Kevin J. Black start treatment section  over 8 years ago

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## Treatment  In addition to the more focused reports below, a review A meta-analysis  of treatments for tics appeared tic treatment  recently \cite{Jankovic_2015}. appeared \cite{26786936}.  ### Psychotherapy  | **Title** | **Comment** |  |:----------|:------------|  |RCT of a family intervention for OCD treatment refusers \citep{vandyke:2015}  | Suggests a plausible treatment strategy for this common clinical situation |  | Mindfulness-based stress reduction for Tourette Syndrome and Chronic Tic Disorder: A pilot study \citep{25149879} | 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, 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" \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 the active treatment group had better self-rated quality of life and reduced (blinded) clinician-rated impairment of social, family or school/work function.   | ### Medication  | **Title** | **Comment** |  |:----------|:------------|  |[vigabatrin RCT](http://ir.catalystpharma.com/releasedetail.cfm?ReleaseID=919254)  | An early report of promising results. |  | Trends in psychopharmacologic treatment of tic disorders in children and adolescents in Germany \citep{24888751} | A review of current medication treatment practice, highly recommended by one of our colleagues.   | ### Neurosurgery  |**Title** | **Comment** |  |:----------|:------------|  |Revised consensus statement on DBS in TS \citep{25476818}  | This is an important update to the 2006 recommendations \citep{16991144}, guided by almost a decade of generally positive results from an increasingly varied set of patients, though with limited evidence from randomized allocation treatment studies.   | ### Other treatment  |**Title** | **Comment** |  |:----------|:------------|  |Deep TMS add-on for intractable TS \citep{25342253}  | – |