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Question 94: Dr. McKinlay. I have TS and am....working to establish myself on the management speaking circuit. So, like you, I actually do quite a bit of public and public speaking work. My TS almost completely goes away when I am on stage or in front of an audience talking. But as I grow my speaking career, my concern is that I won’t be able to control my TS for prolonged periods of time. I’m wondering how you deal with your TS when speaking to audiences. Does it ‘manage itself’ or have you learned certain compensatory or management strategies. G.D., ON, Canada.


Hello back! It is always a welcome pleasure to meet another member of the 'family' who is such an excellent role model in how he chooses to live his life! If you ever wanted to submit something to the "Role Models" portion of my website for the next generation to read (to learn from your successes) I would be pleased to receive it!

With regards to your comments, I wouldn't be too concerned. As of this writing I've presented 211 times (officially) and the tics remain a non-issue. If you consider the symptoms to be like a 'release-valve' for your disinhibited memory, then this begins to make sense -- since you are simultaneously engaging in high-energy tasks EVERY TIME you speak, this will therefore constructively channel those energies every time, and render the function of your tics irrelevant every time.

By extending this analogy, you can actually predict certain problems and design your public speaking to thwart them. For example -- Q/A periods will be more difficult, because you need to STOP talking long enough to listen to the question. This tends to be when I am most likely to tic. Hence you may wish to schedule shorter more frequent Q/A sessions rather than a long drawn-out one. Also, you'd want to vary your speeches -- keep them from getting automated. The less you have to work at thinking about what you are saying, the more likely a tic urge will return. Being passionate in what you say, moving around, etc. are all positive boons in your line of work, and will serve the secondary function of using up more of that disinhibited energy too.......

In closing, I'll say that probably the worst you can do is to actually fret about it -- given the suggestible nature of the disorder, and its tendency to prey on stress and whatever it is you are devoting your attention to, you will create your own problems by worrying about it. Besides, you could always 'come clean' in a Ralph Klein'ish fashion and raise people's impressions of you while also raising the profile of our poor misunderstood condition :)

Hope this helps sir -- take good care, and good luck to you!

Dr. Dunc.

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Last updated on January 11, 2007

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