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My difficult child told me (when she was older) that she could hold back the tics for only so long ( ie; at school) but as soon as she was able to (at home) she let them loose.  She was more comfortable at home doing it so she kept it in check for as long as she could at school.  I felt it was important for her to let them go as she needed and did not say anything to her at home. 

 

She said it was a lot of work to keep it under control at school.