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Anxiety Tics: Types, Causes and Treatments

Updated: Jul 4

A Man with Anxiety Tics.

Anxiety tics can be a confusing and upsetting experience for people who have them and their family and friends. These movements and sounds that can't be controlled, often caused by stress or high levels of anxiety, can really get in the way of daily life. To manage anxiety tics well, it is important to understand the different types, symptoms, causes, and treatments. We are going to talk about all of these things so that you can get a full understanding of anxiety tics.

What are Anxiety Tics?

Anxiety tics are sudden and repetitive movements or sounds that people find hard to control. These tics can come in different forms, like facial grimacing, blinking, shoulder shrugging, grunting, and throat clearing. They usually happen when people are stressed or really anxious. Anxiety tics can vary in how they show up and how severe they are. Even though they might seem like small quirks, they can be a sign of deeper mental health issues and can really affect someone's quality of life.

Types of Anxiety Tics

Anxiety tics are grouped into two main types: motor tics and vocal tics. Each type has its own subtypes, which are different ways that these tics can show up.

1. Motor Tics

Motor tics are physical movements that people make because of anxiety. There are two types of motor tics: simple and complex motor tics.

Simple Motor Tics

Simple motor tics are brief and repetitive movements that people do because of anxiety. These include blinking, making faces, shrugging shoulders, and making quick movements with the head or limbs. Simple motor tics are usually not noticeable right away.

Complex Motor Tics

Complex motor tics are more complicated movements that people do because of anxiety. These include movements that seem more like they are on purpose, like jumping, touching objects, or making other gestures, but they are still not under control. Complex motor tics involve more complicated movements that are often done in a specific sequence.

2. Vocal Tics

Vocal tics are sounds that people make without meaning to because of anxiety. Like motor tics, they can be simple or complex.

Simple Vocal Tics

Simple vocal tics include sounds like throat clearing, sniffing, grunting, or coughing. These sounds are usually brief and may occur intermittently. They are not as noticeable as complex vocal tics and may be mistaken for normal tics or habits. However, simple vocal tics can be distressing for those who experience them and can disrupt daily life, particularly in quiet or social settings.

Complex Vocal Tics

Complex vocal tics involve more recognizable speech patterns, such as repeating words or phrases, sometimes inappropriately or out of context. These tics can be more disruptive as they involve language and can be harder to manage in social settings. They might include saying words or phrases repeatedly, or even blurting out words that are inappropriate or offensive. Complex vocal tics can be more noticeable and can cause distress for those who experience them.

Anxiety Tics Symptoms

The symptoms of anxiety tics can be physical and behavioral, and they can affect many aspects of a person's life.

Physical Symptoms

  • Repetitive Movements or Sounds: These are movements or sounds that people do or make over and over again without meaning to, like blinking, making faces, shrugging shoulders, and making various sounds.

  • Facial Grimacing: Involuntary facial movements, such as twitching or grimacing, are common with anxiety tics. This means that the face might make expressions, like frowning or squinting, that are not under the control of the person experiencing the tics.

  • Blinking: Rapid or excessive blinking can occur. This means that the eyes might blink more frequently than normal, or in a way that is not controlled by the person experiencing the tics.

  • Shoulder Shrugging: Repetitive shoulder movements are a typical symptom. This means that the person might repeatedly shrug their shoulders in a way that is not under their control.

Behavioral Symptoms

  • Increased Agitation: Individuals with tics may feel restless or agitated, especially when trying to suppress them. This means that the person might feel uneasy or stressed, especially if they are trying to stop the tics from happening.

  • Frustration or Distress: Suppressing tics can lead to significant frustration or distress, further increasing anxiety levels. This means that trying to stop the tics can cause the person to feel frustrated or upset, which can make their anxiety levels worse.

  • Avoidance of Social Situations: Due to embarrassment or fear of being judged, individuals may avoid social interactions. This means that people might avoid being in social situations or talking to other people because they are embarrassed about their tics or are afraid of being judged.

What Causes Anxiety Tics?

The exact cause of anxiety tics is not yet fully understood, but there are several things that can contribute to their development and persistence.

Genetic Factors

Genetics can play a role in the development of anxiety tics. If a close family member has a history of tics, anxiety, or related neurological conditions, the chances of developing anxiety tics may be higher. This is because there may be certain traits that are passed down from generation to generation that increase the likelihood of developing these conditions.

Environmental Triggers

Environmental triggers can be anything from stressful events, changes in environment, or even certain infections that can make tics worse. For example, sudden changes in routine, traumatic events, or exposure to illnesses can make tics start or make them worse. Environmental factors like high levels of stress at work or school, social pressures, and major life changes can all make tics worse.

