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@madimi, glad you found my response useful. Regarding your question ' how to handle tics at school with other students', I recommend to be open with the teacher and educate her on what tics are and explain that your son is not doing them on purpose and they are uncontrollable. Honestly, kids are least bothered and I am sure your son's classmates will also not be pay much attention to the tics. You can request the teacher to give your son small breaks during class for him to either read a book or sip some water for dry throat caused by constant coughing. I felt like the cough/throat clearing was triggered by certain things. For example, my daughter used to do throat clearing more frequently while eating. Throat clearing tic was present longer than other tics and stayed for almost 3 months. CBIT is recommended kids who are of atleast 8 years or older as practicing CBIT techniques require a lot of patience and commitment which younger kids may not be able to do. But I recommend CBIT highly since they don't teach kids to suppress their tics but instead train them to do an alternate/competing action instead. For example, my daughter had a tic where she would lift her chin to the ceiling. During CBIT the therapist asked her to pull chin down whenever she had the urge and after practicing if for few days, the tic itself was gone. Regarding Screen time, it was definitely hard but the best thing we ever did. Because of my daughter we took away screen time from my elder son too. We had to educate him that we are doing this to support his sister and we gradually lowered his screen time. We instead did lot of family hikes, board games and just talk to each other, tell jokes etc. which made kids wanting less and less of video games. Lessening screen time along with healthy eating and exercise is what helped the most.