Investigating Changes in Premonitory Urges During Habit Reversal Training for Tics
Trial Parameters
Brief Summary
The primary aim of this study is to learn more about premonitory urges (PU) when using Habit Reversal Training (HRT) to treat tics. The main focus of this study is to investigate if and when PU change during tic treatment sessions and between tic treatment sessions. Participants will: * Attend 5 study visits (approximately 1 to 1.5 hours each) for an intake, habit reversal training for 3 separate tics, and a post assessment * Attend 5 practice sessions (approximately 30 minutes each) over a week for 3 weeks (total 15 practice sessions) * Study visits and practice sessions will take place in person and online via secure videoconference
Eligibility Criteria
Inclusion Criteria: Participants who meet criteria for a DSM-5-TR diagnosis of a TD will be recruited to participate in this study. Participants will be eligible for the study if they 1. present with at least three motor and/or vocal tics and are interested in receiving treatment, 2. report experiencing a PU for each of their target tics with a minimum rating of a 4/8 on a subjective rating (i.e., the Urge Thermometer; Silverman \& Albano, 1996) for each tic, 3. the targeted tics occur, on average, at least once per minute during a 10-minute direct observation, 4. are between the ages of 8 and 17 5. the patient has no planned changes in medication initiation or dosage during their study participation period. Exclusion Criteria: 1. the presence of any comorbid conditions that are considered a primary treatment concern and/or could interfere with study participation or treatment (i.e., unmanaged ADHD, OCD, anxiety), 2. have previously engaged in CBIT or HRT for more than 2 sessions, 3. a