Think back to when the twitch started. Do you remember where and when you first started noticing the twitch? Involuntary movements that originated in childhood have different causes and solutions than those that began in adulthood. Doctors will evaluate your medical history and perform a physical examination to determine if the twitch is neurologic, medical, or psychiatric in origin.

Keep a journal to track when and where the tic happens. Compare your notes on when it happens in the present to when and where you remember it happening in the past. You may want to see a psychiatrist if the cause of your twitch is from stress and anxiety. He/she maybe able to help you with anti-anxiety medication in order to relieve stress.

If you suspect that you’ve got some gaps in your diet, you should first see your primary care physician (PCP) or go to a clinic. A doctor can order a complete blood count and other standard tests to confirm any dietary issues. [5] X Research source Omitting or limiting your sugar and caffeine intake are additional steps you should take to get rid of a nose or mouth twitch. Drinking the recommended amount of water for your body size is also recommended. A good general rule is to drink eight 8 oz glasses of pure water every day. Drinks with caffeine and alcohol in them do not count as part of your daily water consumption.

Make sure that you practice good sleep hygiene.

Wash your hands before giving face a massage. Use gentle, circular motions with your fingertips. [7] X Research source Put on soothing music and use slow, deliberate breathing exercises to relax yourself. Look for other ways of getting into a good state of mind: what makes you most relaxed?

Some therapists try to have you refocus or distract yourself when you are having the tic, such as by diverting your attention onto something else. For example, you might place your feet flat on the ground and pay attention to how this feels, count down from 100, or rub a penny between your fingers.

Consider your child’s age and when the tic started occurring. If any vocal tics or complex involuntary movements accompany a facial twitch, you should see your child’s pediatrician rather than ignore these symptoms. In combination, they can indicate neurological disorders such as Tourette syndrome. [10] X Research source Having a tic may also lead to a lack of socialization and stress for the child.

Any notes you’ve taken on the tic’s causes and patterns will be beneficial. Your doctor can order tests or refer you to a specialist if necessary. [12] X Research source

You should see a doctor if any of these factors apply to rule out more serious issues. A Bell’s Palsy is a medical condition that causes sudden onset unilateral facial paralysis. Facial Palsy can also be caused by a herpes simplex virus infection. Treatment involves either glucocorticoids or antiviral therapy.

Note any history of such diagnoses with the mental health professional you consult. Remember, no two people have the same emotional and psychological lives. Do not feel shame in seeking help or seeing a therapist. The twitch might go away as soon as you get your stress off your chest. If your nose or mouth tic is related to drug or alcohol abuse you should talk to a mental health or substance abuse professional. Look online for county or state programs that offer free or income-based counseling programs.