Bedtime with Tics

For when tics worsen at bedtime making it hard to fall asleep

Steps

Allow a longer wind-down period (45-60 minutes)
Use a weighted blanket if they find deep pressure calming
Play calming audio: rain sounds, nature sounds, or audiobooks (note: white noise is still stimulation and doesn't suit everyone)
Don't comment on tics at bedtime. It increases awareness and anxiety
Keep the room cool and dark

What you need

Weighted blanket (optional), audio player, calm environment

Why it works

Tics often increase at bedtime because the reduced stimulation makes the child more aware of them, and the stress of 'trying to sleep' amplifies the tic urge. A longer wind-down, deep pressure, and audio stimulation redirect the brain's focus away from the tic sensations.

Age guidance

Relevant for all ages with Tourette's. Allow flexibility in wind-down length — some children need 45-60 minutes rather than the standard 30.

Real-world example

One parent discovered that their child's tics almost disappeared while listening to an audiobook in bed. The sustained focus on the story seemed to quiet the tic circuitry. They now use this every night and it's become the most reliable part of their bedtime routine.

Troubleshooting

Magnesium supplements (with doctor approval) may help with relaxation
If tics prevent sleep regularly, discuss with your child's doctor
Some children find reading in bed helps tics fade as they focus on the story