EXPERT CARE FOR TIC DISORDERS & TOURETTE SYNDROME
CBIT by Certified Specialists
CBIT (Comprehensive Behavioral Intervention for Tics) is the most effective evidence-based treatment for tic disorders. It teaches individuals how to recognize early tic urges and use targeted behavioral strategies to reduce tic severity and frequency. Through the use of what are called "competing responses" you slowly but surely teach your brain that you won't do tics anymore and, as a result, less and less urges are sent. Fewer than 500 clinicians worldwide are formally trained in CBIT — and our practice is proud to have three certified CBIT specialists on our clinical team.
Is this a tic or some odd habit?
Tics are repetitive movements or sounds that are often come after an uncomfortable urge or sensation. While habits are typically easier to stop with awareness and reminders, tics can feel much more difficult to control. Children often describe feeling a strong urge to perform the tic, similar to the urge to scratch an itch or sneeze.
The tics seem to come and go. Why?
Many notice that tics become more frequent during times of stress, excitement, fatigue, illness, or major life changes. Others can find no rhyme or reason. This is common. An increase in tics does not necessarily mean something is wrong or that the condition is worsening and a decrease or sudden stop in tics does not mean the tics are gone for good. Most children and adults experience significant ebb and flow of tics over time.
Should I tell my child to stop their tics?
No, no, no. You probably already have, and that's okay, but make the commitment stop now. Many children are already aware of their tics and may feel embarrassed or frustrated by them. Parental pressure to “stop doing that” when your child has no control or skills can often feel shaming and isn't helpful (think of it as telling someone with a cold to stop sneezing= useless & frustrating). Rather than focusing on stopping the tic, it's often more helpful to focus on understanding what your child is experiencing and seeking professional guidance when needed.
Does CBIT work virtually?
Yes, CBIT delivered via video has been proven equally effective as in-person. Additionally, some people feel very self-conscious about their tics so, being able to start the process in your pajamas at home can often create an easier start
CBIT Can Be Life Changing
CBIT is a structured, time-limited treatment, with many individuals completing therapy in as few as 8-10 weekly sessions. The skills learned in CBIT are designed to be used long-term, giving clients practical tools they can return to whenever symptoms fluctuate — supporting lasting confidence and self-management. CBIT is built for ages 8 & older and, with strong parental support, some children as young as 6 can benefit.
When tics begin to interfere with comfort, confidence, school, work, or daily life, specialized care can make a meaningful difference. With evidence-based CBIT therapy, improvement is possible — often in a relatively short period of time.
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