[3] It has met the standard of a well-established treatment for stuttering, thumb sucking, nail biting, and TMJ disorders.
[6] HRT involves replacing a tic with a competing response—a more comfortable or acceptable movement or sound—when a patient feels a premonitory urge building.
[8] HRT is not yet proven or widely accepted, but large-scale trials are ongoing and should provide better information about its efficacy in treating Tourette syndrome.
[10][11] With a high level of confidence, CBIT has been shown to be more likely to lead to a reduction in tics than other supportive therapies or psychoeducation.
[12] Some limitations are: children younger than ten may not understand the treatment, people with severe tics or ADHD may not be able to suppress their tics or sustain the required focus to benefit from behavioral treatments, there is a lack of therapists trained in behavioral interventions,[13] finding practitioners outside of specialty clinics can be difficult,[11] and costs may limit accessibility.