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Explainer | What is Tourette’s syndrome, the condition that affects Billie Eilish and Lewis Capaldi, award-winning musicians?

  • Tics, sudden, brief movements or sounds, are the main symptom of Tourette’s syndrome, and observers may think a sufferer is ‘crazy’ or ‘uncontrollable’
  • A neurological condition named after the 19th century French doctor who identified it, its sufferers can be taught to mask symptoms, and may receive medication

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About 1 per cent of the population, including musicians Lewis Capaldi (left) and Billie Eilish, suffer from Tourette’s syndrome.  They have talked publicly about living with it. A doctor explains the incurable condition. Photos: GC Images, Getty Images

Mary was 14 when she suddenly developed verbal tics. At first, they were quiet, though disconcerting for her. She tried to mask the sounds she made involuntarily by grunting.

She also began to have motor tics and head tilting. She masked these with other movements.

When she tried to hide a tic, though, another developed. Her classmates did not understand what was happening to her. Her doctor referred her for behavioural therapy, but had to supplement it with medication when the tics became debilitating and interfered with normal conversation.

The situation possibly arose – and probably got worse – as a consequence of stress at school and friendship issues.
Dr Keith Hariman, a Hong Kong-based specialist in psychiatry, says Tourette’s syndrome is often exacerbated by stress and anxiety. Photo: Dr Keith Hariman
Dr Keith Hariman, a Hong Kong-based specialist in psychiatry, says Tourette’s syndrome is often exacerbated by stress and anxiety. Photo: Dr Keith Hariman

Dr Keith Hariman, a Hong Kong-based specialist in psychiatry, says the diagnosis for Mary – a real-life though anonymous case study – is Tourette’s syndrome.

A person with this neurological disorder develops motor and/or vocal tics, sudden brief intermittent movements or sounds that may be simple or complex and may or may not happen at the same time.

Anthea Rowan has written for papers and magazines on almost every continent and on a huge variety of subjects, from travel in Africa to mental illness in the States to education in Europe. Her work has appeared in The Times in London, the Washington Post in America and regularly in the South China Morning Post. She is the author of A Silent Tsunami: Swimming Against the Tide of My Mother’s Dementia.
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