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### Psychotherapy  2015 saw several practical advances in psychotherapeutic treatment for tics. [TicHelper.com](http://www.tichelper.com/) is a commercial adaptation of CBIT to the Internet, discussed at the ([London congress in 2015](http://eventmobi.com/api/events/7343/documents/download/5191fb9c-8b5d-4fdf-afb4-b08f488b1b18.pdf/as/Development%20and%20Initial%20Feasibility%20Testing%20of%20TicHelper%20-%20A%20Self-Administered%20Interactive%20Program%20for%20Teaching%20Comprehensive%20Behavioral%20Intervention%20for%20Tics..pdf)). It is potentially an important treatment option, especially for the many TS patients who do not live near a behavior therapist. Efficacy testing is ongoing (see [ClinicalTrials.gov](https://www.clinicaltrials.gov/ct2/show/NCT02413216)).   \citet{25988365} dug into the data from 2 previously reported, pivotal, randomized controlled studies of behavior therapy for tics (CBIT) that together enrolled over 200 children and adults to address the question of which tics best predict treatment response to CBIT. Looking at specific tics across all subjects, the superior treatment benefit from CBIT compared to a control therapy could be attributed to differential improvement in only a few types of tics, including throat clearing and complex tics. However, tics that actually bothered people, most of which involved a premonitory urge, were more likely to respond preferentially to CBIT than to the control therapy. This result is not unexpected, since CBIT focuses first on bothersome tics, and preferably those preceded by a premonitory urge. This report also extends previous information about premonitory phenomena; about 40-60% of patients with any specific tic reported a premonitory urge for that tic.  "Living with Tics" is a cognitive-behavioral treatment focused on tic-related impairment and quality of life (as opposed to focusing on tic severity and frequency _per se_), recently tested in a random allocation, waitlist control study \citep{25500348}. The active intervention included up to 10 weekly sessions. Those in the active treatment group had better self-rated quality of life and reduced (blinded) clinician-rated impairment of social, family or school/work function. |  | **Title** | **Comment** |  |:----------|:------------|  | \citep{vandyke:2015} | This  RCT of a family intervention for OCD people who refuse  treatment refusers \citep{vandyke:2015} | Suggests for OCD suggests  a plausible treatment strategy for this common common, problematic  clinical situation situation.  | | Mindfulness-based \citep{25149879} | "Mindfulness-based  stress reduction for Tourette Syndrome and Chronic Tic Disorder: A pilot study \citep{25149879} | study."  One of the first studies of mindfulness in TS. | |Neurofeedback and its possible relevance for the treatment of Tourette syndrome  \citep{25616186} |Review. |  | [TicHelper.com](http://www.tichelper.com/) ([London congress presentation](http://eventmobi.com/api/events/7343/documents/download/5191fb9c-8b5d-4fdf-afb4-b08f488b1b18.pdf/as/Development%20and%20Initial%20Feasibility%20Testing%20of%20TicHelper%20-%20A%20Self-Administered%20Interactive%20Program%20for%20Teaching%20Comprehensive%20Behavioral%20Intervention%20for%20Tics..pdf)) | A commercial adaptation of CBIT to the Internet. Potentially an important treatment option, especially for the many TS patients who do not live near a behavior therapist. Efficacy testing is ongoing (see [ClinicalTrials.gov](https://www.clinicaltrials.gov/ct2/show/NCT02413216)). |  | Which tics predict treatment response to CBIT? \citep{25988365} |  This report digs deeper into 2 previously reported, pivotal, randomized controlled studies of behavior therapy for tics (CBIT) that together enrolled over 200 children and adults. Looking at specific tics across all subjects, review discusses  the superior treatment benefit from CBIT compared to a control therapy could be attributed to differential improvement in only a few types of tics, including throat clearing and complex tics. However, tics that actually bothered people, most of which involved a premonitory urge, were more likely to respond preferentially to CBIT than to the control therapy. This result is not unexpected, since CBIT focuses first on bothersome tics, and preferably those preceded by a premonitory urge. This report also extends previous information about premonitory phenomena; about 40-60% possible relevance  of patients with any specific tic reported a premonitory urge neurofeedback  forthat tic. |  | "Living with Tics" \citep{25500348} | This report describes a random allocation, waitlist control study of a cognitive-behavioral treatment focused on tic-related impairment and quality of life (as opposed to focusing on tic severity and frequency _per se_). The active intervention included up to 10 weekly sessions. Those in  theactive  treatmentgroup had better self-rated quality  of life and reduced (blinded) clinician-rated impairment of social, family or school/work function. Tourette syndrome.  | ### Medication