By Douglas W Woods; et al
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Additional resources for Managing Tourette syndrome : a behavioral intervention for children and adults : therapist guide
Parents and children should avoid unnecessary or socially irrelevant high-risk situations. Watching TV or Playing Video Games 1. Limit the amount of time in front of TV. 2. When the child watches TV, the parent should be available to provide social support. Tics While Playing Sports 1. Educate the child’s coaches and teammates that the child has TS and explain the uncontrollability of the child’s condition. During Meals 1. Eliminate all tic-exacerbating activities or stimuli at least 30 min before mealtime.
1). If the patient fails to describe a key feature of the tic, you should point this out. An example of how this procedure could be introduced follows. We ﬁrst need to be on the same page about what we’re dealing with. Let’s get a really good description of your tic. Use as much detail as you can. What does it sound like? Look like? Is it fast or slow? Is it noticeable or not? Are there different parts to it, or is it just one movement? After the deﬁnition is created, have the patient describe the sensations and behaviors that precede the tic.
Factors that can make tics worse or lead to poorer functional outcomes can be categorized into antecedents and consequences. Antecedents are those internal or external events that occur before tics. Examples of internal antecedent events include anxiety, anticipation, excitement, anger, etc. , math and gym), watching television, the presence of particular people, etc. Consequences are those events that occur in reaction to tics. Examples include a child being asked to leave a situation because of her tics, social reactions such as sibling or peer teasing, or the comforting of parents after a child has a particularly noticeable tic.
Managing Tourette syndrome : a behavioral intervention for children and adults : therapist guide by Douglas W Woods; et al