To be diagnosed with Tourette’s, there must be a presence of both motor and vocal tics that occur several times a day, every day, or intermittently for at least one year; an onset of tics before age 18; and confirmation that the tics are not caused by medications, other substances, or medical conditions.
That’s me. All of the above.
However, Tourette’s comes in many forms. I, for example, have a mild diagnosis where I suffer from muscle spasms, neck movements, leg bouncing, eyebrow furrowing, nose scrunching, eye twitching, and the occasional humming vocal tics. Sometimes I’ll wake up and guess which tic will be the most prominent that day. I’m almost never right.
Tourette’s is one of the most visible invisible disorders in the world. Your suffering is on full display, but no one understands what’s causing it. And sufferers have to accept that they’ll never have complete control over their bodies, that their presence might make many uncomfortable. I’ve often felt the urge to apologize for existing in a body that just won’t stop moving.
Having tics makes you hyperaware of the separation between mind and body. My mind lives in a constant state of anticipation of my body’s next move and how I’ll have to deal with the social consequences of somebody noticing them—the stares, the comments, the potential laughter. Many can’t fathom that my body moves without my directive. You get used to being told to “stop exaggerating,” to “calm down,” or “relax.”
The physicality of this syndrome takes a toll, too. My muscles are rock solid with tension all the time. My body often shuts down from exhaustion after social events because of the extra energy it takes to try and suppress my tics—which rarely works, yet I still try every time for the sake of everyone else’s comfort.
A common misconception about Tourette’s is that all people with tics have the syndrome and formal diagnoses are not necessary, which disregards Tourette’s as a neurological and often genetic disorder. Tourette syndrome defines the spectrum of tics caused by a neurological disconnect in an individual’s brain at birth, and not tics exclusively developed as a side effect, commonly of medications or anxiety.
Meanwhile, the media and pop culture have painted Tourette’s as a person shouting curse words involuntarily. This narrow societal understanding means many who suffer from mild Tourette’s and could benefit from a proper diagnosis might not realize they qualify because their tics aren’t the same or as extreme as what they see on television. In truth, Tourette’s is a spectrum, which means no two people with the disorder are the same.