Treatment For Tics In Bountiful
I treat tics and Tourette’s in Bountiful Utah. I started treating this because many individuals would come through my door asking if I knew anyone who did. There were a few resources but not many. As I dove into it even further I gained a great interest in it.
What Are Tics And How To Stop A Tic?
A tic is an abrupt, uncontrollable movement or sound that deviates from a person's normal gestures. For example, a person with tics may blink rapidly and repeatedly, even if nothing is irritating their eyes. Every person experiences tics differently. They may suffer from either uncontrolled movements or noises.
The treatment I use for Tics and how to stop a Tic is called the Comprehensive Behavioral Intervention for Tics (CBIT). This has proven to reduce tic severity. This treatment has 3 components.
Creating Your Personalized Manual for Tics
One thing I’ve always said is that we are unable to fix something effectively unless we create a personalized manual. Meaning, we need to understand why someone does what they do, their thoughts, their feelings, anxiety, depression and so forth.
CBIT is a very structured therapy administered once a week by a therapist. Typically, I will see someone over a ten-week period or whatever meets the need of the person. We really pay attention to the specific vocal or motor tic and see what muscles are being used. We also practice doing the tic so we can understand what the body is doing and what urges may occur during this time.
Once the person who wants to stop the tic learns about him or herself we are able to move on to creating what is called a competing response. This means, we are going to create a behavior that interjects or hinders their ability to do the tic. This can be done in many different ways.
For instance, if someone has a jerking motion with their shoulder or neck we are going to pay attention to the muscles being used and see if we can activate that muscle by maybe having them put their hand into a fist. Our goal is the pay attention to the urge. I usually have the person tell me on a scale of 0-10. 10 being the highest urge. What we want to do is when the individual recognizes the urge to do the tic they will hold this competing response for at least a minute. After this minute they reevaluate, if the urge is still high they will still hold until the urge has gone down. If this urge went down before the minute was up they will still hold for the minute.
Tics and Tourette’s is a Neurological Disorder. Why Would CBIT Work?
This is a pretty common question that I receive. Tics and Tourette’s is a neurological disorder. However, we understand that changing the person’s environment appears to change or calm their tic. This is essentially what we are doing. Another common question is. “Am I just replacing this tic with something else?” The answer is nope! There is no evidence that this occurs.
What about Treatment For Vocal Tics?
We used the example of holding a fist for a competing response. This is one example. There are very many different things someone can do. For vocal tics specifically, this sometimes is a little tricky to come up with the best competing response. Examples that I have seen that work well are holding tongue on the roof of your mouth, holding neck muscles, rhythmic breathing, holding stomach and many others. Really it comes down to what the person is able to do and is something that doesn’t stop them from living their life.
So Will My Tic Go Away?
I have seen many times where the tic decreases so much that the person does the competing response for the very infrequent tic. With other individual's I have seen the tic completely dissipates. The key is having the person actually do the treatment. There are many factors and dynamics in this treatment that come into play. Seeing a therapist for tics is helpful. Waiting for the tics to go away can be a hard game to play. Typically, with children who experience tics they go away on their own. Sometimes they don’t. If you’re tics are impeding in your daily life; it may be time to find a therapist who can help you do the treatment for tics.
Nathan Peterson, Licensed Clinical Social Worker
Treatment For Tics In Salt Lake City
Therapist For Tics In Bountiful
Therapist For Tourette's In Bountiful
I have been practicing for the past 10 years. I'd like to talk about what is on my mind as a therapist. In turn, I hope to help my readers and clients.