Managing Tourette Syndrome: A Behavioral Intervention for Children and Adults Therapist Guide

Tourette syndrome (TS) is a chronic, neurobehavioral disorder of childhood that has traditionally been treated with medication. Although available, many mental health professionals are not familiar with an effective behavioral therapy for tic disorders. This therapist guide outlines a safe and scientifically proven treatment that can help sufferers of TS and other tic disorders effectively manage their tics and improve their quality of life. The treatment described is an 11-session package for children and adults (ages 9 and older). Psychoeducation about tic disorders is blended with multiple components of behavior therapy, including habit reversal training (HRT), relaxation training, and function-based treatments. The primary goal of this program is to teach the patient effective tic management skills rather than to cure the tic disorder. At the start of the program, you will work with your patient to create a hierarchy of tics to be addressed in treatment. Each week, a new tic will be targeted and an appropriate function-based intervention implemented. Tic management skills are supplemented with relaxed breathing and progressive muscle relaxation exercises to help the patient combat anxiety. Relapse prevention and booster sessions help reinforce the skills taught in therapy and give the patient a positive outlook for the future. Complete with step-by-step instructions for conducting sessions, as well as lists of materials needed and copies of necessary forms, this guide provides you with all the information you need to effectively administer treatment. TreatmentsThatWork™ represents the gold standard of behavioral healthcare interventions! BL All programs have been rigorously tested in clinical trials and are backed by years of research BL A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date BL Our books are reliable and effective and make it easy for you to provide your clients with the best care available BL Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated BL A companion website (www.oup.com/us/ttw) offers dwnldable clinical tools and helpful resources BL Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

About the Author

Douglas W. Woods, Ph.D. is Provost and Professor of Psychology at Loyola University Chicago. Dr. Woods is a recognized expert in the assessment and treatment of tic disorders and trichotillomania, and other obsessive-compulsive spectrum disorders. He has published more than 300 journal articles and book chapters on these and related topics. Dr. Woods is a member of the Tourette Association of America's Advisory Board, and his research has been funded by grants from the National Institutes of Health and the Tourette Association of America. John C. Piacentini, PhD, ABPP, is Professor of Psychiatry and Biobehavioral Sciences, and Director of the Child OCD, Anxiety, and Tic Disorders Program and Center for Child Anxiety, Resilience, Education and Support (CARES) in the Division of Child and Adolescent Psychiatry at the UCLA Semel Institute for Neuroscience and Human Behavior. Dr. Piacentini has led trainings on the treatment of tic disorder, OCD, and child anxiety across the United States and around the world, and has authored a number of treatment manuals in the Programs That WorkTM series, including Overcoming Childhood OCD: a Therapist's Guide. He has received numerous research grants from NIH and other organizations to study the treatment of child and adolescent tic disorders, OCD, and anxiety and has authored close to 400 scientific papers and book chapters on child mental health. He is Co-chair of the Scientific Advisory Board of the Tourette Syndrome Association, Chair of the Board of Directors and Scientific Advisory Board of the Trichotillomania Learning Center, and holds board positions in several other mental health organizations. Alan L. Peterson, PhD, is a professor in the Department of Psychiatry and Behavioral Sciences at the University of Texas Health Science Center at San Antonio. In collaboration with Dr. Nathan Azrin, Dr. Peterson conducted several of the initial studies to develop and evaluate the treatment protocol for the use of habit reversal for the treatment of Tourette syndrome. He has more than 385 scientific publications to his credit. Dr. Peterson's research has been funded by grants from the National Institutes of Health, the Department of Defense, and the Tourette Syndrome Association. Lawrence D. Scahill, MSN, PhD, is Professor of Pediatrics at Emory University School of Medicine and Director of Clinical Trials at the Marcus Autism Center in Atlanta. Prior joining the faculty at Emory, he was professor at the Yale University School Nursing and the Yale Child Study Center. At Yale, Dr. Scahill was part of several NIH-funded multisite networks focused on developing and testing new treatments for children with autism and children with tic disorders. Dr. Scahill served on the Medical Advisory Board of the Tourette Association of America from 1994 to 2012. He remains actively involved in the Tourette Association Behavioral Sciences Consortium. This consortium developed and tested Comprehensive Behavioral Intervention for Tics (CBIT). Dr.Scahill is the author or co-author of 300 publications on Tourette syndrome, autism, ADHD, and obsessive-compulsive disorder. John T. Walkup, MD, is Chair of the Pritzker Department of Psychiatry and Behavioral Health at Ann and Robert H. Lurie Children's Hospital of Chicago and Professor of Psychiatry at Northwestern Feinberg School of Medicine. Dr. Walkup's work covers three main areas of innovation and investigation. His work with movement disorders, specifically Tourette syndrome, uniquely spans psychiatry, child psychiatry and neurology. His expertise in child and adolescent psychiatry clinical trials focuses on the development and evaluation of psychopharmacological and psychosocial treatments and lastly, he has been involved in developing and evaluating interventions to reduce the large mental health disparities facing Native American youth, specifically drug use and suicide prevention. He is currently involved in the Lurie Children's and Northwestern Feinberg School of Medicine Tourette Association of America Center of Excellence and also receives funding to support efforts to reduce mental health disparities among minoritized youth in Chicago.