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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Behavior therapy in tic-disorders with co-existing ADHD.

Manfred Döpfner1, Aribert Rothenberger

  • 1Department for Child and Adolescent Psychiatry and Psychotherapy, University of Cologne, Robert Koch Str. 10, 50931, Koeln, Germany. manfred.doepfner@uk-koeln.de

European Child & Adolescent Psychiatry
|February 8, 2008
PubMed
Summary

Behavioral therapy effectively treats Chronic Tic Disorder (CTD) and Attention-Deficit/Hyperactivity Disorder (ADHD) core symptoms. For combined ADHD and CTD, treating ADHD behaviorally first may improve tic reduction adherence.

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Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)

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Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Psychology
  • Neurodevelopmental Disorders

Background:

  • Chronic Tic Disorder (CTD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are common neurodevelopmental conditions in children and adolescents.
  • Both disorders often co-occur, complicating diagnosis and treatment.
  • Behavioral interventions are increasingly recognized as valuable therapeutic options.

Purpose of the Study:

  • To review behavioral treatment approaches for CTD and ADHD.
  • To offer guidance for managing comorbid CTD and ADHD in pediatric populations.
  • To highlight challenges and suggest solutions for behavioral therapy adherence.

Main Methods:

  • Literature review of behavioral treatment strategies for CTD and ADHD.
  • Analysis of the efficacy of specific techniques like habit reversal training and parent training.
  • Examination of treatment considerations for comorbid presentations.

Main Results:

  • Behavior therapy, including habit reversal training, effectively reduces core symptoms in both CTD and ADHD.
  • Parent training and school-based interventions are key for managing ADHD symptoms and associated problems.
  • Behavioral interventions can be used alone or with pharmacotherapy for combined ADHD and CTD, though studies often lack comorbidity detail.

Conclusions:

  • Prioritizing behavioral treatment for ADHD may facilitate tic reduction in comorbid CTD+ADHD cases.
  • Adherence to habit reversal training for tics is a significant challenge, particularly in children with comorbid ADHD.
  • Practical strategies are needed to enhance adherence and improve outcomes for children with both conditions.