My tics mostly just happen. I'm not getting any urge to do them. I sometimes get some knowledge of it a couple of seconds before it happens, but it's rare and I'm not able to stop it based on it, just make it appear somewhere close by in the body instead. Suppressing them (by focusing at the 3rd eye) doesn't make it build up. It's beginning to seem to be as though my muscle-spasms are triggering immediate tics in the same body parts, in the arms at least.
I've been thinking the tic words in my head sometimes instead of saying them out loud. Also I've been getting intrusive thoughts a lot lately. It doesn't bother me nearly as much as it probably should, but it's repetitive and sometimes making my head feel as if I've been concentrating hard.
I'm a little hesitant because I don't have the breadth of knowledge of a real neuroscientist. But I do have a really strong science background and I have been exploring TS neurobiology with a passion that I think TS has had an impact on. The problem is that I can only tell you about the things that have been very successful for me, but I don't know if they will work for you because our respective reasons for developing TS may be different. This might seem unrelated to you at first, but hear me out.
*I have premonitory urges (the neuro term) so I'm unfamiliar with the completely uncontrollable tics (at least as far as I know). I've basically spent my stuffing all my urges into as many normal movements and actions as I can.
*I don't have word tics. At the most I make noises but they are not loud.
I have recently become obsessed with Tai-Chi and Yoga. This is not a normal system for learning or using either of them though. I have been using the Xbox360 Kinect and "Your Shape Fitness 2012". http://www.youtube.com/watch?v=hR6FbwltSU8
This is an exercise and fitness program that actually shows yourself next to an instructor and applies a wireframe to your body while you exercise. It shows you when your body is not in the proper alignment, and scores you with a pretty fun and addictive system. To do well you must be able to watch a model perform, mimic the model, and listen to the model.
At first me and this program had issues. But I learned that my issues were probably symptoms of a lack of basic control and awareness of my body that stemmed from a childhood that was severely lacking in those areas. Here is what I discovered about myself with this "game".
*I had (and am still improving) horrible control issues between the left/right, and the arms/legs. I could simply not coordinate movements very well at all.
*I could not verbally understand the instructor, and watch/mimic the instructor at the same time.
There are probably a lot more little things that I could remember if I tried, but the basic message was that I had terrible abilities at focusing on, and controlling my body at the same time. I also had problems doing the former and properly watching and mimicking an instructor. I fought with this for almost a month and a half and so far I have been having amazing results. My memory has improved (I forget things I am asked to do less often), I'm less confused in conversations and I seem to confuse others less often, and I feel like maybe my tics are less intense.
What does all of this have to do with you? The literature that I am reading right now shows very large cognitive improvements associated with exercise like Tai-Chi.http://well.blogs.nytimes.com/2011/11/3 ... the-brain/
This article focuses on general learning and memory, but lately there have been a lot of articles suggesting that there are many more motor/sensory connections than formerly realized in normal cognition.
"Tai Chi on psychological well-being: systematic review and meta-analysis"http://www.ncbi.nlm.nih.gov/pubmed/20492638
What I am seeing in myself (and what I am hypothesizing is happening for me) is that lengthily, focused activity that involves complex attention-oriented body movements and instructions from a trainer is increasing the general complexity and strength of my cognitive processes. I am hoping that such is useful to you. I can't say for sure, but maybe a few months of this kind of exercise might enable you to perceive your premonitory urges, and let you gain more control over yourself.