Wendy,
The first thing that comes to mind is that you had a house full of guests, including triplets, that are gone now. Things have settled down, and that is my best guess as to why her tics are milder now.
I'm sorry to mention the Topamax again on this board, as I know people prefer natural treatments, but like I said yesterday, you only increased it three days ago. I don't think you gave it time. It worked miraculously before. It was SUPPOSED to take weeks to take effect, but you saw results right away. Doesn't mean it will work that quickly this time. Remember, it took weeks for the Topamax to wear off and the tics to resurface.