Treatment of Tic Disorders and Trichotillomania

Martin E. Franklin, Diana Antinoro, Emily J. Ricketts and Douglas W. Woods

in The Oxford Handbook of Obsessive Compulsive and Spectrum Disorders

Published in print August 2011 | ISBN: 9780195376210
Published online September 2012 | | DOI:

Series: Oxford Library of Psychology

Treatment of Tic Disorders and Trichotillomania


This chapter briefly describes tic disorders and trichotillomania (TTM) and reviews the pharmacotherapy and psychosocial treatment outcome literature for each of these conditions. In contrast to anxiety or depression, distorted or maladaptive cognitions do not appear to play a central role in the etiology or maintenance of tic disorders and TTM, and therefore cognitive therapy is not emphasized in the psychosocial treatments studied to date. Treatment protocols are best characterized as “behavioral,” although some include ancillary cognitive interventions. Behavioral treatments that include habit reversal training (HRT) appear to hold the greatest promise for each of these conditions, and these are described in some detail. Future directions in treatment research are suggested.

Keywords: tic disorders; trichotillomania; Tourette syndrome; habit reversal training; behavior therapy

Article.  10982 words. 

Subjects: Psychology ; Clinical Psychology

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