She and her colleagues began noticing that the tics arriving in their clinic did not look like Tourette’s. They were dramatic in a theatrical way that Tourette tics almost never are. And the tics the patients had developed were the tics he performed on camera. A group of teenage girls at a high school in LeRoy, New York, in 2011, who developed Tourette-like tics with no organic cause. Functional symptoms of this kind are physically real to the person experiencing them, and the involuntary quality is genuine.