CBIT:

A non-medicated, evidence-based therapy for individuals with motor or vocal tics, including Tourette Syndrome.

Therapy session with a woman and a therapist sitting on a couch and chair, respectively, engaging in conversation. The therapist is taking notes.
Seamless pattern of abstract geometric shapes with horizontal lines on a black background.

CBIT helps reduce the severity and frequency of tics by teaching awareness strategies, identifying triggers, and replacing tics with alternative, less disruptive behaviors. It empowers individuals to manage their tics and regain control over their bodies—without relying on medication.

How it Works:

CBIT Consists of 3 Components:

  1. Training the patient to be more aware of their tics and the urge to tic. 

  2. Training the patient to perform competing behaviors when they feel the urge to tic.

  3. Modifying the day-to-day activities in ways that can reduce tics.

This video demonstrates CBIT and is provided by the Tourette Association of America.

Icon with number 1, text "Psychoeducation," and stack of books graphic.

Treatment Outline:

  • Tic disorder education, including why behavior intervention is a good solution

  • Answer participant questions

Flowchart section labeled "2 Tic Hierarchy" with a blue background and a brown circle.

  • Create a comprehensive list of current tics and decide which to approach first

Step 3 Functional Assessment Analysis icon with checklist illustration

  • Identify tic patterns

  • Identify environmental triggers and discuss adjustments to be made

Step 4 in Habit Reversal Training Intervention with icon of two people sitting in chairs.

  • Tic chain

  • Competing response training

  • Social support

  • Token system

Badge displaying the number 5, the text 'Supplemental Skills', and a logo on a dark blue background.

  • Relapse prevention

  • Relaxed breathing

  • Muscle relaxation

Treatment Details:

  • Eight sessions across ten weeks (number of sessions may vary)

  • Each session is 45-60 minutes and can be in-person (depending on location) or virtual.

  • Treatment is available for individuals 8+ and older. If your child is younger than eight years, please contact me to discuss further.

“I can't say enough great things about Andrew! He was an integral part of my daughters journey to get her tics under control. Andrew is very communicative, incredibly easy to work with, and professional. He explains things in a way that both adults and children can understand. CBIT therapists are super hard to find in this area, and we found a gem in Andrew. If you have the unfortunate need for a therapist for tics, don't hesitate to reach out to Andrew. You will not be disappointed.” - Kristal S.

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