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Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Habit reversal training

Introduction

Habit reversal training (HRT) is a “multicomponent behavioral treatment package originally developed to address a wide variety of repetitive behavior disorders”.[1]

Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, and skin picking.[2] It consists of five components:[1]

  1. awareness training,
  2. competing response training,
  3. contingency management,
  4. relaxation training, and
  5. generalization training.

In the case of tics, these components are intended to increase tic awareness, develop a competing response to the tic, and build treatment motivation and compliance.[1] Controlled trials have demonstrated that HRT is an acceptable, tolerable, effective and durable treatment for tics.[1]

References and notes

  1. ↑ 1.0 1.1 1.2 1.3 Piacentini JC, Chang SW. Behavioral treatments for tic suppression: habit reversal training. Adv Neurol. 2006;99:227-33. PMID 16536370
  2. ↑ Azrin NH, Nunn RG. Habit-reversal: a method of eliminating nervous habits and tics. Behav Res Ther. 1973 Nov;11(4):619-28. PMID 4777653 As reported in Piacentini JC, Chang SW. Behavioral treatments for tic suppression: habit reversal training. Adv Neurol. 2006;99:227-33. PMID 16536370

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