Hi mommy11 and believe me when I say I know what your feeling (((((hug)))))) I have a 10 year old boy with severe TS and on a given day he deals with multiple tics both verbal as well as motor. Usualy they cycle but there is one tic he has that has lasted weeks and is causing him so much discomfort. He stretches his mouth wide open. He cries to me because it hurts him as well as his feeling of being embarrassed. We have tried so many medications and nothing is working. He also has severe ADHD, OCDC and Intermitent Explosive Dissorder so as you well know he is one huge ball of anger most of the time from each. He is now on Haloperidol to see if that helps but has been taking Resperidol. We have tried everything and not a day or night goes by that I don't cry because his childhood has been cut short due to the difficulties we are having. He has the vocal tic you are discribing also but it has cycled for now, it will return in a couple weeks. Seems even when he is comfortable watching a tv program he grunts out noises but if it was brought to his attention he tried to cool it and that makes things worse because of the anxiety cooling it causes. It's a no win battle so far but I love him to pieces and this battle will never come to an end on my part. I will keep trying........