Hi --
My son is 10 and when he tics, his current ticcing is generally small squeaky noises (usually when reading at night--one every minute to two minutes), and nose/mouth scrunching (generally in the evenings--could do a few in a roll, then no more all night), all of which I can completely live with! There are days when I don't hear/see any tics. The waxing and waning for him is hours or possibly a day or so, definitely not weeks or months. Onlyin the last 2-3 months, when he started getting severe stomachaches (though he had less painful stomachaches off and on for the past year or so), did I think to do the elimination diet (intolerant to corn products) and cut out artificial colors, flavorings and preservatives. He's been much better, and only seems to tic (making the small squeaky noises or face scrunches) at night or when reading in bed at night. I'm not sure if it's the waning or actual improvement since it's only been a little while. His tics this year are more moderate than last year's. Last year (in fourth grade), when he had a couple of band concerts, he would be so stressed beforehand (up to a week before) and during the concerts that he could barely sit still and his whole body was ticcing. His worst tics were in 4th grade (so far--fingers crossed that we're done with that stage). He also had a neck jerk tic for a few weeks that was awful to watch and was painful for him. He also went through a shoulder shrugging phase. Fourth grade was an awful year for him. Prior to fourth grade, his tics were less obvious--humming or eye blinking. Until I found this site, I really was clueless about what to do. I knew I didn't want to medicate and I haven't. His grades are fine and he doesn't have any learning disabilities. I don't know of any of my or his dad's family members with tics. I do have a 16 year old nephew with significant ticcing, but he's also allergic to many foods and his mom, my sister-in-law, has OCD.
Thanks for the great question; hope others will let us know their experiences.