What its like to have Tourettes and how music gives me back control Esha Alwani

I’d like you to imagine
what it would feel like

if, for two whole minutes,
your left arm was continuously flapping,

your eyes were constantly rolling,

your jaw was clenching so hard

that it felt like your teeth
were about to break,

and every ten seconds,

you were forced to let out
a loud, high-pitched screech.

(Tic)

This is how I lived
at the young age of six,

every waking moment, seven days a week.

(Tic)

And these were only some of my symptoms.

When these symptoms surfaced,
my life literally changed overnight.

I could no longer go to school,
see my friends or even eat out,

because my tics would attract
the attention of everyone in the room.

In search for a cure, we flew to New York

to meet with the best pediatric
neuropsychologist my parents could find.

(Tic)

But the doctor did not give us
the easy remedy we had hoped for.

Instead, she diagnosed me
with an incurable neurological disorder,

Tourette syndrome.

Oftentimes, medication can be
an essential and valuable part

of many treatment processes.

But in my case, the drugs
only made things worse.

One drug put me in a wheelchair,

because my legs had gotten so numb
that I couldn’t move them.

Another one caused me to hallucinate.

I would see green people running after me,

threatening to boil me in a pot
and drink me as soup.

And it was really scary.

We tried drug after drug

to find something that would bring me
some sort of relief.

But every single attempt
just ended up making things worse.

It is estimated that in 2013
in the United States alone,

the prescription drug expenditure

to treat neurological conditions
and mental illness

was about 89 billion dollars annually.

But imagine if there were a way
to treat these conditions

without a price or without side effects.

Imagine if your doctor prescribed you
a daily dose of music.

I’m here today to share with you
my personal experience with music

and the effect that it had
on my neurological disorder.

(Tic)

Tourette syndrome
is essentially a series

of involuntary movements and sounds,

known as tics.

The best way for me to really describe
what it’s like to have Tourette syndrome

is something I’m sure
you’re all very familiar with –

the hiccups.

You can try to stop yourself from the act.

You can hold your breath and count to 10,
or drink water upside down,

but there is just nothing
you can do about it

until the sensation passes
and the hiccups have taken their course.

I often lay on my bedroom floor
after an attack of tics,

feeling exhausted and in despair.

(Tic)

My equally desperate mother
would attempt to soothe me and herself

by putting on some music.

She would play peaceful music
to soothe our aching hearts.

And we’d lie together on the floor

and allow the beat
of the drums to uplift us.

And as the rhythms and the tunes unfolded,

our spirits would rise,
our moods would be lighter,

and we would be rejuvenated.

(Tic)

Very soon, and rather unknowingly,
I became an addict of this newfound drug.

When I found myself slipping
into my bouts of sadness and self-pity,

I would rush to the 88 keys of my piano,

knowing in my heart that the tones
and rhythms from each one of those keys

would soon set me free.

At the time, I didn’t realize
how much music was helping me.

It was just something I did by default.

When I wrote my songs,
it wasn’t to impress anybody.

It was just a release.

But the more I played,
the less my symptoms surfaced,

and the intensity of my attacks reduced.

So I became curious as to how
these songs were soothing my symptoms.

And I wondered if there were
any other cases of medicinal music.

So I began to search.

I found that there was
a highly successful US congresswoman,

Gabby Giffords, who was shot in the head.

She lost her ability to speak.

Because the ability to speak
and the ability to sing

lay in two separate parts of the brain,

her doctors brought in
music therapists to work with her.

The therapists encouraged her
to sing her thoughts,

since she was incapable of speaking them.

And through this technique,

the congresswoman was finally able
to regain her speech.

Music helped heal Gabby Giffords.

Scientists have found that music causes
our brains to release a natural painkiller

known as oxytocin

and a feel-good chemical, dopamine.

Dopamine is essential
for a healthy nervous system

and strongly impacts emotional health.

Music also affects our heart rate,
breathing and pulse rate,

as it stimulates blood flow.

In addition, it lowers
our cortisol levels,

thus reducing anxiety,

which is a common stimulant
for neurological symptoms.

In our lifetimes, we are all going to know
someone with a neurological disorder.

If it’s not a family member –

(Tic)

it could be a friend or a coworker.

