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Tourette Syndrome and Tic Disorders

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Dr. Katia Moritz and Dr. Jonathan Hoffman:






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Treatment for Tourette Syndrome 

Tourette Syndrome (TS) and Tics are neurobiological conditions defined by multiple motor tics and one or more vocal tics. Other kinds of Tic Disorders may only involve motor ticks without the vocal component. A tic is “a sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization” (DSM-5).

The onset of TS occurs before the age of eighteen. To make the diagnosis of TS, tics must have been present for more than one year without a tic-free period lasting more than three months. The most publicized symptom of TS is explosive cursing (coprolalia), however, this problem is not found in most of those with this diagnosis.

Therapies for Tourette's Syndrome

Cognitive Behavioral Therapy (CBT) for TS and TICS involves modifying thoughts and behaviors that trigger tics, as well as learning strategies to control them. Specifically, Habit Reversal Training (HRT) and Comprehensive Behavioral Intervention for Tics (CBIT) are evidence that supported CBT interventions for tics. These protocols involve awareness training and learning competing responses, among other skills.

CBT can be used in combination with pharmacological or allied medical therapies. It can be tailored for young children or those who have additional psychological or developmental issues. Whether or not a child or adult with TS or another Tic Disorder is a good candidate for CBT depends on a number of factors, such as if they “feel” a tic coming (premonitory sense) and if they are willing to tolerate the discomfort that such treatment often entails. The response of family members is also important. Telling someone with tics to just stop or shaming them will backfire, as this creates stress and stress exacerbates tics. Having TS or tics can easily damage self-image, so helping affected individuals, especially children, understand and communicate about symptoms effectively is essential.

Medications can play an important role in a comprehensive treatment plan for TS and Tic Disorders, but this must be evaluated on a case-by-case basis, weighing the potential benefits in respect to such variables as side effects, patient age and other medical or psychological conditions, and patient motivational level.

Call Neurobehavioral Institute at (954) 280-3226 to learn more about Tourette’s Syndrome Treatment in Weston.

Neurobehavioral Institute (NBI) is a dedicated mental health center focused on the treatment of Anxiety, Obsessive-Compulsive Disorder, and Related Conditions. We specialize in providing personalized care and evidence-supported Cognitive Behavioral therapies (CBT) tailored to meet your specific needs.


Get control of your life. For more information, please call us at 954-280-3226.

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