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Nonpharmacological treatment of tics in Tourette syndrome adding videotape training to self-hypnosis.
J Dev Behav Pediatr. 2010 Jul-Aug;31(6):498-504. PMID: 20585264
Department of Pediatrics, University Hospitals Case Medical Center, Rainbow Babies and Children's Hospital; daggerCase Western Reserve University, Cleveland, OH, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
OBJECTIVE: This case series examines the practicality of using a standardized method of training children in self-hypnosis (SH) methods to explore its efficiency and short-term efficacy in treating tics in patients with Tourette syndrome.
METHODS: The files of 37 children and adolescents with Tourette syndrome referred for SH training were reviewed, yielding 33 patients for analysis. As part of a protocol for SH training, all viewed a videotape series of a boy undergoing SH training for tic control. Improvement in tic control was abstracted from subjective patient report.
RESULTS: Seventy-nine percent of the patients trained in this technique experienced short-term clinical response, defined as control over the average 6-week follow-up period. Of the responders, 46% achieved tic control with SH after only 2 sessions and 96% after 3 visits. One patient required 4 visits.
CONCLUSIONS: Instruction in SH, aided by the use of videotape training, augments a protocol and probably shortens the time of training in this technique. If SH is made more accessible in this way, it will be a valuable addition to multi-disciplinary management of tic disorders in Tourette syndrome.
