My current symptoms:

it isn't exactly a twitch, but I am reguarly compelled to close my eyes very tight and roll them back, putting major strain on them. I feel a buildup up tension before doing this and even though I try to hold back, it gets to the point where I must perform this. Sometimes i'll do it 5 or 6 times in a row. More often when I am stressed out, or bored. (this happens mostly while I am driving, which is dangerous because I drive for a living). My tics also manifest themselves as my needing to look at things a certain way.. For example, I am constantly turning my head to the right to line up my vision with the top of my passenger side mirror. Again, I will do this more than a few times in a row until i'm able to snap myself out of this. If I feel the need to do this, I can hold back for a few moments before I either do it accidently or kind of blow up, doing it many times in a row.

Sometimes I get (what I call) the "blinks" where I blink a few times in a row very hard straining my eyes at the same time (sometimes I slightly jerk my head while doing this).

History:
i've had these symptoms regularly for almost 20 years but have never had them diagnosed. I remember being 7 years old and having to kind of jerk/shake my head constantly and uncontrollably. Most often, I feel the urge coming on and can do little to keep myself from doing it, otherwise its a mental struggle to stop.

When I was 12/13 I would constantly roll my eyes to the back of my head, being made fun of at school for it. At this same time frame, I was also doing something weird with the muscles in my mouth, stretching out very quickly into a kinda of large smile in a jerking fashion.

What should I do about this? I've brought it up once or twice in therapy but my therapist suggested I relax more and breathe deeply when I feel the urge, stating that it was stress related. Sometimes I blink when i'm not even stressed out..Sometimes just thinking about my tics brings them on. It is beginning to interfere with work..