Psychological Influences

Psychological influences, such as anxiety, depression, or obsessive-compulsive disorder (OCD), can contribute to the development of tics. Mental health issues like stress and emotional turmoil can make these conditions worse, leading to an increase in the frequency and severity of tics. Anxiety and tics can create a vicious cycle where more tics lead to more anxiety, and more anxiety leads to more tics.

What Do Anxiety Tics Feel Like?

People with anxiety tics often describe a feeling that builds up before the tic happens, like a strong urge to do something. This feeling is uncomfortable and can be compared to an itch that needs to be scratched. The tic provides temporary relief, just like scratching an itch does. This cycle can be very tiring and socially embarrassing, leading to increased anxiety and a feeling of helplessness. The urge and the subsequent tic can get in the way of daily activities and social interactions, making it hard for people to lead a normal life.

How Do You Test for Anxiety Tics?

Diagnosing anxiety tics involves a thorough evaluation process, which includes:

1. Medical History Evaluation

A comprehensive review of the patient's medical history helps identify any hereditary patterns or related health issues. This evaluation includes questions about the onset, frequency, and triggers of tics, as well as any family history of similar symptoms. This helps the doctor better understand the patient's overall health and the possible causes of the tics.

2. Neurological Examination

A neurological exam assesses the nervous system to rule out other conditions that might mimic tics. This examination may include tests of motor and sensory functions, reflexes, coordination, and balance. This helps the doctor determine if the tics are due to a neurological condition or if they are caused by something else.

3. Psychological Assessment

A psychological evaluation helps to identify any underlying mental health conditions contributing to the tics. This assessment includes interviews and questionnaires to evaluate anxiety levels, stressors, and other emotional factors. Psychological testing may also be used to gather more information about your mental health. This information is important in determining whether anxiety or stress may be contributing to your tics and how best to manage these symptoms.

Treatment Options for Anxiety Tics

There are various treatment options that can help manage anxiety tics, including:

1. Behavioral Therapies

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) aims to change negative thought patterns and behaviors to help individuals manage their anxiety and tics. This therapy involves identifying and challenging irrational beliefs (like the belief that everyone is judging you for your tics) and developing coping strategies to reduce tic frequency and intensity. Relaxation techniques such as deep breathing or meditation may also be used to help individuals manage stress and anxiety. CBT can be an effective way to manage anxiety tics and improve overall quality of life.

Habit Reversal Training (HRT)

Habit Reversal Training (HRT) involves teaching individuals to identify the premonitory urge (the feeling that you need to do the tic) and develop competing responses (actions that are incompatible with the tic) to reduce tic frequency. For example, if you have a tic where you blink your eyes rapidly, HRT might teach you to tense the muscles around your eyes to prevent blinking. This technique helps to reduce the urge to tic over time. HRT can be an effective way to manage tics and improve overall quality of life.

2. Medications


Antipsychotics like risperidone or aripiprazole can help reduce the severity of tics, especially when they interfere with daily functioning. These medications alter the brain's chemical balance to help control involuntary movements. They may be prescribed in low doses, often as part of a larger treatment plan that includes behavioral therapy. While these medications can be effective, they also have potential side effects and risks, so it's important to discuss your specific situation with your doctor.


Selective serotonin reuptake inhibitors (SSRIs) can be effective in managing underlying anxiety or depression that exacerbates tics. These medications work by increasing serotonin levels in the brain, which can help to regulate mood and reduce anxiety. While SSRIs can be effective, it's important to work closely with a mental health professional to ensure that they are the right treatment option for you. They may also be combined with other therapies like CBT or HRT.

3. Lifestyle Changes

Stress Management Techniques

Practicing mindfulness, yoga, or other relaxation techniques can help reduce overall anxiety levels and tic frequency. These techniques can help individuals relax and focus on the present moment, reducing stress and tics. Stress management strategies also include deep breathing exercises, progressive muscle relaxation (where you tense and release different muscle groups in the body), and guided imagery (where you visualize a peaceful or calming scene). These techniques can help individuals manage stress in a healthy way and reduce tics.

Regular Physical Activity

Regular physical activity, such as exercise, can help manage stress and improve overall well-being. When you exercise, your body releases endorphins, which are natural stress relievers and mood boosters. This can help you feel better and improve your overall mental health. Exercise can also be a distraction from tics, giving you a break from the physical and mental tension they create.

How Long Do Anxiety Tics Last?

The duration of anxiety tics can vary among individuals. For some people, tics might be temporary and disappear as they learn to manage their anxiety better. For others, tics can last for years, but they can often be managed with proper treatment and coping strategies. The length of time tics last can depend on many factors, including the severity of the underlying anxiety, the effectiveness of the treatment plan, and the individual's ability to implement stress management techniques. It's important to remember that every person is unique, and the duration of tics may differ from person to person.

