New Series: How To Have Tourette’s

by Josh Hanagarne on June 17, 2009

tourettesI have mentioned Tourette’s Syndrome often enough that several readers have asked me to elaborate a bit on this absurd disorder of mine. Writing about something painful can be dangerous:

I either wind up sounding pitiful or self-congratulatory. This series will be my attempt at discovering whether I’ve put enough distance between myself and my condition to write about it in a way that will edify readers, not trigger their gag reflexes and BS meters. Whenever possible, I will discuss my experiences with TS in terms that will be applicable to anyone interested in strength, knowledge, and living a rewarding life. I have no lessons to teach–that would imply that I know something, and that ain’t happening–but take what you will from the stories.

Tourette’s is strange and interesting. If I hint at anything you would like to know more about, please ask. People often feel intrusive if they ask me questions. I like to answer them. The more awareness there is, the easier it will be for the next person with TS that you meet.

Finally, I suggest you listen to the audio even if you read the piece first. TS stories are way better with the sound and I will be able to express things that don’t translate well in print, like all these weird noises I make.




If you would like to save the audio as an MP3, right click

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and choose “save as.”

The first time I tried to write about Tourette’s Syndrome it was going to be a novel. I was 23, miserable, pitiful, and in love with my own cleverness. I churned out a couple hundred wretched pages with enough angst in them to fill a billion debut novels. Nothing is more dangerous to the writer than falling in love with the idea of yourself as being “tortured.”

I aborted that project because I lacked the writing skills and the perspective. I was still in the thick of my symptoms and at rock bottom. It was too close. Too painful. My attempts at honesty were lies and my attempts at cleverness were self-serving. Come to think of it, the best book about Tourette’s would be like the children’s books that have the buttons in them–when you see the appropriate picture, you could push a button to hear the appropriate tic.

It is time to do better. It is a story worth telling, but only if it can be told honestly. Unfortunately, I believe that no story can be told with 100% accuracy. Especially stories about great pain.

Memories and Pain

There are two reasons for this. The first is that stories change and memories change. We change them. Without going into it here, I would suggest you read my article “Do We Remember The Event Or The Story?” Here’s the gist: we change stories based on our circumstances. Embellishments or omissions–change is change. Whether we exaggerate to impress or cut things out to hide our weaknesses, we change things. Please read the article if you haven’t before.

The second reason: it is hard to talk about pain and suffering accurately. I will be talking about the greatest pain, mental and physical, that I’ve ever experienced. But I’m not feeling it anymore. All I can say is that I know it hurt and I know how badly it sucked. But ten years after you break your leg, you can’t make yourself feel the pain of that broken leg because your leg isn’t broken anymore.

So when I say things hurt, I mean it. They may not have hurt as badly as I think they did–if I had the same symptoms today they might not seem as horrific as when they were at their worst.

That’s the only disclaimer I’ll make. I’m going to tell you things the way I remember them, but my memories may be fuzzier than I think.

The beginning

When I was six years old, my parents noticed me touching my upper lip to my nose while watching cartoons. Over and over, up and down. My mother tells me: “We weren’t sure that you knew you were doing it.”

Over and over, up and down, sometimes interspersed with rapid blinking.

Was it cause for concern? Hard to say, perhaps, but who are any of us to tell parents when they should worry about their children and when they should let things play out?

A word about specialists

My parents eventually grew concerned enough that they took me to a specialist. “Specialist” as it pertains to Tourette’s is a word I’ve hated for the last ten years. I’m trying to do better. It’s not their fault, but the truth is, people who specialize in Tourette’s know a lot about it, but that doesn’t mean they can treat it.

One of the most maddening challenges of the disorder: there are no hard rules for treatments. Symptoms vary wildly, as do the ages at which Tourette’s might originally manifest. I have a niece and nephew who each have it, and they do all sorts of loony stuff that I’ve never experienced, and vice versa.

Specialists don’t like to admit they are guessing. After all, they know more than the laymen, that’s why we turn to them: because someone has to have the answers.

My specialist diagnosed me quickly and accurately, which must have provided my parents with equal parts relief and unease. Relief because it wasn’t more serious. Unease because there were so many unknowns, as is still the case today, 24 years later.

