THE PREMONITORY URGE
The feeling before a tic
For many people with Tourette syndrome or another tic disorder, there can be a sensation before a tic happens. This is known as a premonitory urge or tic signal. It may feel like pressure, tension, an itch, a tickle, an uncomfortable build-up or simply a strong need to move or make a sound.
This resource explores what that internal experience can feel like and why the tic may bring a temporary sense of relief. It also explains why being able to suppress a tic for a short time does not make the tic voluntary. Holding a tic back can take concentration and energy, and for some people the urge becomes stronger while they are suppressing.
Not everybody experiences or recognises a premonitory urge, and there is no single 'correct' way to describe one. The guide therefore focuses on listening to the individual rather than making assumptions about what they should feel.
The downloadable guide includes practical support for home, education, work and public settings, helpful language, a gentle self-observation exercise, information about behavioural therapies such as HRT, CBiT and ERP, and UK sources of further support.
It is designed for people living with tics, parents and carers, partners, teachers, employers, friends and anyone wanting to understand what may be happening before a tic is visible or audible.
Space to Breathe Therapy
Support • Understand • Belong
