Thank you for the recommendations. My young boy loves food and will be an adventure to get him going in a new direction although his attitude is very good so will begin the process. Another question. After reviewing his motor tics we are not sure they qualify as a tic. His movement in his neck is him almost popping or moving the muscles around his Adam's apple. It looks very deliberate and habitual not a fast repetitive motion. Complex vs simple maybe? He has not ever shown a tic with what i would describe as a twitch or fast moving. The new voice tic is constant however. Gets very bad when at rest before bed. In our discussions he claims that he does not feel compelled to do it just that he likes it????? Thanks again for your help.