A brief description of Tourette’s Syndrome

Here’s what it boils down to at its most basic level: too much of this or that in the Tourettic’s brain causes a person to either vocalize or move their body involuntarily.

It sounds weird. It is weird. This is the best way I know to describe it:

Think about the worst you have ever had to sneeze. I mean when it’s right there on the brink and you want relief so bad that you’re willing to close your eyes and let it go even if you’re driving on an icy road in the snow. Now think about having that feeling all the time–you could stop it, but choking off a sneeze never feels satisfying, does it?

The “best” part about Tourette’s is, when you let that sneeze go, again and again and again…you don’t know how it’s going to come out. You feel the relief but then you start over immediately. Tic tic tic tic tic. The clock never stops and the battery never winds down.

Tic tic tic tic tic…

Maybe it just makes you curl your lip and touch your nose. Maybe things get a little more exciting. Maybe, in cases like mine, things get much, much, much more exciting. But I don’t want to get ahead of myself.

What Tourette’s is not

Hollywood has not done any favors for people suffering from Tourette’s, or for those seeking to understand it. Watching Deuce Bigalow does not grant one an understanding of the condition, yet what are the alternatives? Nothing, because too often we only love the sensational, crass, and lowest common denominator.

Novels aren’t much more help. Some are a lot of fun but use Tourette’s as the gimmick, such as the awesome Motherless Brooklyn by Jonathan Lethem–but that book is going to teach you more about how a great mystery is supposed to work than about Tourette’s. Some are dismal, superficial failures that use Tourette’s as a gimmick while pretending to be profound and daring, like Icy Sparks. Yep–it’s that one Oprah recommended and I don’t care. She shot an airball. Nothing is less moving than artifice.

Even though I’ve said that what comprises one case of Tourette’s may not relate to the next, please forget what you know or think you know about the condition, whether you’ve learned it from Deuce Bigalow, Oprah, South Park, or even myself. It’s more fun and enlightening that way and you may get a kick out of getting caught off guard as often as you’re going to.

This ends part 1. I’m going to write one entry a week until there are no tales to tell you. This means that we should all settle in for a long time, but it’s going to be great. As horrific as some of this stuff will be…wow it makes a good story.

And once more, if you have questions, please ask me. Either leave a comment for me after the post or send me an email. I will respond to each and every one because this is worth doing right.

Most importantly, if you know someone with Tourette’s, send this to them. It will help them know they are not alone. If I had found someone to talk to earlier, things might have turned out different. Not better, but possibly via a less twisted and anguished path.

In part two we’re going to be ramping up the weirdness a bit, so if you haven’t subscribed to the RSS feed yet, please do it now to make sure you get it just in case you can’t make it back to the blog.

As always, thank you all.

Josh

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{ 38 comments… read them below or add one }

1 Jeff June 17, 2009 at 11:02 am

Thanks so much for writing about such a misunderstood condition! My wife and two oldest kids all have Tourette’s, so we’ve been through what I’m guessing are many of the same experiences as you have.

My kids were diagnosed when they were about 6 years old. During the process for our first kid my wife began to realize she also had been dealing with it her whole life – the unexplained tics, accompanying OCD, etc. My kids symptoms came and went over the years, often times brought on by stressful or exciting circumstances (think Christmas).

Thankfully no one’s on any medication at this point, and the symptoms are largely unnoticeable to the general public. As the kids have aged (they’re now 20 and 17) the symptoms have lessened.

So, thanks for being brave enough to tell your own story. I’m sure it will help others who know what they’re dealing with, as well as anyone who may be wondering what in the heck is going on.

Jeff

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2 Josh Hanagarne June 17, 2009 at 11:27 am

Glad to hear it Jeff. Thank you. It’s pretty rare that things get worse later on. However, that is exactly what happened to me. As you’ll see in the series, my 20th birthday was when things exploded for the next 8 years. My experience past that point is anything but difficult, so don’t take that as meaning “dark days ahead” for you and yours.

I’m so happy they don’t need medication. Too often you get all of the side effects and none of the potential benefits.

Brave doesn’t really enter into why I’m telling the story. I’m a chicken but after speaking at enough support meetings for TS, the recurring theme is that people want someone else to understand what they’re going through. If I can be that person for even one other person, it needs to be done. Thanks for the kind words and support.

