Treatment of Tourette syndrome
Habit reversal training (HRT), massed negative practice, biofeedback, relaxation, hypnosis and other behavioral approaches are proposed as alternative treatments of tics, but few have been well assessed. Relaxation techniques, such as exercise, yoga or meditation, may be useful in relieving stress that may aggravate tics, but the majority of behavioral interventions (such as relaxation training and biofeedback, with the exception of habit reversal) have not been systematically evaluated and are not proven therapies for Tourette's.
Free will
For example, people with Tourette syndrome and related tic disorders make involuntary movements and utterances (called tics) despite the fact that they would prefer not to do so when it is socially inappropriate. Tics are described as semi-voluntary or "unvoluntary", because they are not strictly "involuntary": they may be experienced as a "voluntary" response to an unwanted, premonitory urge. Tics are experienced as irresistible and must eventually be expressed. People with Tourette syndrome are sometimes able to suppress their tics for limited periods, but doing so often results in an explosion of tics afterward. The control exerted (from seconds to hours at a time) may merely postpone and exacerbate the ultimate expression of the tic.