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Question 77: I have two girls with TS. Both lately have increase their vocabulary with swearing quite frequently. I tell them to stop or find another word but this does not happen. How can they control their rage attacks as well as the swearing. I e-mail your site to various friends or people who are uneducated hoping to enlighten them. Other wise if they chose not to associate with us it's their loss. J.D., USA.

Rage is very difficult for an individual to control once one is lost in it -- preventative strategies are much preferred. A number of these are listed in a handout I have on my website at www.lifesatwitch.com/helpful.html (click on Techniques for Dealing with the Overstimulated or Overaroused Individual).

In terms of swearing, remember that this is a symptom and, in terms of inhibiting it completely and with 100% effectiveness, they "would if they could". Symptom Negotiation is a technique that I teach in one of my presentations (Develop a Disordered Mindframe I): in essence it is important to work out compromises that will make symptoms more appropriate for the situation yet still provide some satiation of the urge. In your particular example, saying a completely different word or stopping outright may not 'scratch that itch' at all, whereas writing the word down rather than saying it, saying words that rhyme with the swear word, saying the word but into your hand quietly so no one else can hear, etc. all might be other options to explore with your daughters. There are a number of important aspects and 'rules' around Symptom Negotiation that increase its effectiveness -- if it is at all possible for you to attend one of my upcoming presentations I would recommend this. Otherwise you might want to pass my booking details onto your daughters' school board to see if they would be interested in having me speak.

Thank you for recommending my site to others -- I am flattered that you feel it has important information to share, and applaud the strength of character you show in seeing ignorant others as being the truly 'disordered' ones!

Take care,

Dr. Dunc.

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