Reply To: Tourettes – physical tics

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    Whilst I agree with much of what Nat has said, using terms like victim suggests a crime or intentional act has been committed. Do you also counsel the student who will likely be mortified by their behaviour which they have no control over? Talking ‘at length’ about the impact on others would serve a purpose of instilling shame and make them feel bad about themselves leading potentially to depression and increased anxiety – anxiety increases tics. As does excitement and tiredness.
    Avoiding triggers by having a pass is a good idea. Hopefully the tics will transfer to something else soon.
    Nicola – it is unusual not to have any recollection of a tic like that, maybe smaller ones can be unnoticed by the person with TS – is it definately a tic and not impulsive behaviour from over excitement more in line with ADHD? You can’t punish someone for something outside of their control. It would be like punishing someone who coughed, sneezed or scratched an itch. Talk to them about premonitory urges – do they get any inkling it’s going to happen? Do they get worse at certain times? They can then start to be proactive in their own strategies and suggestions.