The Tourette Syndrome and Associated Disorders Service

The Tourette Syndrome and Associated Disorders Service

The Tourette Syndrome and Associated Disorders Service at Positive Developments offers specialized evidenced based evaluations and treatment for individuals of all ages with Tic Disorders. Our approach takes into consideration the individual as a whole and not just the symptoms of the disorder. We pride ourselves on being experts in the understanding and treatment of tic disorders and often consult with families, schools, work environments, and religious organizations on the impact of tics and how an individual with tics can be the most successful in a given setting.

Our staff has expertise in the treatment of tic disorders and related disorders, including:

  • Tourette Syndrome
  • Chronic motor or vocal tics
  • Obsessive-Compulsive Disorder
  • Attention Deficit Hyperactivity Disorder
  • Rage/Explosive Outbursts
  • Trichotillomania
  • Social Anxiety Disorder
  • Generalized Anxiety Disorder
  • Separation Anxiety Disorder
  • Panic Disorder/Agoraphobia
  • Specific Phobias

Treatments utilized to treat these disorders include:

  • Cognitive Behavioral Therapy
  • Habit Reversal
  • Exposure and Response Prevention
  • Parent Management Training for disruptive behaviors
  • Collaborative Problem Solving

All of the aforementioned treatments have research supporting their efficacy in treating the symptoms/disorders they are targeted to treat. Cognitive-behavioral therapy, or CBT, has been extensively investigated and has demonstrated effectiveness in treating tic disorders, body focused repetitive behavior disorders such as trichotillomania, and anxiety in children and adults. Habit Reversal Therapy is a form of cognitive-behavioral therapy used to treat Chronic Tic Disorders including Tourette Syndrome. Treatment includes awareness training, relaxation techniques, competitive response training, and the training of social support for the family.

Tic disorders have been shown to frequently co-occur with OCD and ADHD. Therefore our program utilizes the most efficacious treatments for these disorders with slight modifications used to capture the nuances seen in individuals with tics and one or more of these other conditions. Exposure and Response Prevention has been shown to be the most effective psychotherapy for OCD. The treatment consists of helping individuals with OCD confront situations and objects that elicit the unwanted thoughts, ideas, worries and/or fears without ritualizing. Parent Management Training for disruptive behaviors has been shown to be effective in decreasing aggression and oppositional behavior while fostering pro-social behavior in children and adolescents. Some techniques used are positive reinforcement for appropriate behaviors, planned ignoring, communication training, transitional warnings and “When - Then” statements, consistency with consequences, token economies, and time-out from positive reinforcement. Collaborative Problem Solving, based upon Ross Greene's book, The Explosive Child has been shown to be effective in helping children with tics develop certain lagging skills, such as inflexibility and inadequate problem solving, that result in problematic behavioral patterns. Reducing difficult behaviors is accomplished by helping children and their care takers learn to resolve disagreements and disputes in a collaborative, mutually satisfactorily manner.

If you are interested in learning more about our TS Services or scheduling an appointment, please call Dr. Lori Rockmore at 973-378-5525 ext. 4.

90 Millburn Avenue, Suite 102 Millburn, NJ 07041
p: 973.378.5525  f: 973.378.5590