John T. Walkup

This therapist guide addresses the treatment of Tourette syndrome (TS) in children and adults. The goal of this 11-session program is to teach the patient effective tic management skills rather than to cure the tic disorder. Complete with step-by-step instructions for running sessions, as well as lists of materials needed, session outlines, and copies of forms necessary for treatment, this therapist guide provides all the information needed to successfully treat tic disorders. Now into its second edition, this well-established treatment protocol is now recognized as a first-line treatment for tics in individuals across the world and outlines the protocol for the Comprehensive Behavioral Intervention for Tics (CBIT). Written by the treatment developers, this book provides not only the technical knowledge of how the treatment can be effectively implemented, but also includes the collected wisdom from nearly 20 years of treating patients with the protocol. This updated protocol is a must have for anyone treating individuals with tic disorders. Also available is an updated and revised corresponding workbook for parents and their children, as well as the original workbook designed specifically for adolescent and adult clients.

This Parent Workbook addresses the treatment of Tourette syndrome (TS) in children and adults. The goal of this 11-session program is to teach the patient effective tic management skills rather than to cure the tic disorder. Children, alongside parents, will be taught how to become aware of tics, how to substitute other behaviors to manage tics when they start to appear, and how to avoid factors that may make tics worse, as well as relaxation techniques to reduce stress and relapse prevention strategies. The workbook provides user-friendly forms for tracking symptoms and monitoring tic severity. Now into its second edition, this well-established treatment protocol is recognized as a first-line treatment for tics in individuals across the world and outlines the protocol for the Comprehensive Behavioral Intervention for Tics (CBIT). Written by the treatment developers, this book provides not only the technical knowledge of how the treatment can be effectively implemented, but also includes the collected wisdom from nearly 20 years of treating patients with the protocol. This updated protocol is a must have for anyone trying to manage tic disorder. Also available is an updated and revised corresponding therapist guide, as well as the original workbook designed specifically for adolescent and adult clients.

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.

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.

This guide offers parents fresh perspectives and simple skills to encourage good behavior in children and reduce stress for the entire family. Emphasizing personal choice, free will, and dispassionate parent-child interactions, Dr. William H. Hughes's step-by-step approach has been developed, tested, and proven to work time and again by child psychiatrists. Dr. Hughes demonstrates how parents must allow their children to decide for themselves whether they will cooperate and how they will act. Effective parenting builds character and increases self-confidence. Here, kids learn that they can choose to behave-and be rewarded for it. Dr. Hughes recommends that parents: * Set expectations. Make clear what the expected behavior is, whether it's doing homework or taking out the trash. * Monitor behavior. Keep an eye on what children are supposed to be doing, but let them decide for themselves whether they will complete the task. * Reward. Verbally praise good behavior and offer kids a reward. Let them play video games for an hour or invite a friend to a sleepover. Many parents are convinced that reward systems simply do not work. Dr. Hughes explains why his approach gets the desired results while other approaches do not. By not engaging in power struggles and giving rewards only when expectations have been met, parents teach their kids that in choosing good behavior they are choosing rewards-and rewards will motivate kids to act better. Dr. Hughes also outlines a clear strategy for dealing with kids who just won't take no for an answer. The book encourages parents to modify their own behavior, teaching them to shift their focus away from battling with their kids and to use their energy to help their children develop winning habits and attitudes for life.

This guide offers parents fresh perspectives and simple skills to encourage good behavior in children and reduce stress for the entire family. Emphasizing personal choice, free will, and dispassionate parent-child interactions, Dr. William H. Hughes's step-by-step approach has been developed, tested, and proven to work time and again by child psychiatrists. Dr. Hughes demonstrates how parents must allow their children to decide for themselves whether they will cooperate and how they will act. Effective parenting builds character and increases self-confidence. Here, kids learn that they can choose to behave-and be rewarded for it. Dr. Hughes recommends that parents: * Set expectations. Make clear what the expected behavior is, whether it's doing homework or taking out the trash. * Monitor behavior. Keep an eye on what children are supposed to be doing, but let them decide for themselves whether they will complete the task. * Reward. Verbally praise good behavior and offer kids a reward. Let them play video games for an hour or invite a friend to a sleepover. Many parents are convinced that reward systems simply do not work. Dr. Hughes explains why his approach gets the desired results while other approaches do not. By not engaging in power struggles and giving rewards only when expectations have been met, parents teach their kids that in choosing good behavior they are choosing rewards-and rewards will motivate kids to act better. Dr. Hughes also outlines a clear strategy for dealing with kids who just won't take no for an answer. The book encourages parents to modify their own behavior, teaching them to shift their focus away from battling with their kids and to use their energy to help their children develop winning habits and attitudes for life.