Behavioural treatment of tics: habit reversal and exposure with response prevention

Neurosci Biobehav Rev. 2013 Jul;37(6):1172-7. doi: 10.1016/j.neubiorev.2012.10.007. Epub 2012 Oct 23.

Abstract

Behaviour therapy has been shown to be an effective strategy in treating tics; both habit reversal (HR) and exposure and response prevention (ER) are recommended as first-line interventions. This review provides an overview of the history, theoretical concepts and evidence at present for HR and ER. In addition, treatment manuals for HR and ER are described. Despite the evidence and availability of treatment manuals, many patients do not receive a first-line psychological intervention for tics. Barriers to the acceptance and dissemination of behaviour therapy are discussed as are ways to overcome these barriers, such as the use of E-health and E-learning.

MeSH terms

  • Behavior Therapy / methods*
  • Habits*
  • Humans
  • Tics* / prevention & control
  • Tics* / psychology
  • Tics* / rehabilitation
  • Treatment Outcome