Treatment for Tic Disorder and Tourette Syndrome

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Disclaimer: This material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product or service does not imply endorsement or recommendation of that product or service by CPCMG.

Comprehensive Behavioral Intervention for Tics (CBIT) is an effective form of behavior therapy for treatment of tic disorder and Tourette Syndrome (TS).  It is a recommended first line of treatment of TS per the American Academy of Neurology.  It is not a cure but can be a tool that can help a patient with tic disorder or TS better manage your tics.  It consists of three important parts:

  • Trains the patient to become more aware of their tics and urges to tic

  • Trains the patient to use “competing” behaviors (ex. Something to do instead of the tics to provide similar level of release and relief) when they feel the urge to tic

  • Make changes in their day to day activities and environment whenever possible to reduce the tics or urges to tic

These strategies can be taught and optimized by behavior therapists who specialize in tic disorders and TS.  Severe cases may need medications in addition to therapy but both would be needed to achieve the best possible outcome.

Helpful Website for Parents

https://tourette.org/research-medical/cbit-for-patients/

https://tourette.org/find-a-provider/?fwp_providers_zip_search=32.715738%2C-117.1610838%2C25%2CSan%2520Diego%252C%2520CA%252C%2520USA&fwp_providers_age_group=children

Therapists Who Treat Tic Disorders and Tourette Syndrome

Three23Therapy

Therapist: Emily Reid, OT

Treatment Available For:  Tourette syndrome, tic disorder, anxiety

Services:  CBIT, Family-based therapy, Parent Coaching

Ages: Children (age 7+ yo), Adolescents

Contact: https://three23therapy.com

Intricate Mind Institute, LLC

Therapist: Mary Baker-Ericzen, MA, Ph.D.

Treatment Available For:  Tourette syndrome, tic disorder

Services: CBIT, CBT, ABA, Social Skills training, diagnostic assessments

Ages: Children, Adolescents

Contact:

6336 Greenwich Drive, Suite G500, San Diego, California 92122

Ph: 858-205-9809

[email protected]

www.intricatemindinstitute.com

Resilience Counseling

Therapist:  Katherine Pica LCSW, Kayla Norman, AMFT, Natasha Mills, AMFT

Treatment Available For: OCD, Anxiety, Panic Attacks, Tic Disorder, Tourette Syndrome, Trichotillomania, Body-Focused Repetitive Behavior (BFRB), Trauma/PTSD, Tourette syndrome, tic disorder

Services:  CBT, DBT, CBIT, ERP, EMDR, ComB, Christian counseling (if requested)

Ages: Children (10+ yo), Adolescents

Contact:  

12396 World Trade Drive, Suite 204, San Diego , CA 92128

Ph: 619-327-9317

[email protected]

www.counselingca.com

Child Psych San Diego

Therapist: Diana Robbins, Ph.D.

Treatment Available For:  Anxiety, OCD, Phobias, Tourette syndrome, tic disorder, Trichotillomania, Body-focused Repetitive Behaviors (BFRBs), Body Dysmorphic Disorder (BDD), Misophonia, ADHD, Behavioral problems

Services:  CBT, ERP, CBIT, SPACE, neuropsychological assessment

Ages: Children, Adolescents

Contact:

4036 3rd Ave, San Diego, California 92103

Ph: 619-314-8833

[email protected]

https://www.childpsychsandiego.com

Center for Mental Wellness

Therapist: Eunice Kim, Ph.D.

Treatment Available For:  Anxiety, OCD, Eating Disorders, Tourette syndrome, tic disorder

Services:  CBT, DBT, ERP, CBIT, family therapy

Ages: Children (5+ yo), Adolescents

Contact:  

12625 High Bluff Drive, Suite 105, San Diego, CA 92130

Ph: 858-461-9409

[email protected]

www.socalmentalwellness.com

Farrow Psychological Services, Inc

Therapist: Charles Farrow, PhD

Treatment Available For:  Depression, Anxiety, Parenting support, Addiction, Tourette syndrome, tic disorder

Services:  CBT, CBIT

Ages: Children, Adolescents

Contact:

9320 Carmel Mountain Rd, Suite D

San Diego, CA 92129

Ph: 858-480-1484

https://www.charlesfarrowphd.com/services-provided

Achieve Medical Concierge

Therapist: Danielle Nahas, Psy.D.

