Current Treatment Options in Neurology

, Volume 15, Issue 4, pp 385–395

Behavior Therapy for Tourette Syndrome: A Systematic Review and Meta-analysis


DOI: 10.1007/s11940-013-0238-5

Cite this article as:
Wile, D.J. & Pringsheim, T.M. Curr Treat Options Neurol (2013) 15: 385. doi:10.1007/s11940-013-0238-5

Opinion statement

When tics caused by Tourette Syndrome cause meaningful impairment for patients, a comprehensive treatment approach includes education of patients, peers, and family, treatment of comorbid behavioral disorders if present, and consideration of behavior therapy and pharmacotherapy for tics themselves. This systematic review and meta-analysis demonstrates that behavior therapies based on Habit Reversal Therapy, including the Comprehensive Behavioral Intervention for Tics are effective in reducing tic severity when compared with supportive psychotherapy. When these behavior therapies are unavailable, Exposure with Response Prevention may also be effective. Both face-to-face and telehealth delivery methods for behavior therapy improve tic severity, and broader distribution of behavior therapy through increased training or telehealth methods is encouraged. High-quality randomized trials comparing behavior therapies for tics with pharmacotherapy are needed.


Tourette syndromeTicsHabit reversalBehavior therapyComprehensive Behavioral Intervention for TicsCBITSupportive psychotherapy

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Clinical NeurosciencesUniversity of Calgary, Alberta Children’s HospitalCalgaryCanada