Mild to moderate tics may be easier to manage and may not impede much on an individual’s daily life. However, when, a tic is severe enough to impact functioning, as can happen with some cases of persistent (chronic) motor or vocal tic disorder, it can lower a person’s quality of life, making it difficult to go to school or work like usual. People with tics may feel socially isolated, experience more conflict with others, or even get bullied by their peers, leading to great distress.