Treatment of a Child with Tourette Syndrome

In this chapter, we provide a brief overview of Tourette syndrome (TS) and tic disorders, including diagnostic information, prevalence, course, and associated features. We then provide a brief summary of evidence-based treatment with a focus on comprehensive behavioral intervention for tics (CBIT). Following this background overview, we then describe the use of CBIT to treat tics in an 11-year-old boy with TS and attention-deficit/hyperactivity disorder (ADHD). We describe, in detail, evidence-based assessment, case conceptualization, and detailed information on intervention techniques. Specifically, we discuss managing comorbidity in CBIT, implementation, and relevant modification of interventions and patient clinical response. Complicating factors and their impact on treatment are discussed. Conclusions and a brief list of key practice points are provided.