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.
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.
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