Good luck to you and please let me know if I can ever help with anything.

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3 Megan Horton June 17, 2009 at 2:47 pm

I’m excited to read this and scared. I don’t like hearing about how much pain people I love have dealt with. I don’t like watching others suffer and those days when you were your worst I can’t think about without tearing up. Still I’ll read it. Are you going to tell about your bathroom fight in Wendover?

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4 Josh Hanagarne June 17, 2009 at 2:51 pm

Probably. We’ll see.

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5 Maren June 18, 2009 at 7:56 am

I am looking forward to a well written account about Tourette Syndrome. I have read Icy Sparks and agree that it did not really educate about TS but just used it.
It seems easier to talk about something when it is in the past. T. S. is still our present and for Rose may well be her future so I am looking forward to your future articles.

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6 Josh Hanagarne June 18, 2009 at 8:54 am

Glad to hear it, Maren. thanks. Sounds like Rose’s graduation went really well. I know your frazzled mother had a good time, but wow were they nervous about the trip. Congratulate Rose for me. I’m really proud of her and know she has great things coming up.

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7 john dalton June 18, 2009 at 9:09 am

josh you are an amazing man.i dont know if i could live as strong as you do ,with what you deal with in your life,,i am truly a fan of yours your an awesome man

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8 Josh Hanagarne June 18, 2009 at 9:47 am

John, that’s one of the nicest compliments I’ve ever had. Thank you so much. I love your email address, by the way.

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9 Laree Draper June 18, 2009 at 10:56 am

I’ll be an enthusiastic reader of this series, Josh. I was really impressed at the seminar a couple of weeks ago when you introduced yourself before Dan got started, mentioning the Tourette’s and letting us know in advance in case something ramped up rather than silently hoping nothing would come up.

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10 Chris Mason June 18, 2009 at 11:05 am

Hey Josh,

I happened to come across your blog last night. I also have Tourette’s. Ironically, I train with kettlebells and also enjoy tearing up phonebooks. I look forward to reading more stories.

Chris

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11 Josh Hanagarne June 18, 2009 at 11:14 am

That’s awesome, Chris, welcome. Do you have any thrilling symptoms?

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12 Chris Mason June 18, 2009 at 12:42 pm

The tics I have most often are shoulder jerking, eye blinking and then a few vocal tics like grunting and clicking my tongue between my teeth. I would guess that I have had over 100 different tics at this point. They change frequently depending on the day, stress, sleep, etc.
I also have a complex eye closing tic that appears most often when I get nervous (usually public speaking). This is the tic I hate the most.

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13 Josh Hanagarne June 18, 2009 at 1:05 pm

Sounds familiar. Good for us. As we go farther, I’d love to hear if I’ve got anything going on that you recognize. I currently have a bunched of chipped teeth from that stupid clicking.

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14 mary j. June 18, 2009 at 1:25 pm

Josh,
I’m glad you’re writing everything that you are. For about two years, I’ve been secretly in love with a friend of mine who has Tourette’s. I don’t think he knows it, but he’s my favorite person in the whole world. I don’t really know how to tell him what I think of him, because he feels like his Tourette’s cuts him off from everyone else and that nothing anyone does can ever make him feel better about anything. I’ve been scrapping around for so long just trying to figure out how to make him laugh and see how much I love him. And, (because I’m also a writer) I have this whole blog of anonymously addressed love letters and notes (for him) that he reads and comments without any idea that they’re about him.
So I’m subscribing to your writing because, while it is also very inspiring and uplifting, maybe it will help me understand my friend a lot better than I do.
Thanks for writing about yourself, keep it up, and I hope you have a wonderful day!

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15 Josh Hanagarne June 18, 2009 at 1:36 pm

That’s wonderful, Mary, thank you. I hope you continue to enjoy the series. Just know that he may not understand himself at times. The best thing you can do is to be supportive and just be there.

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16 Adam T Glass June 20, 2009 at 10:43 am

Superior, keep them coming.

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17 Josh Hanagarne June 20, 2009 at 11:59 am

Superior. That’s a word I’ve never had applied to me or anything associated with me.

