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Nonpharmacological Treatment of Tics in Tourette Syndrome Adding Videotape Training to Self-Hypnosis

Lazarus, Jeffrey E. MD*†; Klein, Susan K. MD, PhD*†

Journal of Developmental & Behavioral Pediatrics: July-August 2010 - Volume 31 - Issue 6 - p 498-504
doi: 10.1097/DBP.0b013e3181e56c5d
Original Article

Objective: This case series examines the practicality of using a standardized method of training children in self-hypnosis (SH) methods to explore its efficiency and short-term efficacy in treating tics in patients with Tourette syndrome.

Methods: The files of 37 children and adolescents with Tourette syndrome referred for SH training were reviewed, yielding 33 patients for analysis. As part of a protocol for SH training, all viewed a videotape series of a boy undergoing SH training for tic control. Improvement in tic control was abstracted from subjective patient report.

Results: Seventy-nine percent of the patients trained in this technique experienced short-term clinical response, defined as control over the average 6-week follow-up period. Of the responders, 46% achieved tic control with SH after only 2 sessions and 96% after 3 visits. One patient required 4 visits.

Conclusions: Instruction in SH, aided by the use of videotape training, augments a protocol and probably shortens the time of training in this technique. If SH is made more accessible in this way, it will be a valuable addition to multi-disciplinary management of tic disorders in Tourette syndrome.


From the *Department of Pediatrics, University Hospitals Case Medical Center, Rainbow Babies and Children's Hospital; †Case Western Reserve University, Cleveland, OH.

Received August 2009; accepted March 2010.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Address for reprints: Jeffrey Lazarus, MD, 1220 University Drive, Suite 104, Menlo Park, California 94025; e-mail:

Presented in part at the Society for Developmental and Behavioral Pediatrics, September, 2006, Philadelphia, Pennsylvania.

© 2010 Lippincott Williams & Wilkins, Inc.