Managing Tourette Syndrome: A Behavioral Intervention for Children and Adults Therapist Guide (Treatments That Work)

143 Pages·2008·0.53 MB·English

by  Douglas W Woods

Managing Tourette Syndrome
EDITOR-IN-CHIEF
DavidH.Barlow,Ph.D.
SCIENTIFIC
ADVISORY BOARD
AnneMarieAlbano,Ph.D.
GillianButler,Ph.D.
DavidM.Clark,Ph.D.
EdnaB.Foa,Ph.D.
PaulJ.Frick,Ph.D.
JackM.Gorman,M.D.
KirkHeilbrun,Ph.D.
RobertJ.McMahon,Ph.D.
PeterE.Nathan,Ph.D.
ChristineMaguthNezu,Ph.D.
MatthewK.Nock,Ph.D.
PaulSalkovskis,Ph.D.
BonnieSpring,Ph.D.
GailSteketee,Ph.D.
JohnR.Weisz,Ph.D.
G.TerenceWilson,Ph.D.
Managing Tourette
Syndrome
A BEHAVIORAL INTERVENTION FOR CHILDREN AND ADULTS
T h e r a p i s t G u i d e
•
Douglas W. Woods John C. Piacentini
•
Susanna W. Chang Thilo Deckersbach
•
Golda S. Ginsburg Alan L. Peterson
•
Lawrence D. Scahill John T. Walkup
Sabine Wilhelm
1
2008
1
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About TreatmentsThatWorkTM
Stunning developments in healthcare have taken place over the last
severalyears,butmanyofourwidelyacceptedinterventionsandstrate-
gies in mental health and behavioral medicine have been brought into
questionbyresearchevidenceasnotonlylackingbenefit,butperhaps,
inducing harm. Other strategies have been proven effective using the
bestcurrentstandardsofevidence,resultinginbroad-basedrecommen-
dations to make these practices more available to the public. Several
recent developments are behind this revolution. First, we have arrived
at a much deeper understanding of pathology, both psychological and
physical, which has led to the development of new, more precisely tar-
getedinterventions.Second,ourresearchmethodologieshaveimproved
substantially,suchthatwehavereducedthreatstointernalandexternal
validity, making the outcomes more directly applicable to clinical sit-
uations. Third, governments around the world and healthcare systems
andpolicymakershavedecidedthatthequalityofcareshouldimprove,
that it should be evidence based, and that it is in the public’s inter-
est to ensure that this happens (Barlow, 2004; Institute of Medicine,
2001).
Of course, the major stumbling block for clinicians everywhere is the
accessibility of newly developed evidence-based psychological inter-
ventions. Workshops and books can go only so far in acquainting
responsible and conscientious practitioners with the latest behav-
ioral healthcare practices and their applicability to individual patients.
This new series, TreatmentsThatWorkTM, is devoted to communicat-
ing these exciting new interventions to clinicians on the frontlines of
practice.
v
Themanualsandworkbooksinthisseriescontainstep-by-stepdetailed
procedures for assessing and treating specific problems and diagnoses.
But this series also goes beyond the books and manuals by providing
ancillary materials that will approximate the supervisory process in
assistingpractitionersintheimplementationoftheseproceduresintheir
practice.
In our emerging healthcare system, the growing consensus is that
evidence-based practice offers the most responsible course of action
for the mental health professional. All behavioral healthcare clinicians
deeplydesiretoprovidethebestpossiblecarefortheirpatients.Inthis
series, our aim is to close the dissemination and information gap and
makethatpossible.
ThistherapistguideaddressesthetreatmentofTourettesyndrome(TS)
inchildrenandadults(ages9andolder).Thegoalofthis11-sessionpro-
gramistoteachthepatienteffectiveticmanagementskillsratherthan
to cure the tic disorder. A useful adjunct or alternative to medication,
the treatment described in this guide is scientifically based and proven
effective.Overthecourseoftheprogram,individualsaretaughthowto
be aware of their tics, how to substitute other behaviors for their tics,
and how to avoid factors that may make their tics worse. Relaxation
techniquestoreducestress,whichcanexacerbateticsymptoms,arealso
a part of therapy. Relapse prevention strategies help patients keep up
theirprogressaftertreatmenthasended.
Completewithstep-by-stepinstructionsforrunningsessions,aswellas
listsofmaterialsneeded,sessionoutlines,andcopiesofformsnecessary
for treatment, this therapist guide provides you with all the informa-
tion you need to successfully treat tic disorders. Also available is a
corresponding workbook for parents and their children, as well as a
workbook designed specifically for your adolescent and adult clients.
Together,thesebooksformacompletetreatmentpackagethatclinicians
willfindtobeawelcomeadditiontotheirarmamentarium.
DavidH.Barlow,Editor-in-Chief,
TreatmentsThatWorkTM
Boston,MA
vi
References
Barlow, D. H. (2004). Psychological treatments. American Psychologist, 59,
869–878.
InstituteofMedicine.(2001).Crossingthequalitychasm:Anewhealthsystem
forthe21stcentury.Washington,DC:NationalAcademyPress.
vii
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Contents
Chapter1 IntroductoryInformationforTherapists 1
Chapter2 AssessmentStrategiesforTouretteSyndrome 19
Chapter3 Function-BasedIntervention 27
Chapter4 HabitReversalTraining 39
Chapter5 Session1 55
Chapter6 Session2 71
Chapter7 Session3 77
Chapter8 Session4 83
Chapter9 Session5 89
Chapter10 Session6 97
Chapter11 Session7 103
Chapter12 Session8 109
Chapter13 BoosterSessions 115
AppendixofResources 119
References 121
AbouttheAuthors 129
ix