Hey ClairAye,
I had first mentioned the tics to her pediatrician when they first started. They kind of blew me off at that point, told me it happens at this age, etc. I was willing to ride it out for a bit but even then my gut told me it wasn't normal.
When they didn't go away after about 6 months I brought it up again and got the same answer. From my research I had done I knew we were going to have to wait a year but I wanted to make sure it was documented.
When we got to the year mark I brought it up again and pushed to look into it further, making sure to mention any effect it had in school and home behavior.
From there, the pediatrician referred her to a neurologist and a clinical psychologist.
I would say go with your gut. If you feel like something else is going on with him, don't worry about whether the doctor thinks you're overreacting or whatever. Push for further evaluation.
I've heard a lot of stories about people getting brushed off and not getting diagnoses until their children are 10, 11, 12.
I don't know if it will make a huge difference but I've got to think that knowing early on and making a plan with school, the psychologist, etc., has got to be a good thing, ya know?
We can also work on the comorbid issues caused by Tourettes, which are often harder to deal with than the tics.
Good luck to you! Keep me updated.