Treatment Available For: Depression, Anxiety, Trauma/PTSD, ADHD, OCD, Tourette syndrome, tic disorder

Services: CBT

Ages: Children, Adolescents

Contact:

4510 Executive Drive, San Diego, CA 92121

Ph: 858-221-0344

[email protected]

https://achieveconcierge.com

Pacific Beach Therapy By The Sea

Therapist: Lori L. Pele, MS, LCSW

Treatment Available For:  Anxiety, Depression, Trauma/PTSD, Tourette syndrome, tic disorder

Services: CBIT, telehealth

Ages: Children, Adolescents

Contact:  

4603 Mission Blvd, Suite 217, San Diego, CA 92109

Ph: 619-379-8482

https://www.loripele.com/

The ADHD Center for Success

Therapist: Lori Rappaport, Ph.D.

Treatment Available For: ADHD, Anxiety, Depression, Tourette syndrome, tic disorder, Trichotillomania, BFRB

Services: CBT, EMDR, CBIT, telehealth

Ages: Children, Adolescents

Contact:  

12625 High Bluff Drive, Suite 201, San Diego, CA 92130

Ph: 858-481-2188

[email protected]

www.lorirappaportphd.com

Ariane Myers Psychology

Therapist: Ariane Myers, Ph.D.

Treatment Available For:  Anxiety, Depression, OCD, Tourette syndrome, tic disorder, Autism, ADHD, Body-Focused Repetitive Behavior (BFRB)

Services:  CBIT, telehealth

Ages: Children (5+ yo), Adolescents

Contact:

415 N. Highway 101, Suite E, Solana Beach, CA 92075

240 9th Street, Del Mar, CA 92014

2918 Emerson Street, San Diego, CA 92106

Ph: 858-367-0119

[email protected]

https://www.psychologytoday.com/us/therapists/ariane-myers-del-mar-ca/776843

Neurometabolic Medicine/UCSD

Therapist: Gail Reiner, DNP, FNP-C

Treatment Available For:  Tourette syndrome, tic disorder

Services:  CBIT, telehealth

Ages: Children (9+ yo), Adolescents

Contact:

200 West Arbor Drive, Suite 8465, San Diego, CA 92103

Ph: 858-966-5819, 619-471-9134

[email protected]

Rady Children’s Hospital Tic/Tourette Clinic

Therapist: Neurology

Treatment Available For: Tourette syndrome, tic disorder

Services: CBIT, telehealth

Ages: Children, Adolescents

Contact:

Nelson Pavilion, 3rd Floor

8001 Frost Street, San Diego, CA 92123

Ph: 858-966-5819

https://www.rchsd.org/programs-services/neurology/services/tictourette-center/

Psychiatrists Who Treat Tic Disorders and Tourette Syndrome

Joshua D. Feder, MD

Treatment Available For:  ADHD, Anxiety, Depression, Autism, OCD, Bipolar Disorder, PTSD, Tourette syndrome, tic disorder

Services: CBIT, telehealth

Ages: Children, Adolescents

Contact:  

415 N. Highway 101, Suite E, Solana Beach, CA 92075

Ph: 619-417-7506

https://www.joshuafedermd.com

Rady Children’s Hospital/Jennifer R.L. Friedman, MD

Treatment Available For:  Tourette syndrome, tic disorder

Services:  CBIT, telehealth

Ages: Children, Adolescents

Contact:

8010 Frost Street, Suite 400, San Diego, CA 92123

Ph: 858-966-5819

Mindpath Health/Michael E. McManus, MD

Treatment Available For:  Tourette syndrome, tic disorder

Services: CBIT, telehealth

Ages: Children, Adolescents

Contact:

1550 Hotel Circle North, Suite 450, San Diego, Ca 92108

Ph: 619-692-1581, 619-457-4410

Deborah G. Mishek, MD (Developmental/Behavioral Pediatrician)

Treatment Available For:  Tourette syndrome, tic disorder

Services:  CBIT, telehealth

Ages: Children, Adolescents

Contact:

12625 High Bluff Drive, Suite 302, San Diego, CA 92130

Ph: 858-581-5053

[email protected]

https://dsscteam.com/

Aneita High, MD

Treatment Available For:

Ages: Children, Adolescents

Contact:

3003 Armstrong Street, San Diego, CA 92111

Ph: 619-890-8872

[email protected]

Deeann Y. Wong, MD

Treatment Available For:  Anxiety, Panic Disorder, Depression, OCD, ADHD, Bipolar Disorder, Eating Disorders, PTSD, Tourette syndrome, Tic Disorder, Trichotillomania

Ages: Children, Adolescents

Contact:  

1011 Devonshire Drive, Suite D, Encinitas, CA 92024

Ph: 760-753-2600

http://www.deeannwongmd.com

So Cal Psychiatric Care/Sanjoy Sathpathy, MD

Treatment Available For:  ADHD, Anxiety, Depression, Autism, Bipolar Disorder

Ages: Children, Adolescents

Contact:

9888 Carroll Center Road, Suite 218, San Diego, CA 92126

Ph: 858-324-5339