My daughter is 16 years old. About four months ago, she began having a vocal tic. It is not (usually) really disruptive, but definitely there and had never been there before! I believe she attempts to control it, and goes to her room and plays music if she can't. At first I thought it was stress, as school was very stressful during that time. I started watching her, and recently became to notice some OCD as well. I spoke with her doctor about it (my daughter will NOT talk about it), and he said it was probably just a vocal tic -- like it was no big deal! We did go in for an examination, and blood tests were ordered checking for a variety of things. Today, the doctor called and said everything had come back in the normal range, except the strep titre which was "abnormally high." He did not say how high. He said he was putting her on amoxicilan for 10 days, and then wanted to recheck the titres. I have been researching Bonnie's vitamins and Chemar's program. Any ideas on what we should be doing? Can a 16 year old get PANDAS -- or is there an adult version???? Also, she has been having allergies, and went on Zyrtec three days ago, and the tics got a lot better -- anyone else experience this?