HI, i am a mother of 3 boys and the oldest one, now 17, was diagnosed with tourettes syndrome the summer before the 3rd grade. He began making noises,like clearing his throat, or humming sounds, and would breathe through his mouth alot.(this was end of 1st grade) I remember telling him to close his mouth and breath through his nose because it was so loud and bothersome to everyone, except him. He rarely seemed to realize he was making the noises. then in 2nd grade he began to blink his eyes and later roll them every few minutes. he got his eyes check, they said that was why he was blinking,so he got glasses, but it never helped. by that summer, the unvoluntary movements and noises, referred to as "ticks" exploded and changed from week to week. it was like he had to do something, and as he would become aware of one movement or noise and try to stop doing it, something else would begin. we went to the dr for some other reason, and by that time he realized something was wrong and made sure i was going to ask the dr,what was wrong with my head, why can't i get it to stop? well, we began our journey of dealing with tourettes. we found a pediatric neorolgist, the first at garland baylor was horrible, then through a friend who worked at children's she recommended Dr. Linder@ Medical city,dallas. he is one of several pedi-neuro's there, who i highly recommend. they have been wonderful to my son and helped him learn to deal with this struggle he has no control of. He was in a drug study and was one of the first to try straterra, and it has been amazing! It has help to deminish almost all of his ticks. he still will sometimes blink and roll his eyes, but nothing like when he was in 3 and 4th grade. I learned that the movements feel satisfying, which might be why your son says he wants to, or he might be embarresed or scared to admit that his body is making these sounds and he can't stop it,so he's just saying he wants to. the best way i've heard ticks discribed is like a bad mesquitoe bite. it itches sooooo bad, and you've been told not to scratch it, and you hold back as long as possible, but finally you just have to, and it feels so good, but then a few minutes later the itch is back.. well that's just a small comparison to the urge they feel to do....??? clear their throat, blink the eyes, shrug their shoulder, stretch their neck, make a noise, nod/shake their head,and so on... someone without tourettes, they have a feeling they need to clear their throat,blink or lick their lips, they do, the brain gets the signal that the need has been met, its staisfied, so they're done with that movement. but someone with tourettes, they have the feeling,urge, their body involuntarily tries to satisfy the need, but the signal that it has been met never reaches the brain, so the body never feels like the urge has been taken care of.so they make the movement/noise over and over.Does that make sense? Now, i have learned that it is very normal for children(esp. boys) to have some ticks its just kind of a way their bodies deal with stress sometimes and that does not mean they have tourettes, but if that's the case, they will subside on their own eventually. but if this continues or gets worse, or he has more of a variety of ticks, it would be a good idea to go to a pedi- neurologist. they can try some medications, and it is something you must get educated on so you can help him deal with it without making him feel he's doing something wrong, or a freak. until you decide your next step, i would do your best to ignore the sounds and movements. the more self conscious, the more stressed they get, and stress just makes they ticks get worse and more obvious. I've had to go back and apologize for my ignorance in how i dealt with him before we knew what we were dealing with. i wasn't the most patient mom:( I'd talk with his teacher to see if she notices anything in class. his teachers were very helpful in letting him get up for drinks so he could walk down the hall and get as many of the ticks out without having to worry about the other kids seeing, or they would let him keep a bag of hard candy to suck on to help him not make so many noises. there are many things we can do to help them get through their day.infact his 3&4th grade year, when they were at their worst, the school nurse and him gave a presentation to the class and watched a video that helps them understand tourettes. each year the kids had lots of questions and he would help the teacher answer them. they wondered if they could catch it, or if he was going to die.That seemed to keep them from ever making fun of him, they were like, thats just what jordan does and now we know why. Now, he's doing fine, most people would never know, infact he has not wanted to even talk about it for several years, except when we go for checkups with his neuro.So, all that to say, if you ever want to talk or have any questions, please email me. it's not always easy to find someone to relate with!but we're out there! hang in there and be patient! K. ____@____.com