Although psychotherapy will not eliminate tics, it may be beneficial to some patients with TS who require treatment of the psychological sequelae of this disorder or for its co-occurring disorders. The inability to control one’s own body and even one’s own thoughts, which is taken for granted by most people, may be a variable source of anxiety, guilt, fear, helplessness, anger and depression.
Some patients react by withdrawal, others by aggressivity and still others by excessive efforts to be in control. Since many patients with TS are subject to some form of negative social reaction, self-esteem problems are fairly common. In addition, the person with TS may experience many of the difficulties related to growing up with a chronic disorder, albeit one that eventually improves. For these reasons, rather than for the primary symptoms of TS, psychotherapeutic treatment may well be indicated.