Please help me spread this message:

music has the ability to uplift our lives
and heal us from within.

I still have Tourette syndrome.

I deal with it every day, every hour.

I’m going to deal with it
for the rest of my life.

And that means that I have to frequently
excuse myself from my classroom,

because my verbal tics
can be extremely distracting.

That means that sometimes
when I wink my eyes involuntarily,

the guy sitting opposite from me
thinks I’m flirting with him,

when I’m really not.

(Laughter)

And I have to tell him,
“Sorry – I wasn’t trying to flirt.”

But the most amazing thing is

that when I sing, play music
and even just listen to music,

I don’t tic.

I’ve been onstage numerous times
in highly stressful situations,

with thousands of people watching me.

And while I do tic
before my performance –

(Tic)

when the music starts,
the tics take a back seat.

So I may have written my own lyrics
and composed my own music.

But in reality, I’ve realized
it was the music that composed me.

Thank you.

(Applause)

(Tic)

(Music)

(Singing) I think I took
my mask off too soon

‘Cause you were there
and then you were not

I think I pushed it all onto you

I should have dragged it out
dragged it out

I think that maybe each time
I lose a bit of myself I put it back on

Just to fake it till I break
my own heart in two

And oh I wanted you
to know the real me

And take it seriously

But now

I’m not loving you
I’m not loving you

I’m not loving you

I thought I could trust you

But you’re running away
from me and my mask

I’m not loving you
I’m not loving you

I’m not loving you

Right now

I think I took my mask off too soon

Because you screamed when I pulled it off

You told me you were unprepared

And like that
just like that

I think that maybe this time
it hurt more than it ever has before

I think maybe this blow I took
was a little more

A little more

And oh I wanted you
to know the real me

And take it seriously

But now

I’m not loving you
I’m not loving you

I’m not loving you

I thought I could trust you

But you’re running away
from me and my mask

I’m not loving you
I’m not loving you

I’m not loving you

Right now

(Applause)

我想让你想象
一下,

如果整整两分钟,
你的左臂一直在拍打,

你的眼睛一直在转动,

你的下巴咬得很紧

,感觉牙齿
都要断了,

然后 每隔十秒钟,

你就被迫
发出一声高亢的尖叫。

(抽搐)

这就是我
六岁时的生活方式,

每一个醒着的时刻,每周 7 天。

(抽搐

)这些只是我的一些症状。

当这些症状浮出水面时,
我的生活一夜之间发生了翻天覆地的变化。

我不能再去上学,不能
见朋友,甚至不能出去吃饭,

因为我的抽搐会引起
房间里所有人的注意。

为了寻找治疗方法,我们飞往

纽约会见了
我父母能找到的最好的儿科神经心理学家。

(抽搐)

但医生并没有给
我们希望的简单补救措施。

相反,她诊断出我
患有无法治愈的神经系统疾病,即

图雷特综合症。

通常,药物治疗可能是许多治疗过程中
必不可少且有价值的部分

但就我而言,药物
只会让事情变得更糟。

一种药物让我坐在轮椅上,

因为我的腿已经麻木了
,我无法移动它们。

另一个让我产生了幻觉。

我会看到绿色的人追着我跑,

威胁要把我放在锅里煮,
然后把我当汤喝。

这真的很可怕。

我们尝试了一种又一种药物,

以找到能给我带来
某种解脱的东西。

但每一次
尝试最终都让事情变得更糟。

据估计,仅在 2013 年
,仅在美国,每年

用于治疗神经系统疾病
和精神疾病的处方药支出

就约为 890 亿美元。

但是想象一下,如果有一种方法
可以在

没有代价或没有副作用的情况下治疗这些疾病。

想象一下,如果你的医生给你开
了每天一剂音乐。

我今天在这里与大家分享
我个人的音乐体验

以及
它对我的神经系统疾病的影响。

(抽动)

抽动秽语综合征
本质上是

一系列不自主的运动和声音,

称为抽动。

对我来说,真正描述患有图雷特综合症的最佳方式

是我相信
你们都非常熟悉的东西

——打嗝。

你可以试着阻止自己的行为。

你可以屏住呼吸数到 10,
或者倒着喝水,

但是

在感觉过去
并且打嗝已经过去之前,你无能为力。 抽搐发作后,

我经常躺在卧室地板上

感到筋疲力尽和绝望。

(抽动)

