Clinical Handbook of Obsessive-Compulsive and Related Disorders by Eric A. Storch & Adam B. Lewin

Author:Eric A. Storch & Adam B. Lewin
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Conclusion and Key Practice Points

In this chapter, we presented how CBIT was used to successfully treat motor and vocal tics in the case of David, an 11-year-old boy with TS and medically managed ADHD who was experiencing significant interference and impairment from his tics. Although his ADHD was well controlled, his inattention posed challenges to CBIT implementation, so slight modifications to the typical protocol were necessary. Although CBIT is not a “cure” for tics, and not all children respond to treatment with CBIT, most children will experience a substantial and lasting reduction in the overall number, frequency, intensity, and severity of their tics, as was the case for David. It is important to understand, however, that CBIT is a collection of intervention techniques that are administered within a broader therapeutic context. Factors such as comorbidity, parent psychopathology, life stressors, and parent and child motivation can complicate treatment and need to be carefully considered prior to beginning treatment. CBIT is also a collaborative treatment approach, requiring the patient, their caregivers, and the therapist to work together toward agreed-upon therapeutic goals. This can help to increase compliance and resilience in the face of challenges, especially during weekly “homework” where most of the therapeutic work is accomplished. Below, we provide final key practice points for the treatment of tics using CBIT:

1.CBIT is an efficacious intervention for reducing motor and vocal tics in children and adults.

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