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Table 3: Examples of Vocal Symptoms

• Coughing, spitting, screeching, barking, grunting, gurgling, clacking, whistling, hissing, sucking sounds, and syllable sounds such as "uh, uh," "eee," and "bu."

• "Oh boy," "you know," "shut up," "you're fat," "all right," and "what's that."

Rituals

• Repeating a phrase until it sounds "just right" and saying something over 3 times.

• Unusual rhythms, tone, accents, loudness and very rapid speech.

• Obscene, aggressive or otherwise socially unacceptable words or phrases.

Palilalia

• Repeating one's own words or parts of words.

• Repeating sounds, words, or parts of words of others.