. Please listen to your doctor’s recommendations when it comes to caring for your health! Similarly, I am not a workplace or educational attorney, and I do not give legal advice. I can, however, share best practices and accommodations that I have seen help others to serve as a starting point for you.

Get the support you need from someone who’s been there.

Compass icon

One-on-one coaching

Learn somatic practices for tics and strategies for working with discomfort.

Collaboration or teamwork icon

Support for families

Develop tools for communication, personal care, and managing tics at home or school.

Three people representing network icon

TAA support group

Experience community and support from others who understand.

“Alan creates a safe space to talk about absolutely everything, not only regarding Tourette’s, but how we feel.

How do we feel as parents? How are we? How can we move forward as a family? Sometimes we talk about very specific things like a very specific tic. We can talk about that, or different treatments we’ve heard about, and sometimes he is just listening, and he is just sharing from personal experience and able to really be there for us. He's an extraordinary human being.”

- Support group member, New York
Blue quotation mark

A mindfulness-based approach to tics and Tourette Syndrome

Many people with Tourette Syndrome and their families think of tics as the problem, and their treatment goal is to reduce or eliminate tics. But this can actually lead to more discomfort and exhaustion - not less.

So the goal of a mindfulness-based approach to tics isn’t to make the tics go away: it’s to learn how to live with - and navigate - the discomfort.

Here’s what that means.

A puffed air icon

If the urge is the itch, the tic is the scratch.

For most people, tics are actually an attempt to soothe a discomfort which precedes them — an experience that is clinically known as a “premonitory urge” (think premonition).

Practically, you might think of it as an itch which, if left unanswered, will only get more uncomfortable until you scratch it; the urge is the itch, the tic is the scratch.

That’s why focusing on the tics themselves without also focusing on the urges can miss where the real discomfort lies.

So how can you cultivate more comfort and ease?

Many of us have spent our lives trying to avoid paying attention to the discomfort that our urges and tics cause us, because it’s the only strategy we’ve ever had.

But a mindfulness-based approach to working with tics can help you or your loved one develop strategies to tolerate and soothe the discomfort that arises from urges.

It can also help you foster more self-compassionate and kind inner dialogue, which contributes to your overall wellbeing and helps your nervous system feel more at ease.

A quote bubble with a heart inside

Try this: micro-practices for tics

At first, it can be very challenging to go toward the discomfort instead of away from it - but this is the only way we can deal with it and learn to work with it differently.

The next time you feel the urge to tic, try this before going ahead with it:

1
For just 3 seconds, can you feel what it feels like before you tic? Do you feel it in the same place as the tic itself?
2
Can you notice somewhere in your body that feels different - that feels okay or just neutral?
3
Can you offer yourself some kind words, as if you were talking to a dear friend or loved one?
“I feel more in control of my relationship to my tics”

"With Alan’s help, my relationship to my tics has changed. Paying attention to frequency of the tics, paying attention to location, to duration - this has helped me see the fuller scope.

By turning everything into data that you're collecting and realizing there's more data to collect than you realize - you feel empowered. You feel stronger. And you're more in control of your own relationship to the disorder. And that's not nothing. In fact, that's a big something to me.”

- Coaching client, New York
“Alan’s group is our most valuable resource”

“Meeting with Alan helped our family to be able to articulate the things that we then were able to openly speak about at home.

Sometimes we bring one of our kids to the support group, and sometimes we go just as a couple. And Alan is just amazing. He listens to everything we have to say. It's necessary to have support from somebody who understands. And Alan's group is probably the most valuable resource that we have.”

- Support group member, New York
Blue quotation mark

Here’s what we can work through together.

The most common topics I explore with individuals and families
Human icon

Popular coaching areas for people with TS or tics

Green circle with check inside
Understanding the experience of premonitory urges and tics
Green circle with check inside
Working with discomfort and making peace with tics and urges
Green circle with check inside
Mindfulness and somatic practices for tics and nervous system balancing
Green circle with check inside
Navigating social settings like work or public places*
Green circle with check inside
Reminders that you are not broken, even though you are often talked about and defined by the language of “disorder” and “deficit”
Three people icon

Popular coaching areas for parents and loved ones

Green circle with check inside
Understanding the experience of premonitory urges and tics, including what is and isn’t likely to be within your child’s control
Green circle with check inside
Self-care and tending to your own nervous system as an important intervention
Green circle with check inside
What to ignore and how to talk with your child about their experience without reinforcing or exacerbating tics
Green circle with check inside
Making a plan for school, including potential educational accommodations*

Still not sure? Let’s talk about it.

A blue, encircled number 1

We’ll hop on a Zoom call

So we can get to know each other.

A green, encircled number 2

You talk, I’ll listen

So I can hear what you need.

A yellow, encircled number 3

We’ll talk about options

So you get specialized support.

I typically book 1:1 and family support sessions as packages of 6 sessions at a time. I offer my services at a sliding scale for families affected by Tourette Syndrome and tics.
“We always go to Alan first.

When our family has a Tourette-specific question about a doctor, or whether a protocol or medication feels right for us, we always talk to him first. We were lucky to get involved with Alan at the very beginning of our journey.”

- Support group member, New York
Blue quotation mark

You deserve to feel more ease.

You are not broken, even though you are often talked about and defined by the language of “disorder” and “deficit.”

Here’s what you’ll never get from me:

Shame around tics or challenges at home, work, or school
Guilt or pressure to try certain treatments or modalities
A feeling that you, or the noises and movement your body makes, are “too much”

You deserve more. And I want more for you. Things like:

Support from someone who knows what it’s like to navigate Tourette Syndrome - and knows what it feels like to have to tic
Micro-practices you can start trying today, if they feel right for you
A deeper sense of self-care, self-compassion, and ease