Thanks everyone for your input:) I was talking to my family & was thinking back to the last time his tics got worse & it was over the summer. He played video games for two days with a friend who was staying with us. Since it was summer & he had a friend over I didn't put a limit to it. Normally he doesn't play for long periods of time but this occassion he did. He started immediately with a vocal tic. He noticed it & we talked about it & we both felt the video games set it off. He didn't play for a while & it stopped right away.
He has never cared much for music (mp3 players & such) but since middle school, he has started listening to music with the earbuds & he has played video games most every day after school. No more than an hour a day (he's almost 13 years old & I let him 'chill out' in his room for the first hour after school to do what ever he wants to do before the hustle & bustle of homework & after school activities & chores & dinner start...you know the after school drill!)
This week we decided against video games & music with earbuds. After two days of no electronics, he said it was so much better at school. It wasn't completely gone but easing off so much. You could see the relief on his face. On Sunday after church, it was raining so bad & cold, I didn't say anything to him when he got his game out. He played for around 30 minutes & I told him we needed to go to the store (only to try & divert his attention). I didn't want to seem like I was punishing him because he is a great kid & great student. After that few minutes of playing video yesterday, his head is bobbing so much again.
I really think it has something to do with electronics. He has migraines & I have migraines & also had seizures (grand mal) as a child. Makes me wonder if it is too much stimulation for his brain to handle.
He is not OCD about anything nor is he hyper. He is so laid back, like my husbad. The only other thing is his migraines & mild learning disorder. The school considers it a Specific Learning Disorder. Since middle school, he does not go to a resource class. His teachers say that they wish all of their students were like him. He makes 90's to 100 on his report card & no, he is not graded on a curve for the IEP he has. That just allows him longer on tests.
Sorry to ramble on. We have dealt with it for so many years & always seem to get through it. I really thought it was something we had gotten through until now. Thanks:)