Current controversies on the role of behavior therapy in Tourette syndrome
- PMID: 23681719
- PMCID: PMC4283569
- DOI: 10.1002/mds.25488
Current controversies on the role of behavior therapy in Tourette syndrome
Abstract
Comprehensive behavioral intervention for tics (CBIT) is a safe and effective treatment for managing the tics of Tourette syndrome (TS). In contrast to most current medications used for the treatment of tics, the efficacy of CBIT has been demonstrated in 2 relatively large, multisite trials. It also shows durability of benefit over time. Similar to psychopharmacological intervention, skilled practitioners are required to implement the intervention. Despite concerns about the effort required to participate in CBIT, patients with TS and parents of children with TS appear willing to meet the requirements of the CBIT program. Efforts are under way to increase the number of trained CBIT providers in the United States. Based on available evidence, recent published guidelines suggest that CBIT can be considered a first-line treatment for persons with tic disorders. © 2013 Movement Disorder Society.
Keywords: Tourette syndrome; evidence-based treatment; habit reversal therapy; tics.
© 2013 Movement Disorder Society.
References
-
- Mink J. Basal Ganglia Circuits and Thalamocortical Outputs. In: Kurlan R, editor. Handbook of Tourette's Syndrome and Related Tic and Behavioral Disorders. 2nd ed. Marcel Dekker; New York: 2005. pp. 253–272.
-
- Azrin NH, Nunn RG. Habit reversal: A method of eliminating nervous habits and tics. Behav Res Ther. 1973;11:619–628. - PubMed
-
- Bate KS, Malouff JS, Thorsteinsson ET, Bhullar N. The efficacy of habit reversal therapy for tics, habit disorders, and stuttering: A meta-analytic review. Clin Psychol Rev. 2011;31:865–871. - PubMed
-
- Cook CR, Blacher J. Evidence-based psychosocial treatments for tic disorders. Clin Psychol-Sci Pr. 2007;14:252–267.
-
- Himle MB, Woods DW, Piacentini JC. Brief review of habit reversal training for Tourette syndrome. J Child Neurol. 2006;21:719–725. - PubMed
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