At this time, Therese was often sick. She began to suffer from nervous tremors. The tremors started one night after her uncle took her for a walk and began to talk about Zélie. Assuming that she was cold, the family covered Therese with blankets, but the tremors continued. She clenched her teeth and could not speak. The family called Dr. Notta, who could make no diagnosis. In 1882, Dr. Gayral diagnosed that Therese "reacts to an emotional frustration with a neurotic attack".