Integrated Behavior Therapy in the Treatment of Complicated Tourette’s Disorder and Its Comorbidities
| Autor: | Burton L. Scott, Christopher L. Edwards, W. Jeff Bryson, David B. Sommer |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Tics Relaxation (psychology) Population Impulsivity medicine.disease Psychiatry and Mental health Clinical Psychology Mood disorders Disinhibition mental disorders medicine Anxiety medicine.symptom Psychiatry Psychology education Psychosocial Clinical psychology |
| Zdroj: | Clinical Case Studies. 9:154-163 |
| ISSN: | 1552-3802 1534-6501 |
| DOI: | 10.1177/1534650109357929 |
| Popis: | Gilles de la Tourette’s syndrome (GTS) is a neuropsychiatric disorder that often presents with a complex array of motor and phonic tics that persist over the majority of a person’s life. GTS often presents with comorbidities such as attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and mood disorders. Psychosocial sequelae are also common among this population.We present the case of a 49-year-old female with severe, lifelong GTS complicated by OCD, inattention, impulsivity, disinhibition, mood disturbances, generalized anxiety, and pain secondary to motor tics. Habit reversal therapy (HRT) was used with full body relaxation conditioned as a competitive response to target her tics, anxiety, and pain simultaneously. The patient demonstrated significant reduction of symptoms and improvement in psychosocial status within four sessions. She was able to maintain this status at a 3 month follow-up session. Aspects of case conceptualization and therapeutic technique are discussed. |
| Databáze: | OpenAIRE |
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