J Korean Acad Child Adolesc Psychiatry.
2011 Mar;22(1):38-43.
Cognitive Behavioral Therapy in Childhood Tic Disorder: A Case of Report
- Affiliations
-
- 1Clinical Psychology Laboratory, Dankook Medical Center, Cheonan, Korea.
- 2Department of Psychiatry, College of Medicine, Dankook University, Cheonan, Korea. paperose@dku.edu
- 3Environmental Health Center, Dankook Medical Center, Cheonan, Korea.
Abstract
- Chronic tic disorder or Tourette syndrome is known to be a chronic neuro-behavioral disease for which cognitive behavioral therapy (CBT) strategies have recently been introduced. Here, we report the effectiveness of CBT in a case of childhood chronic tic disorder, which is very common in clinical settings. The DSM-IV clinical diagnosis was applied by a child psychiatrist. The Yale Global Tic Severity Scale, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, and the Dupaul ADHD Rating Scales were used. This case involved a pharmacological treatment-refractory patient over the previous year. Thus, psychiatric consultation was undertaken. Subsequently, we administered five sessions of CBT for four weeks, consisting of symptom evaluation and planning, habit reversal training, and ventilation training. Following four weeks of CBT administration, there were improvements in the scores of the Yale Global Tic Severity Scale and the Clinical Global Improvement scale. Our observations indicate that CBT may be effective in the treatment of childhood tic disorder.
