Hi and welcome. I have a son with a brain injury who does a lot of blurting out verbally and physical things that are not fully in his control either. Some have called it tics, and others just severe impulse control and others say it is much like obsessive compulsive kinds of things. In any event, when it is a neurological problem but their behaviors can look so "on purpose" it is really hard. For me there has been many people, especially administrative people in the schools who belive if I just consequenced him better, longer, harsher, then he would stop. But funny thing, when they tried those tactics, it didn't work for them either.
My son does take medications, without them, things are much much worse. It is a tricky road though, and it much depends on what is driving the tics. Some medications can make tics worse. A dear friend of mine has a son who only has tics when he has strep and sometimes viruses. Absolutely disappears when not ill. He had to have a blood test to figure out he had strep because they had him on anti biotics so long that the strep came back negative when by that time it had done heart damage too. If you see it cycle, it is worth checking out. (I had a student with that form too)
One thing I will say about medications. They are not a miracle. But for some kids it gives them back their childhood. They end up not struggling every single day and not being in trouble, which really affects their self esteem in the long run. One dad I worked with resisted for three years and then decided to give medications a try for his adhd child. He came to the next IEP meeting crying. He felt so bad for making his child struggle like that for years. He said he would tell any other parent that for most medications, you can always try, and IF it does NOT work then you can stop. But if you have tried behavioral or alternative treatments, and they are not enough, it can be worth it to try medication. I also used bio-feedback and computer aided concentration training in a therapy center. I can give you links to show the kinds of alternative things we did that i really believe did help. we moved so it was too far to continue, but you can try....
OH MY GOSH....I just went to the website and it is MY SON under audio visual entrainment, he is wearing the flashing glasses (which by the way you can buy reasonably and do the program at home...they program the sound box for you). He is on the ARC website and pacer wall and now famous there too, smile..he is cute, that is what keeps him alive, (kidding). (he was only in K at the time, now he is 14...that picture has been there a LONG time)
anyway...
Neurotechnology
welcome and keep posting... hugs and understanding, buddy