Waxing and waning

A characteristic of Tourette Syndrome is that symptoms may vary with time (waxing and waning) sometimes from day-to-day and may change with age although no characteristic progression/remission pattern exists. Some individuals are better able to manage or suppress tic behaviours as they grow older (the reverse is true in some) and evidence suggests that, in some, tics may become almost non-existent. However tics are not always the most challenging aspect of TS and other more troublesome aspects can persist or dominate.