I definately agree with mrsmac in that a teachers aid would embarrass her but will most definately look into provate tutoring, even if i have to pay for it.

Thanks tal, if your mum would like to take a look that would be fantastic! My understanding of Turrets (sp?) is that it is involuntary? Where as her outbursts whilst they are more dramatic then she wants them to be, they are directed at certain situations IYKWIM

Thank you all so much for your advice!!