In 2002, the Tourette Syndrome Association formed the TS Behavioral Sciences Consortium (BSC). The charge of the BSC was to develop and test nonpharmacological treatment options for individuals, both children and adults with Tourette Syndrome. This manual is the result of their work, and represents the most scientifically effective behavioral treatment for Tourette Syndrome available today. The treatment program uses Habit Reversal Training (HRT) for children and adults with chronic tic disorder. Individual treatment is based at its core on awareness training, the development of a specific competing response for each tic, and the use of functionally-based strategies for the elimination of tic-exacerbating antecedent and consequent variables. In addition, individual treatment includes techniques designed to enhance patient compliance, including social support and an inconvenience review, as well as scheduled time for the therapist and client to discuss areas of functioning that individuals with TS may find difficult, such as social/familial difficulties and disruptive/anger/rage behavior. Each week, clients are given homework assignments, to be done 4-5 times per week, consisting of 20 to 30 minutes of awareness and competing response training to tics addressed in session. The client will be encouraged to keep tally marks to monitor tic behavior. Home-based monitoring and competing response training are reviewed at each session. All homework assignments will be available in the companion workbook.

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. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! - All programs have been rigorously tested in clinical trials and are backed by years of research - 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 - Our books are reliable and effective and make it easy for you to provide your clients with the best care available - Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated - A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources - Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)