I haven't posted on this thread before because I don't have experience with Tourette's. I had very severe, incapacitating OCD as a child but no longer have it (without medication). My daughter has had issues with anxiety and I have worried about it sometimes, but we have been working on it with her with a psychologist since she was in kindergarten and I think that is helping to prevent the issues from getting worse. It has been manageable; it's just noticeable that she is more anxious than other kids, but has never developed into a real problem. We talked with her psychologist about the possibility of an IEP for other medical issue as a possibility for the future, but the real problem was the school environment and she improved dramatically with a grade acceleration.