When to See a Doctor

Knowing when to seek professional help for anxiety tics is crucial for effective management and overall well-being. If you or someone you know experiences anxiety tics, consider consulting a healthcare provider if:

  • Tics Cause Significant Distress: If the tics are causing substantial emotional distress or interfering with daily activities, it's important to seek help. Persistent distress can lead to worsening anxiety and other mental health issues. This can affect your ability to enjoy life, maintain relationships, and function at work or school. Seeking help early can improve your quality of life and reduce the long-term impact of anxiety tics.

  • Increase in Frequency or Severity: If you notice that your tics are becoming more frequent or severe over time, it's a sign that professional help might be needed. An increase in tics can indicate underlying stressors or a need for a change in treatment approach. It's important to keep track of your tics and their frequency, so you can spot any changes that might signal a need for help. If you notice that your tics are becoming more intense or more frequent, don't hesitate to reach out to a healthcare provider for support.

  • Interference with Daily Life: When tics begin to disrupt school, work, or social interactions, it's time to consult a doctor. Tics that interfere with your daily responsibilities and social relationships can significantly impact your quality of life. This might mean you struggle to concentrate in class, find it difficult to perform tasks at work, or avoid social situations because you're worried about your tics. If your tics are interfering with your day-to-day life, it's important to seek help to manage them and improve your overall well-being.

  • Accompanying Psychological Symptoms: If tics are accompanied by symptoms of depression, severe anxiety, obsessive-compulsive behaviors, or other mental health issues, professional assessment and treatment are needed. These symptoms can exacerbate your tics and impact your overall well-being, so it's important to address them along with your tics. Ignoring co-occurring mental health issues can lead to more severe problems and make it harder to manage your tics. If you're experiencing other psychological symptoms alongside your tics, don't hesitate to seek professional help for comprehensive care.

  • Uncertainty About Diagnosis: If you're not sure if the movements or sounds you're experiencing are tics, it's important to consult a healthcare provider for a proper diagnosis. Diagnosing tics can be tricky, and it's crucial to get it right to ensure you receive the best treatment possible. Accurate diagnosis is the first step in developing an effective treatment plan that will help you manage your tics and improve your overall quality of life. If you're not sure about your diagnosis, don't hesitate to seek professional help for clarity and guidance.

Ready to transform your well-being? At Center One Medical, we understand how anxiety tics can impact your daily life. Our team of medical professionals is here to provide you with personalized care and effective treatment options. Don’t let anxiety tics hold you back any longer. Contact us and schedule a consultation today and start your journey towards better mental health and well-being.


In conclusion, anxiety tics represent a unique and intricate aspect of mental health. By unraveling the layers of types, causes, duration, and treatments, we enhance our collective understanding of this phenomenon. Empathy and support for individuals experiencing anxiety tics are crucial for fostering a compassionate society that recognizes the interconnectedness of mental and physical well-being. Anxiety tics can be challenging to manage, but with the right support and treatment, individuals can learn to manage their symptoms and lead fulfilling lives.


1. Can anxiety tics be completely cured?

  • While there is no guaranteed cure for anxiety tics, effective management strategies and treatments can greatly reduce the impact that tics have on daily life.

2. Can lifestyle changes really help reduce anxiety tics?

  • Yes, lifestyle changes can definitely help reduce anxiety tics. Incorporating stress management techniques, regular exercise, and healthy lifestyle habits into your daily routine can significantly reduce the frequency and severity of anxiety tics. This means finding ways to manage stress, getting regular physical activity, eating a healthy diet, and making sure to get enough sleep. These changes can help your body and mind to be healthier overall, which can help reduce anxiety tics.

3. Can children experience anxiety tics?

  • Yes, anxiety tics can affect individuals of all ages, including children. In fact, anxiety tics are often first noticed in childhood or adolescence, as this is a time when mental health issues like anxiety and depression can start to develop.

4. Is medication always necessary for treating anxiety tics?

  • Medication isn't always necessary for treating anxiety tics. While it can be helpful, especially in severe cases, many individuals manage their tics effectively through behavioral therapies and lifestyle changes without medication. This means they learn how to manage their stress and anxiety through techniques like deep breathing, mindfulness, and exercise. If you're struggling with anxiety tics, talk to your healthcare provider about all the different options available to you.

5. How can I support someone with anxiety tics?

  • Supporting someone with anxiety tics means being understanding and patient, encouraging them to seek professional help, and supporting them in adopting stress-reducing strategies. Being there for them, not judging them, and helping them to find ways to manage their stress and anxiety can make a big difference in their well-being. If you know someone with anxiety tics, try to be supportive and empathetic, and encourage them to seek help if they need it.

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