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Tic Disorder

Treatment at Our Center.

What To Expect.

Comprehensive Behavioral Intervention for Tics

Individuals will be engaged in our outpatient program using a type of behavioral therapy called comprehensive behavioral intervention for tics (CIBT). This may help some older children control or reduce the number or severity of their tics. It includes cognitive-behavioral therapy such as habit reversal (learning a new behavior to replace the tic), education about tics, and relaxation techniques.

Demographics

Tics vary widely in severity; they occur in about 20% of children, many of whom are not evaluated or diagnosed. Tourette syndrome, the most severe type, occurs in 3 to 8/1000 children. Male to female ratio is 3:1.

Tics begin before age 18 years (typically between ages 4 and 6 yr); they increase in severity to a peak at about age 10 to 12 yr and decrease during adolescence. Eventually, most tics disappear spontaneously. However, in about 1% of children, tics persist into adulthood.

What Is Tic Disorder?

A tic is an abrupt, uncontrollable movement or sound that deviates from a person’s normal gestures. For example, a person with tics may blink rapidly and repeatedly, even if nothing is irritating their eyes.

Every person experiences tics differently. They may suffer from either uncontrolled movements or noises.

Diagnostic Criteria

DSM-5 Diagnostic Criteria for Tic Disorder
  • Single or multiple motor and/or vocal tics (eg, sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalizations) are present
  • The tics have been present for less than 1 year since the first tic onset
  • The onset is before age 18 years
  • The disturbance is not due to the direct physiologic effects of a substance (eg, stimulants) or a general medical condition (eg, Huntington disease or postviral encephalitis)
  • Criteria have never been met for Tourette’s disorder or persistent (chronic) motor or vocal tic disorder

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