Presentation of Tourette
Some of the motor tics are simple, such as rapid eye blinking, nose twitching, shoulder shrugging, but they can also be quite complex and result in hopping, jumping, kicking or spinning.
Vocal tics generally appear later than motor tics, and just as the motor tics, they can be simple (sniffing, clearing throat, grunting) or complex, including repeating words of others (echolalia) or repeating one own’s words (palilalia). It is also not uncommon that people with Tourette syndrome have coprolalia, that is the involuntary use of obscene or swear words.
Not rarely is the simultaneous occurrence of ADHD and OCD (Obsessive Compulsive Disorder) the most problematic issue for the person suffering from Tourette syndrome. Motor and vocal tics also exist as isolated conditions but in these cases the person in question is not diagnosed with Tourette syndrome.
Symptoms can worsen due to relaxation but also as a result of stress.