Studying with Tourette's Syndrome.

Tourette's and school just don't seem to go together.  When I am in class and around a lot of people I want to try and suppress my tics as much as possible in order not to distract the other students and cause a scene.  But it's really hard.  Either I am concentration on what my teacher/professor is telling me, or I am squeezing all my muscles as my response to hold in my tics for as long as possible.  With this week being finals week, my tics are crazy.  I feel bad to study in the library because I feel like I am disturbing every one when I throw my notebook, or knock my pencil off the table, or the worst, when I sit and smack my arm on the table.  I feel awful and I feel like I need to explain to everyone why I am doing this and why I can’t stop. Studying is so hard when every few minutes I have to take a “twitch break.”  Focusing is nearly impossible because all I can think about is if people are watching me.  I do work with the disability department to make sure that all of my professors know and understand why I sit in the very back of class and why I prefer to take all of my tests alone.  But then I feel different.  I am thankful that all of my professors have been really good about working with me, but having Tourette’s bothers me most when it comes to my schoolwork.