Name
Implementing Habit Reversal Training in Primary Care Settings
Date & Time
Friday, October 17, 2025, 5:00 PM - 6:30 PM
Description
Tic and habit disorders are common and are typically first observed in the primary care setting. Habit Reversal Training is a straightforward behavioral intervention that has been found to be highly effective for both. However, training in HRT is limited, making access sparse for many patients. This presentation will provide an overview of the treatment as implemented in primary care and will offer resources both to support implementation and to increase access to the treatment.
Speakers
Kristen Thompson PhD, Assistant Professor, Missouri State University, Springfield, MO
Mary Shea PhD, Postdoctoral Scholar, Individual - Mary Shea, Lexington, Kentucky
Content Level
Novice
Tags
Behavioral Medicine Topics such as insomnia or medication adherence
Session Type
Poster
SIG or Committee
Pediatrics (PEDs)
Objective 1
Articulate the diagnosis, prevalence, and typical course of tic disorders and how to identify the presentation of these disorders in the primary care setting.
Objective 2
Identify routine treatments for tic disorders, including typical medical management approaches.
Objective 3
Explain the principles of habit reversal training and its application to tic disorders and other behavioral movement disorders.
Content Reference 1
Andrén, P., Jakubovski, E., Murphy, T. L., Woitecki, K., Tarnok, Z., Zimmerman-Brenner, S., Van De Griendt, J., Debes, N. M., Viefhaus, P., Robinson, S., Roessner, V., Ganos, C., Szejko, N., Müller-Vahl, K. R., Cath, D., Hartmann, A., & Verdellen, C. (2022). European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: Psychological interventions. European Child & Adolescent Psychiatry, 31(3), 403–423. https://doi.org/10.1007/s00787-021-01845-z
Content Reference 2
Haas, M., Jakubovski, E., Kunert, K., Fremer, C., Buddensiek, N., Häckl, S., Lenz-Ziegenbein, M., Musil, R., Roessner, V., Münchau, A., Neuner, I., Koch, A., & Müller-Vahl, K. (2022). ONLINE-TICS: Internet-Delivered Behavioral Treatment for Patients with Chronic Tic Disorders. Journal of Clinical Medicine, 11(1), 250. https://doi.org/10.3390/jcm11010250
Content Reference 3
Manglani, R., & Cavanna, A. E. (2025). Efficacy of habit reversal training for the treatment of tics in patients with Tourette syndrome and other tic disorders. Journal of Psychopathology, 31(1). https://doi.org/10.36148/2284-0249-N960
Content Reference 4
Heinicke MR, Stiede JT, Miltenberger RG, Woods DW. Reducing risky behavior with habit reversal: A review of behavioral strategies to reduce habitual hand-to-head behavior. J Appl Behav Anal. 2020 Jul;53(3):1225-1236. doi: 10.1002/jaba.745.
Content Reference 5
Ueda, K., & Black, K. J. (2021). A comprehensive review of tic disorders in children. Journal of clinical medicine, 10(11), 2479.