1. Symptoms: The visitor’s neck twists and twitches involuntarily to one side, shakes his head uncontrollably, his brain is dazed, his mind is not clear, and he cannot devote himself to study. 2. Her mother’s feedback: she has symptoms at school, but her symptoms are reduced at home, and she is in a bad mood at school, depressed and inefficient in her studies. She suspected that her classmates had a bad opinion of her, suspected that people had an opinion of her because her father was a leading cadre, and suspected that she was too introverted and unpopular. 3.Analysis: Counselor’s analysis: social fear, social anxiety, resulting in somatic twitching reaction. 4.Consultation follow-up: Currently in treatment, there are significant results, and now has returned to school. 5.Rationale: Because the visitor is a sophomore in high school and the side effects of medication are significant, it is recommended that no medication be used at all and that psychotherapy be conducted. Many children with tic disorder are caused by anxiety. Children and adolescents do not express anxiety, so they tend to express anxiety with tics, and many of them use medication for years due to tics, which is detrimental to their physical and mental health and intellectual development, so psychotherapy is recommended for better results.