Full financial disclosures and author roles may be found in the online version of this article.
Current controversies on the role of behavior therapy in Tourette syndrome
Article first published online: 16 MAY 2013
© 2013 Movement Disorder Society
Volume 28, Issue 9, pages 1179–1183, August 2013
How to Cite
Scahill, L., Woods, D. W., Himle, M. B., Peterson, A. L., Wilhelm, S., Piacentini, J. C., McNaught, K., Walkup, J. T. and Mink, J. W. (2013), Current controversies on the role of behavior therapy in Tourette syndrome. Mov. Disord., 28: 1179–1183. doi: 10.1002/mds.25488
Funding agencies: This work was supported by grants from the National Institute of Mental Health (NIMH) to Lawrence Scahill (R01MH069874), Sabine Wilhelm (5R01MH069877), Alan L. Peterson (RO1MH069875), and John C. Piacentini (R01MH070802).
Relevant conflicts of interest/financial disclosures: Douglas W. Woods, Sabine Wilhelm, Alan L. Peterson, John C. Piacentini, John T. Walkup, and Lawrence Scahill report receiving royalties from Oxford University Press for treatment manuals on tic disorders. Sabine Wilhelm, Alan L. Peterson, John C. Piacentini, Douglas W. Woods, John T. Walkup, Lawrence Scahill, and Michael B. Himle report receiving honoraria for continuing education presentations from the Tourette Syndrome Association. John C. Piacentini, Douglas W. Woods, and John T. Walkup receive royalties from Guilford Press for a book on Tourette disorder.
- Issue published online: 3 SEP 2013
- Article first published online: 16 MAY 2013
- Manuscript Accepted: 16 DEC 2012
- Manuscript Revised: 7 DEC 2012
- Manuscript Received: 12 SEP 2012
- Tourette syndrome;
- habit reversal therapy;
- evidence-based treatment
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