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I have a friend who has had Tourette syndrome since he was a child. He is 26 now, the Tourette is mild, involving shoulder twitching.

Is there any treatment that bring the syndrome to a negligible/manageable level without taking any medication?

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Current treatments for Tourette syndrome (drugs like dopamine receptor antagonists, which are the reference treatment, excepted) include:

  • Psychotherapy/behaviour therapy/habit training
  • Deep brain stimulation (for severe cases, so not really applicable here)
  • Transcranial magnetic stimulation
  • Biofeedback

Review of the research progresses in Tourette syndrome (2014)

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  • so for this case, the first one, i.e., behavior threapy is applicable right? – girl101 Nov 28 '15 at 2:57
  • @Rishika It's applicable indeed and in this specific case would probably be the best choice – Denn Nov 28 '15 at 6:31
  • what is the maximum scope of improvement in this case? – girl101 Nov 28 '15 at 11:50
  • @Rishika [This study on habit reversal](www.ncbi.nlm.nih.gov/pubmed/26583455) finds there is "an improvement in terms of reduced tics and improved global functioning in both groups, without significant changes in terms of Quality of Life" – Denn Nov 29 '15 at 13:36
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    This one is a detailed review on behaviour therapy and concludes "professional organizations recommend behavior therapy as a first-line intervention for individuals with mild-to-moderate tic severity", with significant results in terms of tic severity (percentage of reduction varying from 10-35%). Sorry for the double comment, was unaware of the 5-min rule. – Denn Nov 29 '15 at 13:45

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