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Steve Shapero

Steve Shapero. What is Tourette Syndrome?. IQ NOT affected. Neurological disorder Repeated involuntary body movements Tics (blinking, twitching, shoulder shrugging Leg jerks, vocal sounds) OCD, hyperactivity, impulsivity Extreme cases: Echolalia (repeating words of others)

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Steve Shapero

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  1. Steve Shapero

  2. What is Tourette Syndrome? IQ NOT affected • Neurological disorder • Repeated involuntary body movements • Tics (blinking, twitching, shoulder shrugging • Leg jerks, vocal sounds) • OCD, hyperactivity, impulsivity • Extreme cases: • Echolalia (repeating words of others) • Coprolalia (profanity) • Punching oneself in the face ***

  3. Treatment • Meds available but may have side effects • Some affect cognitive processes • Therapy may be helpful • Psychotherapy • Behavior modification • Relaxation Techniques • Exercise, Biofeedback ***

  4. Population Affected • Est. 100,000 Americans have full blown TS • Typically appear before age 18 • 3 to 4 times more prevalent in males ***

  5. How It Affects Learning • Difficulty concentrating • Failure to complete tasks • Subject may act before thinking • Possible social problems due to aggressive behavior • Tasks can seem burdensome • Need for excessive supervision ***

  6. Accommodations

  7. Teacher Interventions • Patience, Tolerance, Acceptance • Carve out private times • a place in which to reduce stress, pent up tics • Teacher working with other students so they understand the situation • Enlist help of counselors, psychologists • Tourette Syndrome Assoc. local chapter ***

  8. General Accommodations • Directions given 1-2 steps at a time • Ask student to repeat directions • Give student copy of lecture notes • Assign a note-taking buddy to help with copying HW, etc. • Copy buddy can use carbon paper to give to TS student a copy ***

  9. General Accommodations - 2 • If student is mumbling, suggest another seat where others won’t be disturbed • “Reauditorizing” instructions can help a student with TS grasp or remember the task • They can sometimes get stuck (looping) and need help ***

  10. General Accommodations - 3 • Have student take break or switch tasks • Complete work orally • Brief reminders to “move on” • Seating near teacher during instructions • Seating out of areas of distraction (not near doors, windows, reading groups) ***

  11. General Accommodations - 4 • Give student an “office” – quiet workplace • not a punishment, student can choose to go there • Could be a corner, a hall, library • Run errands for change of scene • Encouraging hand on shoulder can be a reminder to keep on task ***

  12. Writing Accommodations • Allow taped verbal report instead of written • Allow parent to act as secretary for child for at-home written assignments • Assign a note-taking buddy to help with copying HW, etc. – can use carbon paper to give to TS student • Emphasize short intense periods of concentration ***

  13. Math Accommodations • Allow calculators for rote calculations and tests • Grid paper or turn lined paper sideways to help keep columns aligned • Cut math problems in half ***

  14. Testing Modifications • Un-timed tests • Reduce time appearing up front • Reports can be pre-recorded to de-emphasize visual distractions for other students • If using a computer scoring sheet, allow student to write on test booklet • De-emphasize spelling, encourage proof-reading with spell checkers or computer ***

  15. The End

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