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Habit reversal training (HRT) is a "multicomponent behavioral treatment package originally developed to address a wide variety of repetitive behavior disorders". Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, skin picking, temporomandibular disorder (TMJ), lip-cheek biting and stuttering.
Azrin researched the concept of behavior reversal training, also known as habit reversal, in order to treat patients with uncontrollable physical tics, trichotillomania, and other repetitive behavior disorders like stuttering or Tourette syndrome.
Some of the more well known types of treatments are: Relaxation training, systematic desensitization, virtual reality exposure, exposure and response prevention techniques, social skills training, modelling, behavioural rehearsal and homework, and aversion therapy and punishment.
The new approach is a variation of other behavioral techniques for body-focused repetitive behaviors, which include habit reversal training and something called decoupling.
A systematic review from 2012 suggested some efficacy of decoupling, [2] which was corroborated by Lee et al. [3] in 2019. Whether or not the technique is superior to other behavioral interventions such as habit reversal training awaits to be tested. Decoupling is a variant of habit reversal training .
Psychological interventions such as habit reversal training and decoupling have also proven useful in body focused repetitive behaviors. Clinical studies have shown that appliances such as TGuards can be 90% effective in breaking the thumb or finger sucking habit.
Behavioral therapies using habit reversal training (HRT) and exposure and response prevention (ERP) are first-line interventions, and have been shown to be effective. Because tics are somewhat suppressible, when people with TS are aware of the premonitory urge that precedes a tic, they can be trained to develop a response to the urge that ...
Reviews recommend behavioral interventions such as habit reversal training and decoupling. Checking, counting, washing, and repeating. Compulsive checking can include compulsively checking items such as locks, switches, and appliances. This type of compulsion usually deals with checking whether harm to oneself or others is possible.
For body-focused repetitive behaviors, such as trichotillomania and nail-biting, habit reversal training and decoupling are effective according to meta-analytic evidence. A 2021 study stated that Nuclei accumbens stimulation could be a successful treatment for aggressive and self-destructive behaviors, separate from the triggers.
Level of training and consumer protection remain of critical importance in applied behavior analysis and behavior modification. See also. Behavior management; Behavior therapy; Decoupling for body-focused repetitive behaviors; Covert conditioning; Habit Reversal Training; Pain model of behaviour management; Positive Behavior Interventions and ...