Long term effects from tics and tourettes?

Depends. Most individuals who experience tics in childhood will have them disappear as they grow older. Statistically, 1/3 will outgrow the tics while another 1/3 will continue to have a few tics that come and go. Less than 1/3 will have a severe case that has a significant impact on their lives. Most tics are harmless and the most troubling symptoms are co-occurring symptoms of adhd, depression or ocd.