How do you approach the management of mild to moderate tics induced by stimulants in children?

If dose reduction or medication switch is not possible, first-line treatment includes adding an alpha agonist like guanfacine or clonidine. I prefer guanfacine as clonidine is more sedating and less tolerated by kids.

CBIT (Comprehensive Behavioral Interventions for Tics) would be great but hard to ...

We wrote a nice article that covers this issue (Friedland & Walkup, PMID 26299291)

The big issue is that from controlled trials, there does not appear to be tic induction or worsening related to stimulants. Thus, there are a variety of other potential explanations for such worsening that are importan...