In a heartfelt revelation during the reunion special of *The Real Housewives of Orange County*, Emily Simpson disclosed that her 11-year-old son, Luke, has recently been diagnosed with Tourette’s syndrome. This diagnosis adds to the challenges Luke faces, having previously been identified as having Avoidant/Restrictive Food Intake Disorder (ARFID) and PANDAS, a condition linked to autoimmune neuropsychiatric disorders.
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Simpson, who is 50 years old, shared these updates during the second part of the show’s 20th season reunion, hosted by Andy Cohen. With genuine emotion, she explained how both she and her husband, Shane, have become more attuned to Luke’s needs as they deepen their understanding of his conditions.

“It’s so hard to talk about Luke,” Simpson admitted. “Shane and I are improving as parents because we comprehend his diagnoses more thoroughly.” However, she also expressed the heavy emotional burden that accompanies the Tourette’s diagnosis, stating, “If you look at PANDAS and the symptoms, it’s OCD and anxiety and tics.”
Tourette’s syndrome is characterised by involuntary movements or vocalisations known as tics, typically emerging in childhood and persisting into adulthood. During the episode, Simpson highlighted the nature of Luke’s symptoms when her co-star Heather Dubrow inquired whether they were physical or vocal. Simpson revealed, “It’s vocal. He can kind of control it when he’s at school. He tells me that he does a lot of stuff like this,” indicating her own fidgeting with her hands, “so that he doesn’t do it verbally at school because that’s embarrassing for him. It’s very hard to manage.”
While discussing the daily demands of caring for Luke, she said, “I’m exhausted. I manage him from the moment he gets up to the moment he goes to bed.” This exhausting routine has forced Simpson to reevaluate her vision of family life, resulting in a sense of loss for what she had dreamt it would entail. “Everything I’ve had envisioned in my mind about what a family looks like and what we would do as a family, I’ve had to just completely throw that out and just reimagine it. And that makes me sad a lot,” she explained.
Simpson elaborated on her grief concerning the family experiences she had hoped for, such as vacations and outings. “I picture family vacations and going on road trips and doing all these things, and I can’t do any of them,” she reflected. She recounted instances where they had to leave trips prematurely due to Luke’s dietary restrictions, revealing the significant strain these challenges have placed on family dynamics.
Despite the challenges, Simpson expressed a hopeful outlook following consultations with a new doctor who she believes could guide them towards answers and a structured plan for addressing Luke’s needs. “But, you know, can I just end it by saying Luke is a fantastic child. He is so smart,” she proudly asserted.
The conversation also touched upon Simpson’s other children, revealing the latest developments in their lives. She mentioned that Luke’s twin brother, Keller, is thriving at a new school and has expressed interest in baseball, while their 13-year-old daughter, Annabelle, is navigating her social environment and has started cheering. “I course-corrected and we’re in a really good place right now,” Simpson shared, highlighting the importance of reconnection with her daughter.
In a previous interview with *People*, Simpson discussed the challenges she faced while speaking publicly about Luke’s health difficulties. “I would say on social media, I think people were kind of cruel about me sharing about Luke,” she noted. However, her experience at BravoCon was overwhelmingly positive, with fans showing genuine concern for Luke’s well-being. Many shared their own experiences, fostering an open and supportive dialogue.
Ultimately, Simpson feels validated in her decision to publicly share her son’s struggles, understanding the impact it can have on others facing similar challenges. “That was my takeaway,” she stated. “I absolutely did the right thing by sharing about him.”
The current season of *The Real Housewives of Orange County* can be streamed on Peacock, providing viewers with a candid look into the lives of the cast and their immense personal challenges.
