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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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