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gold-standard treatment for tics and Tourette's. Proven to reduce tics by 50%
why it works
The Comprehensive Behavioral Intervention for Tics (CBIT) program is the most effective, research-backed treatment for tic disorders and, according to studies, can be even more effective than medication. It’s recommended by the American Academy of Neurology as the first-line treatment before medicine. CBIT helps kids, teens, and adults understand what’s happening in their brain and body, build self-awareness of the urges that appear before a tic, and learn practical strategies that significantly reduce tic frequency and severity.
Designed for individuals ages 6 and older, CBIT combines cognitive behavioral therapy and habit reversal training in weekly one-on-one tele-health sessions. The program uses a structured, step-by-step protocol focusing on one tic at a time. Clients learn to identify the “tic urge” and implement a competing response—an alternative action that is incompatible with the tic. With consistent daily practice, this leads to significant reductions in tics. The process is then repeated and personalized for every tic the individual experiences.
Throughout the program, clients also gain tools to build confidence, strengthen self-advocacy, and manage sensory sensitivities, anxiety, and co-occurring OCD.
The iceberg is a powerful visual representation of tics—what’s visible on the surface (motor and vocal tics) and the underlying factors that contribute to or worsen them. If any of these challenges resonate with you, you’re in the right place. Managing the underlying symptoms beneath the iceberg are essential for gaining better control over tics and improving overall well-being. Since it can be difficult to pinpoint which factors have the greatest impact, we will work together to identify them and create a personalized plan for your success.
More than just tics
It's the tip of the iceberg
- Awareness Training – Learning to recognize pre-tic sensations and understand how urges show up in the body.
- Competing Response Training – Practicing specific, purposeful actions that interfere with the tic pattern.
- Environmental Strategies – Identifying triggers, patterns, and routines that make tics easier or harder.
- Relaxation & Regulation Strategies – Using sensory supports, breathing techniques, and movement strategies to help reduce tic frequency.
- Confidence & Advocacy Skills – Building emotional resilience, communication skills, and self-understanding.
Inside the CBIT Program
the process is implemented using a structured, straightforward process designed to be effective and practical
CBIT Program Format
If cost is a concern, please note it in your inquiry or send an email. A limited number of sliding-scale openings are available each month to support access to care.
Telehealth sessions follow a structured format that helps clients of any age learn and practice CBIT skills effectively.
CBIT Sessions (45 minutes)
gathering history, understanding tic presentation and daily routines, identifying patterns, and providing education on the tic cycle and CBIT approach
Evaluation (60 minutes)
This free call helps clarify concerns and goals and ensures the service is an appropriate match. This call is optional and may be skipped by those ready to move directly into a telehealth evaluation.
Discovery call (30 minute phone call)
Evaluation: $200.00
CBIT Session: $150.00/appointment
CBIT Session: $150.00/appointment
session cost
If you're interested in CBIT therapy for tics or child anxiety therapy, click the contact form below, and we will get back to you soon!
Expect to hear from me within the next 24-48 hours!
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Frequently Asked Questions
Absolutely. Anxiety, ADHD, and sensory needs are common alongside tics, and CBIT strategies can be adapted to meet each individual’s needs. We work collaboratively to problem-solve any challenges and ensure CBIT is effective for every client.
No. CBIT teaches a systematic approach to interrupt the reinforcement process of a tic, helping to reduce the need to tic with consistent practice.
Yes—CBIT is highly effective via telehealth, often producing results equal to or better than in-person sessions, as clients practice in their natural environment. I have been providing telehealth CBIT since 2018 with excellent success, making it a convenient and effective option for both families and adults.
Many clients notice changes within the first few weeks with consistent practice.
I do not directly bill insurance. This is a cash-based service; however, all major credit cards and HSA/FSA cards are accepted.
