Theta Burst Stimulation to Improve Inhibitory Motor Physiology in Tourette Syndrome

Inclusion Criteria: Participants of any sex, race, or ethnicity meeting all criteria listed below will be included in the study: 1. Aged 10-21 years 2. Fluent in English 3. DSM-5 diagnosis of TS, confirmed by the clinical team 4. Able to participate in the informed consent process, provide voluntary informed consent/assent and provide a spontaneous narrative description of the key elements of the study. 5. Clinical stability: determined by a physician, no switch of psychotropic medications or increase in dosage in the last 14 days from TMS treatment start; no change in other therapeutic interventions in last 14 days from TMS treatment start. Exclusion Criteria: 1. Any neurodevelopmental, psychiatric condition other than TS, ADHD, or OCD, or mild anxiety based on review of K-SADS. Note - if an exclusionary psychiatric diagnosis is suspected based on K-SADS, the research physician will follow up with the parent and referral will be made to psychology or psychiatry as appropriate. 2. Presence of metallic foreign bodies or implanted medical devices. 3. Not meeting inclusion criteria as described above 4. Non-fluency in English, as English is the language in the validated clinical questionnaires, and the participant must be able to understand real-time instructions from the study staff