
Q After three months of treatment, my child's tics have reduced greatly — how long should we continue treatment?
A Once tics have decreased by 50 percent or more, treatment transitions to a maintenance phase with reduced visit frequency and intermittent use of herbal decoctions. Short intensive treatment periods are repeated before and after stressful events such as exams and school transitions to manage recurrence.
Detailed Answer
Korean medicine treatment for tic disorder generally proceeds in the following sequence: intensive phase (1 to 3 months), maintenance phase (3 to 6 months), and observation phase. Once tic frequency decreases by 50 percent or more relative to baseline after the intensive phase, acupuncture is reduced to once weekly and herbal decoctions are switched to every-other-day or intermittent dosing. During the maintenance phase, short preemptive intensive treatments are conducted ahead of stressful events such as exams, school changes, and start of vacation or semester to prevent worsening. During the observation phase, the child's neurological development is monitored and retreatment decisions are made as needed. Even after complete resolution, monitoring for six months to one year is recommended.
Korean Medicine Clinic Perspective
Abruptly stopping treatment once tics have subsided makes relapse easy in stressful situations. Finishing through a slow tapering approach that builds the child's intrinsic capacity for recovery is the key to preventing relapse.
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