The current Newsweek has an article on a technique used to help control tics. Habit reversal training was started over 30 years ago, by Nathan Azrin, PhD, in Ft Lauderdale, Florida. Dr. Azrin found that people were sometimes able to sustitute a competing response for a tic that troubled them. For example, someone who made a hand movement might focus on pulling their elbow in toward their waist instead, which would be less noticeable and less troublesome.
Not all are candidates for the method. Studies over the years have been modest in size, with mixed but encouraging results. Now, the National Institute of Mental Health is providing over 5 million dollars to study the technique. It's rare to see studies on Tourettes that don't involve drugs--this is a positive sign.
The Institute is seeking study participants. Read here.
Three years ago, I went to Dr. Azrin's office to interview him on habit reversal training (HRT). A bright, affable, and dedicated researcher, one of Azrin's greatest concerns was that the steps involved in the process were sometimes minimized by behavior specialists and he suggested this could make it less effective. At the time, there were so few professionals engaging in the treatment that it was difficult for people to explore it. That situation may change if study results are positive.
Unfortunately, practitioners in the field of Tourette syndrome tend to have narrow interests. Neither those who prescribe medication nor who use behavior therapies tend to also focus on what can be done to avoid the tics developing in the first place. For that, our book Tics and Tourettes remains the best source of information.
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