Kevin J. Black edited CBIT premonitory urge section  almost 8 years ago

Commit id: ad90cb0cc01fda91944ac2f8bceb0f9a452bef04

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2015 saw several practical advances in the psychotherapeutic treatments available for tics. [TicHelper.com](http://www.tichelper.com/) is a commercial adaptation of Comprehensive Behavioral Intervention for Tics (CBIT) to the Internet, discussed at the [London congress in 2015](http://www.webcitation.org/6gWlBTYcC) \citep{Himle:TicHelper:London}. 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 [the trial summary at ClinicalTrials.gov](https://www.clinicaltrials.gov/ct2/show/NCT02413216)).   Additional information on CBIT effectiveness was recently provided. \citet{25988365} dug into the data from 2 previously reported, pivotal, randomized controlled CBIT studies that together enrolled over 200 children and adults. 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, sniffing, and complex tics. In general, vocal tics were more likely to improve following CBIT treatment suggesting that the treatment. The  controlled breathing used as a competing response for vocal tics may haveprovided  allowed patients to direct attention away from the associated premonitory urges in a way that muscle tensing muscle-tensing  competing responses for motor tics did not. This report also extends previous information about premonitory phenomena; only about 40-60% phenomena, including varying prevalence  ofpatients reported a  premonitory urge for urges across  specific tic types (e.g., blinking, sniffing). types.  "Living with Tics" is a modularized cognitive-behavioral treatment focused on decreasing tic-related impairment and improving quality of life. This treatment program was recently tested in a randomized, waitlist control study, with the active intervention including up to 10 weekly sessions for children and adolescents \citep{25500348}. Treatment modules focused on a variety of themes including self-esteem, emotion regulation, parent training, cognitive restructuring, coping at school, overcoming tic-related avoidance, and 1 or 2 sessions of habit-reversal training. Active treatment led to improved child-rated quality of life and reduced blinded clinician-rated tic impairment compared to the waitlist control group. An additional 7 waitlisted youth then participated in the treatment program resulting in data on 19 participants for open-trial analyses. With the larger sample size the reductions in tic severity (i.e., 30%), anxiety, obsessive-compulsive symptoms, and parent-rated impairment were significant. Both the youth and their parents reported satisfaction with the intervention and serves as a reminder that improving quality of life can be a desired treatment goal.