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CBT For Tic Disorders and Body-Focussed Repetitive Behaviour Disorders (Trichotillomania)

Protea Hotel, Midrand, Gauteng
28 November 2015

The Center for Cognitive Behaviour Therapy is pleased to announce this newly developed workshop on the treatment of Tic Disorders and Body-Focussed Repetitive Behaviours.

Tic Disorders are comprised of Tourette Disorder, Persistent (Chronic) Motor or Vocal Tic Disorder and Provisional (previously Transient) Tic Disorder in DSM V. Tic Disorders are relatively common among children and may affect as many as 12-18 % of the school-age population. Lifetime prevalence rates vary from approximately 0.8 % for Tourette Syndrome to approximately 3 % for Chronic Tic Disorder within paediatric samples. Tic Disorder presentations are typically most common amongst boys and are often highly comorbid with ADHD (50%) and OCD (40%) or OCD behaviour (up to 90%). This suggests that clinicians who work with ADHD or OCD in both adult and paediatric samples will most likely be confronted by Tic Disorders and should ideally be capable of offering evidence-based treatments for these, often comorbid presentations. Additionally Tic Disorders, especially within paediatric samples, are typically associated with adverse social consequences that subsequently predispose children and adults to secondary anxiety and mood disturbance. Attempts at controlling tic behaviour may also require significant attentional focus and lead to secondary impairments in concentration within academic and other settings. The prevalence of Tic Disorders appears to diminish into adulthood but residual symptoms in adulthood may continue to be associated with adverse social and functional outcomes and be equally distressing.

Hair-pulling or trichotillomania is now considered along with skin picking and nail-biting as a body-Focussed Repetitive Behaviour (BFRB) within the Obsessive Compulsive Related Disorders within DSM V. Trichotillomania is a chronic condition involving repetitive hair pulling resulting in noticeable hair loss and is associated with a lifetime prevalence ranging between 1 and 4 % of the population and a mean age of onset at 13 years. Sufferers typically feel incapable of controlling their pulling but only report for treatment once the severity of hair loss associated with the condition has become impossible to mask. This then leads to secondary social, academic and occupational impairment and additional emotional distress. Trichotillomania, which appears to be more prevalent among females, is typically comorbid with mood and anxiety disorders and often has its onset subsequent to a period of elevated life stress but can also occur as a principle problem unrelated to any preexisting emotional distress. Whilst common within paediatric samples, the reduction in prevalence into adulthood appears to be less than that of Tic Disorders and so many more children with Body-Focussed Repetitive Behaviours continue as adults with the same set of behaviours and associated secondary consequences.

CBT-based conceptualizations for both Tic Disorders and Body-Focussed Repetitive Behaviours are similar, as are the basic components to intervention which include psychoeducation, awareness training, stimulus control, habit reversal and affect regulation strategies. Evidence-based psychotherapy (CBT) treatments for both Tic and Trichotillomania are now well established both as primary treatments or as an adjunct to pharmacological interventions. As is typically the case, despite the availability of these treatment options, few psychologists are familiar with or experienced in the approach and most tend to steer clear of attempting to treat these disorders. This 1-day workshop is thus aimed at enhancing cliniciansb  ability to conceptualize both disorders and systematically intervene with the most well established behavioural interventions. The workshop will involve a careful balance of theoretical background and practical demonstration using case examples.



Workshop Fees:

This workshop is HPCSA approved for 9 CPD points.

Early Registration (Closing strictly on the 30th October 2015): R1700 per person

Late Registration (Closing strictly on the 20th November 2015): R2100 per person

It should be noted that delegate numbers will be limited and delegates are therefore encouraged to register as early as possible so as to avoid disappointment.

Arrival tea/coffee, mid-morning and mid-afternoon refreshments and lunch is included. Halaal/Kosher meals are available at an additional cost in line with the hotels policy.


Application Form Map to Venue




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