It’s been a bad day, not specifically because of Tourettes but just one of those days that doesn’t feel like it’s going right. Because I felt moody and unsettled I was particularly unpleasant to Leftwing Idiot, and this lead to a row. Our argument, like others I’ve had, was complicated by my need for help with my tics. I felt furious, but at the same time I needed him to hold my hands to stop me thumping myself.

Sometimes physical dependence like this makes it hard to establish the distance and perspective necessary for resolving a disagreement.