Hi, there. I just read your post and have to tell you that you are NOT alone. I just posted for the first time 2 weeks ago, and I am in the EXACT same place you are emotionally. You are much further along in this process, having tried accupuncture, etc. My son's facial tic started a year and a half ago... saw neurologist, pediatrician wasn't worried, etc. We did lots of tests and ruled out PANDAS, seizures, etc. But, that tic persists. I am a very anxious person, myself, and sometimes I think I'm starting to tic like him because this is so stressful! I try SO hard not to let him see my anxiety. But, now he is starting to become aware of it, and it breaks my heart even more. He is starting kindergarten in 2 weeks. And, I cry myself to sleep at night thinking about how hard this could be for him...making friends, other kids making comments, etc. I have no idea what to expect, and that drives me insane. I'm thinking about medication myself, if for nothing else to calm my own nerves so that he doesn't see my reactions and take cues from me. We have just contacted an integrative pediatric neurologist to see if she can recommend some other, alternative treatments. I won't put my 5-yr-old on meds. But, I have to do something, you know? Just to feel like I'm working on the problem. None of my close friends have ever dealt with this, so I don't feel I can talk to them. It can be very isolating, especially late at night when you are trying to make yourself feel better about things (Gosh, I've had that same conversation about "at least it's not ____" a thousand times!). Please make sure to take GOOD care of yourself, and if that means getting a little support or talking to a professional, there's no shame in that. Our children look to us to learn to manage stress, so I'm always conscious of that. Anyway, hope it helps to know you are not alone in your struggle.