Twogirl Hmm.very tough.i don't know much about Tourette's but how do they distinguish the genuine tics from the inappropriate comments that kids sometimes make?
Very hard for those without it to distinguish i agree, but very easy for those living with it. So for instance when my sons have a tic be it a motor or verbal tic i can tell the difference but others can't. The Hitler tic, is because when you say 'Germany', there are certain thoughts that automatically run your head subconsiously, but you don't normally verbalise them. If you hear America, the word 'Trump' pops into the head, say, ethinc minority, 'black' might pop into your head with some associated thoughts. But for a person with Tourettes those odd, random thoughts pop out sometimes with meaningless phrases, like 'can i have fish and chips BLACK person?'. Words also get stuck in a TS person's head, an example might be some years ago, i watched a program where someone was described as a 'necrophilliac'. Thought nothing of it after that but for a TS person, that words is tucked away somewhere ready to come out later. Months after the program, the TS person is in a shopping centre and suddenly blurts out to a stranger, 'Necrophilliac!' are you a necrophilliac? TS person is wondering where the hell that word came from but can't stop themself.
Many times there's also slight change in voice when its a tic, its done or said out of context. I noticed the older boy in the had a lovely calm voice but when ticcing it changed slighly. When ds has a verbal tic his voice sounds more aggressive and strained, nothing like the usual way he talks.
I'm not sure this makes it any clearer for you, but it helps a little or perhaps confused more, if so i apologise.