I've had tourettes for as long as I can remember. I have periods of time when it's very noticeable and agitating, sometimes to the point of muscle cramps from repetitive motion tics, eye strain from blinking/staring, or throat soreness from vocal tics. I also constantly pick at/scratch my lips, nails, face... but there have always been times when it has been less bothersome, even absent. As I get older, it's become less of an issue. Most of the time I don't have tics anymore or when I do, I can either control them or "relocate" them to another part of my body where others won't notice (such as, tightening a muscle in my hip instead of my neck muscles- still annoying to me, but nobody else sees it). I've learned to avoid triggers or quickly divert my attention to other things when triggered. My tourettes isn't activated by emotional stress, but not getting enough sleep sets it off. Also, anything that irritates a certain part of my body and draws my attention there will set me up. Example: eye strain will set off the blinking tic, a sprained toe will have me repeatedly straining/relaxing my toes, and so on. So I avoid eye strain, and for inevitable things that I just can't avoid, I distract myself as quickly as possible. I also have to avoid my best friend when she has a tic, because I'm so suggestible.