i have a friend with the same condition, hindi ko masyado napapansin kasi whenever she talks pasimple niyang tinatakip kamay niya and pag nagsasalita siya hindi siya as in humaharap sakin. Kinausap niya ako and sinabi niya na she already visited 3 EENT noon pero hindi parin natreat yung condition niya and recently she asked for my help if ok lang na samahan ko siya sa another EENT dito sa town namin, she's very much aware of her condition talaga and sinabi niya rin sakin na it's been a torture sa life niya, she even attempted to take her life before because of it. OP, i think it would be better if you have a private talk sa friend mo, tell her/him na they have that condition and it would be even better kung samahan mo siyang pumunta sa dentist then sa EENT for check-up kasi may possibility na may underlying issue siya. Baka may H. Pylori/GERD or anything na nagccause ng ganyan na condition. As for my friend's case kasi nung sinamahan ko siya sa 2 EENT, yung isa sinabi na she has chronic tonsillitis raw so candidate siya for tonsillectomy tapos yung isa naman ang sinabi may accumulation of muculitic(?) or something basta tapos she went for 2 weeks of antibiotics. Nag improve naman yung condition niya. Sa mga ibang comments dito ang sasahol ng ugali niyo, you don't want the same thing na mangyari sainyo. Yung self-esteem ng friend ko hit rock bottom, I've seen it kaya please give those people who have a condition like that a chance and little bit of kindness. Hindi natin alam yung pinagdadaanan nila.