Psychotherapy includes 3 aspects: I. Supportive psychotherapy for children Children with the disease are often ridiculed and mocked by their peers for showing uncontrollable symptoms, resulting in low self-esteem. Also due to frequent visits to the hospital, by the parents too worried about the influence of anxious emotions, their own disease is too serious, the formation of psychological shadow. Therefore, let them have a proper understanding of the disease, correct the incorrect understanding of the disease, and avoid excessive fatigue and tension in daily life. Help children to deal with the relationship with peers correctly, to face the ridicule and mockery of peers correctly, to deal with the learning problem correctly, to improve the learning behavior, and to enhance self-confidence. Secondly, support and guidance to parents Firstly, parents should be relieved of excessive worry and tension, and the disease and the condition of the child should be introduced to parents in detail, so that they can have a more correct understanding of the disease, so that they can actively cooperate with the physician in the treatment of the child. Secondly, let the parents manage the child correctly, not to criticize and blame the child’s tic symptoms, and do not always remind the child to control. Through the rational arrangement of the child’s life, study, distraction methods to reduce the symptoms, such as when the symptoms are obvious arrange for them to do some chores or other activities, or even let them engage in rhythmic physical activities, through conscious physical activities to reduce the involuntary tic symptoms. Third, observe and analyze the factors that will cause fluctuation of symptoms in order to avoid the appearance of these triggers, such as excessive fatigue, excessive study pressure, peer tension, family conflicts, colds and tonsillitis, and so on. Fourth, for those parents whose anxiety is evident, it is necessary to treat them with psychotherapy and medication, and it is even helpful to isolate the child from them for a while. If family reasons or family relationships influence the child’s symptoms to worsen or persist, systematic family therapy should be conducted. C. Behavioral treatment For older children, behavioral treatment is available. Course of treatment: adopt the method of family psychotherapy, 3 months as a course of treatment. Family nursing guidance: 1, general care: ① children’s living environment in addition to the general attention to open windows and ventilation, temperature, humidity, the most important thing to emphasize is the environment is quiet, reduce noise. ② early to bed and early to rise, do not eat, do not drink before going to bed easy to make the brain excited things such as chocolate, tea, coffee, etc., wash your feet with hot water, do not cover your head, do not sleep on your back good sleep habits. Avoid colds and fatigue, rationalize work and rest time, and participate in some cultural and sports activities to strengthen the body’s resistance. 2, diet care ① suitable for more food: vegetables, especially green leafy vegetables, animal brains and bone marrow, fish, milk, coarse grains, walnuts, lotus seeds, lilies, fresh fruit, etc.; ② food should not be eaten: preservatives, additives, flavoring foods, frying, barbecue, greasy food and tonic, drinks, etc.; ③ diet should be regular, do not binge, picky eating, partiality. 3, psychological care: ① according to the different character traits of the child to take different ways, properly informed of the condition, fully mobilize its subjective initiative, to establish confidence in overcoming the disease, so that children realize that as long as proactive cooperation with the doctor’s treatment, believe that their own disease can be cured; ② so that children understand their own uncontrollable symptoms are caused by the disease, not a character problem, do not look down on yourself, and Take the initiative to communicate with teachers and classmates, interact with peers in a variety of games and activities, from which to learn cooperation, humility, politeness, and gradually gain the acceptance of peers, the courage to try new things in group activities, do not get discouraged by failures, and successes add confidence; ③ told the children affected by the disease affects the decline in academic performance, is only temporary, through treatment, double efforts will catch up or exceed others, and can study with other students. Be able to study with other students; ④ learn to control their emotions, and classmates to get along with each other, recognize the harm of playing video games, usually less TV, do not watch horror movies and TV dramas. Health education: 1. Do a good job of health education: publicize to parents the characteristics of the development of this disease, treatment and prognosis, guide parents to learn family care and psychological care methods, so that parents to establish confidence in the treatment of the child, reduce or eliminate anxiety, and actively cooperate with treatment. 2, strengthen the parents’ psychological care guidance: ① after the discovery of the child’s disease, do not blame, scold the child, because the more blame the more forced he will be more nervous, involuntary movements will be more frequent, the child will gradually become timid, low self-esteem. Help the child to get rid of the feeling of nervousness and fear, no matter how irritating his movements are, neither pay attention to the way he looks, nor imitate him or make fun of him. Let the child live in a calm and confident atmosphere, and create a relaxed therapeutic environment for the child; ② Encourage and guide the child to participate in a variety of games and activities of interest to divert his attention. For the very few children with stubborn tics, parents should help them to restrain their tics with intention. Positive reinforcement can be used, as long as the child’s tics are reduced a little, appropriate praise and encouragement will be given in time to strengthen the child to gradually eliminate the tics. For children who have difficulty in developing peer relationships, it is necessary to carry out social skills training; ③ Do not expect too much from the child, too strict. If the way to discipline the child is simple and hard, the child will carry a heavy pressure, worry all day long, which is not conducive to the recovery of the disease; ④ strictly according to the doctor’s instructions to take medication, and never stop treating.