Tics

Hypnobehavioral techniques have been successfully employed for the prevention of tics, and the two methods often used most are that of habit reversal, worked directly with the therapist, and that of response prevention, which is mainly controlled by the child.

Here below are the recommended hypnobehavioral treatment phases for tics.

1) Discrimination training and skill acquisition- This first phase involves the creation of an awareness of the tiquing, and a learning to distinguish the difference of tics from other motor behaviors. In the first case, awareness is learned by having the child decide the tic they would like to work on first, then having them sit with a parent for a period of up to an hour during known tiquing times, in order to record, and notice the tiquing. The second stage involves having the child observe in front of a mirror for about 15 minutes a day, to distinguish tics from other behavior. During this treatment phase, self hypnosis training is also provided using muscle relaxation techniques.

2) Skill application and problem resolution- This phase consists of having the child identify the “subjective urge” occurring just prior to their tiquing. Self hypnosis is used as an aid to better focus on the urge. Later the information learned, is used by the hypnotherapist for habit reversal.

3) Generalization, symptom mastery, and maintenance- Instruction to practice self hypnosis everyday for 15 minutes is suggested, along with rapid hypnotic induction technique (RIT) practiced ten times per day. It is also suggested that RIT is practiced immediately upon the first sign of tiquing. Symptom mastery occurs when tics have ceased, or are under control, but recurrence is common, so a relapse-prevention technique is also employed.

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Dr. Frank Valente Ph.D.(c)
Hypnotic Advancements
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© 2004, Dr. Frank Valente Ph.D.(c)

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