我同样绝望的母亲
会尝试通过放一些音乐来抚慰我和她自己

她会演奏平静的音乐
来抚慰我们疼痛的心。

我们会一起躺在地板上

,让
鼓声振奋我们。

随着节奏和曲调的展开,

我们的精神会振奋,
我们的情绪会更轻松

,我们会重新焕发活力。

(抽搐)

很快,在不知不觉中,
我对这种新发现的药物上瘾了。

当我发现自己
陷入悲伤和自怜中时,

我会冲向我钢琴的 88 个键

,心里知道
每个键的音调和节奏

很快就会让我自由。

当时,我没有意识到
音乐对我的帮助有多大。

这只是我默认做的事情。

当我写歌的时候,
并不是为了给任何人留下深刻印象。

这只是一个释放。

但是我玩的越多,
我的症状就越少

,我的攻击强度也降低了。

所以我开始好奇
这些歌曲是如何缓解我的症状的。

我想知道是否还有
其他医学音乐的案例。

于是我开始寻找。

我发现有
一位非常成功的美国国会女议员

加比·吉福兹(Gabby Giffords)头部中弹。

她失去了说话的能力。

因为
说话的能力和唱歌的能力

分别位于大脑的两个不同部分,

她的医生请来了
音乐治疗师与她一起工作。

治疗师鼓励
她唱出自己的想法,

因为她不会说出来。

通过这种技术,女

议员终于
能够恢复她的讲话。

音乐帮助治愈了 Gabby Giffords。

科学家们发现,音乐会导致
我们的大脑释放一种称为催产素的天然止痛药

和一种感觉良好的化学物质多巴胺。

多巴胺
对健康的神经系统至关重要,

并强烈影响情绪健康。

音乐也会影响我们的心率、
呼吸和脉搏,

因为它会刺激血液流动。

此外,它降低
了我们的皮质醇水平,

从而减少了焦虑,

这是
神经系统症状的常见兴奋剂。

在我们的有生之年,我们都会认识
患有神经系统疾病的人。

如果不是家庭成员——

(抽搐

)可能是朋友或同事。

请帮助我传播这个信息:

音乐有能力提升我们的生活
并从内部治愈我们。

我仍然患有图雷特综合症。

我每天,每小时都在处理它。

我会用
我的余生来处理它。

这意味着我不得不经常
离开课堂,

因为我的言语抽搐
会非常分散注意力。

这意味着有时
当我不由自主地眨眼时,

坐在我对面的那个人会
认为我在和他调情,

而我真的不是。

(笑声)

我必须告诉他,
“对不起——我不是想调情。”

但最令人惊奇的是

,当我唱歌、播放音乐
甚至只是听音乐时,

我都不会抽搐。

我曾多次
在高度压力的情况下登上舞台

,成千上万的人在看着我。

虽然
我在表演前会抽动——

(抽动)

音乐开始时
,抽动会退居二线。

所以我可能已经写了自己的歌词
并创作了自己的音乐。

但实际上,我已经
意识到是音乐创作了我。

谢谢你。

(掌声)

(抽动)

(音乐)

(唱歌)我想
我摘下面具太早了

因为你在那里
,然后你不在

我想我把它全部推给你

我应该把它拖出来
拖出来

我想 也许每次
我失去一点我自己我把它重新装回去

只是为了假装直到我
把自己的心一分为

二哦我想让
你了解真实的我

并认真对待

但现在

我不爱你

我不爱你我不爱你

我以为我可以相信你

但你正在
逃离我和我的面具

我不爱你
我不爱你

我不爱你

现在

我想 我太早摘下了面具

因为当我摘下它时你尖叫了

你告诉我你没有准备好

就像那样

我想也许这次
它比以往任何时候都更痛

我想也许我所受的这一击
是一个 多

一点 多一点

哦,我想让
你了解真实的

我 认真对待

但现在

我不爱你
我不爱你

我不爱你

我以为我可以相信你

B 但是你在
逃避我和我的面具

我不爱你
我不爱你

我不爱你

现在

(掌声)