Decoupling: adaptation of a treatment for body-focused repetitive behaviour to Tourette syndrome. A case report
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Decoupling: adaptation of a treatment for body-focused repetitive behaviour to Tourette syndrome. A case report. / Moritz, Steffen; Penney, Danielle; Schmotz, Stella.
In: BEHAV COGN PSYCHOTH, Vol. 51, No. 5, 09.2023, p. 475-478.Research output: SCORING: Contribution to journal › Case report › Research › peer-review
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TY - JOUR
T1 - Decoupling: adaptation of a treatment for body-focused repetitive behaviour to Tourette syndrome. A case report
AU - Moritz, Steffen
AU - Penney, Danielle
AU - Schmotz, Stella
PY - 2023/9
Y1 - 2023/9
N2 - AIMS: Tourette syndrome (TS) is a neurological condition; its etiology is not yet fully understood. Cognitive behavioural therapy with habit reversal training is the recommended first-line treatment, but is not effective in all patients. This is the first report examining the usefulness of decoupling, a behavioural self-help treatment originally developed for patients with body-focused repetitive behaviours, in a patient with TS.METHOD: Patient P.Z. showed 10 motor and three vocal tics on the Adult Tic Questionnaire (ATQ) before treatment. He was taught decoupling by the first author.RESULTS: The application of decoupling led to a reduction of P.Z.'s eye tics, which was one of his first and most enduring and severe tics. It was not effective for other areas. Quality of life and depression improved, which P.Z. attributed to the improvement of his tics.CONCLUSION: Decoupling may be adopted as an alternative, when habit reversal training is not feasible. Future research, preferably using a controlled design with a large sample, may elucidate whether decoupling is only effective for tics relating to the eyes, the most common symptom in tic disorder/TS, or whether its effects extend to other symptoms.
AB - AIMS: Tourette syndrome (TS) is a neurological condition; its etiology is not yet fully understood. Cognitive behavioural therapy with habit reversal training is the recommended first-line treatment, but is not effective in all patients. This is the first report examining the usefulness of decoupling, a behavioural self-help treatment originally developed for patients with body-focused repetitive behaviours, in a patient with TS.METHOD: Patient P.Z. showed 10 motor and three vocal tics on the Adult Tic Questionnaire (ATQ) before treatment. He was taught decoupling by the first author.RESULTS: The application of decoupling led to a reduction of P.Z.'s eye tics, which was one of his first and most enduring and severe tics. It was not effective for other areas. Quality of life and depression improved, which P.Z. attributed to the improvement of his tics.CONCLUSION: Decoupling may be adopted as an alternative, when habit reversal training is not feasible. Future research, preferably using a controlled design with a large sample, may elucidate whether decoupling is only effective for tics relating to the eyes, the most common symptom in tic disorder/TS, or whether its effects extend to other symptoms.
KW - Adult
KW - Humans
KW - Tourette Syndrome/therapy
KW - Tics/therapy
KW - Quality of Life
KW - Behavior Therapy
KW - Cognitive Behavioral Therapy
U2 - 10.1017/S1352465823000152
DO - 10.1017/S1352465823000152
M3 - Case report
C2 - 37264876
VL - 51
SP - 475
EP - 478
JO - BEHAV COGN PSYCHOTH
JF - BEHAV COGN PSYCHOTH
SN - 1352-4658
IS - 5
ER -