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18 jo June 20, 2009 at 1:43 pm

Hi i just came across this my son who is 10 and my husband also have tourettes.My husband has severe ts and we recently took part in a documentry on bbc 1 ( uk ) he also likes writing and has a regular column on http://www.tourettescotland.org.uk .Keep up the good work as educating people i think is the key to making life easier. xx

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19 Ann Elise June 24, 2009 at 4:47 am

Josh,

I must admit, I smiled broadly about the part about specialists. I think people would be surprised to know just how often we don’t know what is wrong. In my practice, the most common discharge diagnosis for a person who comes in with abdominal pain is… abdominal pain. You show up in my ED with a rash, and you are likely to be diagnosed with a rash. “I don’t know what is wrong with you, but it is safe for you to go home tonight and follow up with your doctor” is all I have to say.

All this education, and there is still so much we don’t know.

To put a name on a condition does give patients some relief, even if we can’t allay the symptoms.

Bravo to you for speaking out. As you requested, I am going to put aside my medical understanding of TS and try to see it through your eyes. I hope that by speaking of the misunderstood and parodied will lift some of the stigma from this disorder.

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20 Tim June 24, 2009 at 4:42 pm

Josh:

Thank you for telling your story. In college, there was a guy with TS who lived on my floor in the dorms. But honestly, he never revealed much about his condition and what he was going through. I look forward to learning more about TS.

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21 Josh Hanagarne June 24, 2009 at 7:42 pm

Thanks Tim. I appreciate the kind words. I hope you continue to enjoy the series.

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22 Marie June 25, 2009 at 1:08 am

I just happened to wander over to your blog by clicking on a link from another page. I’ll admit that I know almost nothing about Tourettes and don’t know if I’ve ever met someone who has this particular condition. I look forward to learning more about it through your blog and through my own research.

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23 Josh Hanagarne June 25, 2009 at 6:35 am

Glad you’re here. If you ever have any questions, please ask.

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24 Jane Steiinberg July 6, 2009 at 9:09 am

Did I just call you Jeff? Apologies, while I go look up my own name.
Just last night I watched the Oliver Sachs interview on music and the brain, with the extraordinary young man with Tourettes who has channeled it into drumming and also has a drumming group for Tourettes sufferers. If I keep reading you I won’t get around to my own writing, so I’m making an assumption that the kettle weights work for you in a similar way. I don’t have this disorder, but I understand how an activity can perform this transformative miracle: it happens to me every time I hear the music and move toward the dance floor with a good partner.

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25 Josh Hanagarne July 6, 2009 at 9:25 am

Thanks Jane. I actually watched that program as well, as long as I could. It’s still hard for me to watch someone with TS. You’ll never hurt my feelings by not reading as long as you’re away writing yourself:)

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26 Enrique Aguayo August 9, 2009 at 9:01 am

Josh; You’re one hell of a writer. I woke up this Sunday’s planning on getting some paper work done before Monday catch me behind chores. I got so involved reading your blogs. It’s 10:00 already ad haven’t begun intended schedule as yet. As you may very well guess, English is not my native tongue. Am based in COlombia, South America, if you ever decide to come down here be sure I’ll be of lots of help. Please keep on writing I shall keep on reading. Congratulations and thank you for enlightening my day. Rick

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27 Beth L. Gainer August 13, 2009 at 4:22 pm

Great posting. I love your writing style and have subscribed to your blog. I know another excellent writer you might want to check out: she’s Jeannie Anderson, who writes about her autistic son in The Adventures of Mr. Busypants. Her stories are moving, funny, beautifully written, and just darn great. Her blog is at mamabusypants.blogspot.com.

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28 Josh Hanagarne August 13, 2009 at 4:44 pm

Beth, I will definitely check out Mr. Busypants. Did you read The Incident Of The Dog In The Nighttime by Mark Haddon?

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29 Jeannie September 11, 2009 at 1:42 pm

Hi Josh,
I’m sitting here with your internet crush, Beth Gainer, and her newly adopted daughter Ari. Ari is actually crapping in her diaper right now. Anyway, Beth and I just listened to your first podcast about Tourettes and loved it. I love your writing style and particularly love your twisted sense of humor. You may not know it yet, but we are writing soulmates.

