Practitioner Development

Tic or compulsion?: it's Tourettic OCD.

Mansueto et al. (2005) · Behavior modification 2005
★ The Verdict

Try on the 'Tourettic OCD' lens when tics and rituals overlap and standard protocols fail.

✓ Read this if BCBAs who treat kids or adults with both OCD-type rituals and tic-like movements.
✗ Skip if Practitioners working solely with autism or single-diagnosis clients.

01Research in Context

01

What this study did

The authors looked at kids and adults who show both OCD rituals and Tourette tics. They asked: what if these people need a new label instead of two old ones?

The paper is a position piece, not an experiment. It pulls case stories and past studies to build a fresh box called 'Tourettic OCD.'

02

What they found

They found that some patients fall between cracks. Standard OCD drugs or tic meds help only part-way.

When clinicians see the blend—mental urge plus physical tic—they should think 'Tourettic OCD' and try different behavior plans.

03

How this fits with other research

McClannahan et al. (1990) also cried 'clean up the labels,' but for overcorrection, not diagnosis. Both papers push BCBAs to use sharper words.

Horner et al. (2022) and Manolov et al. (2022) want tighter research tools. Aznar et al. (2005) wants a tighter clinical lens. All three chase the same goal: clearer decisions.

Fujita (1985) warned that messy public talk hurts the field. S et al. repeat the warning inside the clinic: messy boxes hurt the client.

04

Why it matters

If a child washes hands 50 times AND jerks his neck, ask: is this Tourettic OCD? One label can steer you to habit-reversal plus exposure instead of plain ERP. Test the new frame next time treatment stalls.

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→ Action — try this Monday

Screen your toughest OCD case for tic urges; if both are present, add habit-reversal to the exposure plan.

02At a glance

Intervention
not applicable
Design
theoretical
Population
ocd, tourette syndrome
Finding
not reported

03Original abstract

A subgroup of individuals suffering from obsessive-compulsive disorder (OCD) frequently present to treatment with an atypical yet distinguishable array of symptoms akin to both Tourette's disorder (TD) and OCD. These individuals often receive standard treatments for OCD (or less likely, TD) that fail to address the blended features of their presentation. It is argued that these individuals would be better served, both psychotherapeutically and pharmacologically, by the adoption of a Tourettic OCD (TOCD) conceptual framework.

Behavior modification, 2005 · doi:10.1177/0145445505279261