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Habit Reversal Treatment of Vocal and Motor Tics in a Child With Tourette's Syndrome

The Devereux Foundation, Woodbury, NJ

James K. Luiselli

The May Institute, Randolph, MA, jluiselli{at}mayinstittue.org.

Habit reversal (HR) is a multicomponent treatment for tic disorders. This case study incorporated elements of HR (awareness training, self-monitoring, response competition), combined with relaxation, as an intervention for vocal and motor tics in a 10-year-old boy with Tourette's syndrome (TS). Therapy was provided on an outpatient basis at a pediatric clinic. In-home data collection by the boy's mother documented decreased tic frequency during the course of treatment. Clinical improvement was maintained at a 3-month follow-up. These results support previous research demonstrating efficacy of simplified HR in controlling multiple tics associated with TS.

Key Words: habit reversal • Tourette's syndrome • tics • child behavior therapy

Clinical Case Studies, Vol. 6, No. 2, 181-189 (2007)
DOI: 10.1177/1534650106286865


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