What is a Tic Disorder?

Chances are you have observed them in yourself or others, but may not have realized what you were seeing. A tic is an involuntary and repetitive movement or urge. Common tics include repetitive eye blinking, hand movements, and throat clearing. Tics are surprisingly common. In fact, 12-18% of school-aged children have tics and tics usually peak in intensity between ages 10-11. Tics are more common in boys and typically decrease in severity in adulthood. Tic disorders are a class of neurobehavioral disorders that are characterized by vocal and/or motor tics. Tourette syndrome is one example. It is also important to know that individuals with a tic disorder are more likely to show signs of Attention-Deficit/Hyperactivity Disorder and Obsessive Compulsive Disorder.

How is it treated?

A thorough assessment is important for understanding how to address each individual tic. Fortunately, researchers in this area have developed an intervention, knows as comprehensive behavioral intervention for tics (CBIT), that is evidence-based and known to be effective. In fact, it has met the American Psychological Association’s criteria for a well-established intervention. CBIT can be used with children, adolescents, and adults. In addition, medication is often considered for more severe cases of Tourette syndrome.

CBIT combines social support strategies, function-based assessment, and habit reversal training. CBIT is highly structured and typically lasts 8-10 sessions. Most tics are preceded by a premonitory urge, often described as specific muscle tension, an itch, or feeling of anxiety or pressure. CBIT helps individuals identity the signs they are about to tic and then assists them in developing a competing response in order to stop the tic from occurring.

My approach

I am trained in CBIT and rely on evidence-based techniques to treat tic disorders as efficiently as possible. After conducting a comprehensive assessment, an individualized treatment is developed in collaboration with the client. For individuals with multiple tics, we first determine what tics are causing the most distress and prioritize the order of treatment. Therapy sessions includes creating and refining competing responses and strategies for reversing the habit. I aim to provide a supportive environment that helps individuals and families address both verbal and nonverbal tics.

If you would like more information or to schedule an initial appointment, please contact us at 612-470-4099 or email us at andrea@dendrinospsychology.com. Click here to contact me directly.