My six-year-old son Alex has autism. I don’t know if there are many parallells with Tourettes, but I do know that while, as you explained, people with Tourettes make involuntary sounds and movements, my son has zero internal filter and speaks what he thinks. If he’s pissed at my husband, he looks away and says “I’m not talking to daddy and I’m not looking at daddy,” to no one in particular.

Anyway, when the massive amounts of papers that I have to grade subside, I will be further catching up on your blog and when I am able to spend more time on my own blog, I would love for you to guest post.

Take care,
Jeannie aka Mamabusypants

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30 Josh Hanagarne September 11, 2009 at 1:45 pm

Jeannie, my dear, one can’t have too many writing soulmates. I accept and bind my soul to yours forever. Thanks for the kind words. Don’t let Ari get a rash.

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31 Beth L. Gainer September 12, 2009 at 6:28 am

Hi Josh,

I’m so glad you and Jeannie are communicating. She’s also a great person. Ari didn’t get a rash by the way. :) . By the way, I forgot that you asked me if I ever read The Incident Of The Dog In The Nighttime by Mark Haddon. I haven’t; is it scary? I get scared by the bugaboos at night, which is why I can’t read Stephen King.

If it’s not scary, I’ll get it and read it. I assume it’s excellent and you recommend it…..

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32 Josh Hanagarne September 12, 2009 at 7:02 am

Beth, Haddon’s book isn’t scary at all. It’s written by a 15-year boy with autism who’s trying to solve a mystery.

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33 akhlis September 21, 2009 at 3:34 am

Thanks for the brief description on Tourette’s Syndrome. Really reminds me of the unsaid gratitude I should say to God whenever I can sneeze normally. Actually this is my first time I read something on Tourette’s Syndrome. I’d never heard of it before. Thanks for sharing anyway.
I think having some kind of ‘abnormalcy’ is cool. I mean, our abnormalcy can be a blessing in disguise, provided that we know how to deal with it wisely. Some people are special and outstanding because they suffer from dire abnormalcy they conquer. How we can deal with it shows our personal quality. We should thank God for being given the chance to prove that we no matter what finally manage to deal with it.

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34 Julie October 10, 2009 at 6:47 pm

I came across this site because I have a nine year old who suffers from Tourette’s Syndrome. His symptoms are eye blinking, sniffling, and neck twitching ( he likes to refer as his “neck bends”). I stopped to look at your page and listen to your story. VERY touching! I could hear some strong emotion in your voice. I’m glad I stopped to listen to your page. You are not alone in this crazy world. Thank You.

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35 Josh Hanagarne October 10, 2009 at 6:51 pm

Julie, thanks. How long has it been since your son was diagnosed? The series will be back once I get some things sorted out with the book. glad you liked it. Please stick around and feel free to contact me if I can answer any questions or help you guys with anything.

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36 Lindsey January 3, 2010 at 7:26 pm

I’m amazed at your candidness! I’ve had Tourette’s since 2nd grade with fluctuating degrees of severity. Medication never worked, actually only worsened my symptoms and my mood and I felt even more isolated because Tourette’s is more common in men. I knew no other females with the same embarrassing affliction. Now, I am married and living with it but it has shown no signs of disappearing. I recently met another female my age with very pronounced Tourette’s and we told our stories in such a way that made us both feel like finally someone understood what it felt like.
Growing up, the media misrepresentation of the syndrome was both infuriating and saddening and I wince everytime I hear a TS quip on TV or in movies. But I suppose we’re not the only people with disorders who serve as the butt of jokes.

Are you writing about this in your book? Matt Cheuvront will be doing a guest post on my blog in the near future (that’s how I came across yours) so I hope you’ll stop by and check it out.

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37 Josh Hanagarne January 3, 2010 at 7:34 pm

Lindsey, it would be hard not to check out a blog called Lost In Cheeseland, particularly since my favorite food is cheese. I’m sure you know that the ratio of males to females with TS is out of control. Sorry you’re one of the lucky few! I’m glad you’re here. Please let me know if I can ever do anything for you. Candidness is key.

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38 Amy January 7, 2010 at 5:46 pm

I’m looking forward to reading all the articles on your blog. My friend Cathy sent me the link today. She thought it would be good for me to read since our oldest boy was just diagnosed with TS & Asperger’s today.

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