Tourette's Disorder: Habit Reversal Training - Topic Overview
Habit reversal is a promising behavioral therapy to help reduce tics.
Habit reversal training (HRT) is a behavior therapy that has helped people who have hair pulling (trichotillomania), nail-biting,
thumb-sucking, and tics associated with Tourette's disorder.
For habit reversal training to work, your child must be motivated to
control his or her tics. Do not assume that because you are bothered by the
tics that your child is. If the tics don't bother your child, habit reversal is
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Become more aware of the settings in which tics are most likely to occur.
Do things in place of a tic. For example, instead of doing an eye blink tic, your child may learn to gently close his or her eyelids and hold them closed for several seconds.
Families learn HRT from a qualified
health professional who has experience with Tourette's disorder and the
therapy. Do not use habit reversal training without proper guidance.
After you and your child learn what to do, your child will need to practice daily at home and write about his or her progress. Set up a time and place to do habit reversal. Your child
will not be able to monitor his or her tics throughout the entire day. Your child needs praise and support to keep doing the training. He or she may need help practicing in public places. Relaxation techniques may also help your child succeed with HRT.
Many children and teens will notice a decrease in their
tics within a couple of days. But the greatest change from using these habit
reversal procedures occurs during the second and third month. Don't give up
after only a couple of days or weeks.