Billie Eilish Tourette syndrome comments are again putting a public face on a condition many people still misunderstand. During a May 5 appearance on Amy Poehler’s Good Hang podcast, the singer described what it takes to manage her vocal and movement tics while sitting for interviews, performing, and generally existing under cameras, which are not exactly known for making anyone feel relaxed.

Eilish, who was diagnosed with Tourette syndrome at 11, said her tics can include sounds, movements, and at times words. She explained that she is often actively suppressing them when she is in a public setting.

“I do have Tourette’s and I have vocal tics but luckily for me and for everyone else, they’re mostly just noises and I can keep them pretty quiet,” she said. “I go through phases of words becoming tics.”