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Scottish pop singer Lewis Capaldi brought the reality of living with Tourette syndrome into the spotlight on the weekend when the severity of his tics saw him struggle to complete his Glastonbury Festival set.
Capaldi has since cancelled his Australia tour and released a statement saying he will be "taking a break from touring for the foreseeable future" while he gets his "mental and physical health in order".
This reality is only too familiar to Perth woman and former musician Kaylah Lynn, who stopped performing due to the severity of her Tourette syndrome symptoms.
"I have been in situations where I have sat onstage physically crying, because I just can't sing," she told ABC Afternoons presenter Dustin Skipworth.
Ms Lynn has one of the rarest types of the disease, which includes self-injury, coprolalia (involuntary swearing) and echolalia (repeating a sound or word).
Trying to stop a tic makes her feel physically sick.
In the beginning, Ms Lynn said performing helped with her symptoms.
"Everything stopped when I was singing," she said.
"It was exhilarating, like everything just got lifted off my shoulders.
"I felt like a little star."
Ms Lynn remembered her first performance at a battle of the bands concert.
"I was having a panic attack, I couldn't function, all my tics were going at once, I was so nervous," she said.
"Then I started performing and I realised how calm I felt."
'All eyes on you'
Ultimately, Ms Lynn found performing too stressful.
"I didn't like the embarrassment of crying on stage," she said.
"You've got all eyes on you, and some people are judging."
Ms Lynn said catching public transport was especially difficult for her and that she had been filmed and bullied on the train.
"One time there was a woman who was noticeably on drugs — she was ranting and swearing and I just started repeating everything she was saying," she said.
"I remember trying to cover my mouth because it just kept getting louder.
"I was literally yelling.
"The woman went absolutely berserk and in the end a nice old lady stepped in and said I clearly couldn't help it."
Ms Lynn said she was considering carrying a card that tells people she has Tourette syndrome.
Sometimes she is accompanied by a disability support worker who can help in difficult situations.
'Just not alone'
Like many people with Tourette syndrome, Ms Lynn also lives with multiple comorbidities – anxiety, depression, obsessive compulsive disorder, attention deficit hyperactivity disorder and sensory issues.
She said when her mental health was bad the severity of her tics increased, which made her feel even worse.
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Tourette Syndrome Association of Australia ambassador Seamus Evans said one in every two hundred Australians lived with the condition.
"Fifty per cent of the population who has Tourette's also have anxiety, and 25 per cent have depression," he said.
"When it comes to Lewis Capaldi, with this rise to fame, there's a lot of anxiety that comes with that.
"He might be going through something else that is a really serious situation."
Ms Lynn said she supported Capaldi taking time to recover and that seeing him highlight his condition publicly had been valuable for her.
"It feels like you're just not alone," she said.
"He's a really beautiful artist and yes, he's struggling."
Despite the difficulties, Ms Lynn said after time away from the scene, she was considering getting back into performing.
"I love the feeling of how music makes me feel," she said.
"Tingles all over my body."