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Habit Reversal Treatment of Repetitive Hand Writing in a 7-Year-Old Child With a Learning Disability

^* To whom correspondence should be addressed. E-mail: dshumake{at}suffolk.edu.

	Abstract

Habit reversal (HR) is a cognitive–behavioral treatment for tic disorders, Tourette syndrome, stereotypic movements, and habit disorders. This case study utilizes aspects of habit reversal, including awareness training, self-monitoring, and competing response training, as an intervention for obsessive–compulsive repetitive air handwriting in a 7-year-old girl with a significant learning disability. Therapy is provided on an outpatient basis in a private practice setting. Analysis of in-home, at-school, and in-session data collected by the parents, teacher, and therapist show decreased frequency in repetitive handwriting. Supplemental and cojoint administration of antianxiety medication extinguishes all obsessive handwriting within a 6-month period. These results support previous research demonstrating the efficacy of cojoint cognitive–behavioral and medication treatment of acute obsessive–compulsive symptomatology in children.

First published on April 27, 2009, doi:10.1177/1534650109335503

Clinical Case Studies 2009;8:163.

A more recent version of this article appeared on June 1, 2009


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