The most effective treatment for tics disorders and Tourette syndrome.
proven to reduce tics
The Comprehensive Behavior Intervention for Tics (CBIT) program is a combination of cognitive behavioral therapy and habit reversal training that consists of weekly 1-1 video chat sessions for individuals whose goal is to significantly reduce tics and associated symptoms in a short amount of time. The program is ideal for children older than 7 years to adults. CBIT is systematically designed to teach self-awareness of one tic at a time, then using a specific protocol, implement an alternative movement that is incompatible with the tic. This process is reinforced through daily use of strategies and will result in a significant reduction of tics. This process is repeated and adapted for each tic the individual has. Throughout the program, the individual will learn strategies to increase confidence, advocacy skills and reduce sensory hypersensitivities, anxiety, and co-morbid OCD.
The iceberg is the perfect visual representation of what is seen (motor and vocal tics) and the underlying conditions that create or make tics worse. If any of these seem familiar to you, then you’re right where you need to be. It is critical that you learn how to manage these symptoms under the iceberg so you can reach your maximum potential with managing tics and overall well-being. It’s often difficult for clients to know which area is impacting them the most, so we will work together to figure it out and develop a specific plan for your success.
Tics are becoming bothersome and annoying to the individual and/or others
You worry about tics impacting social relationships, academics, work, self-confidence, and independence
Tics create anxiety, controlling the activities that you engage in, and feel like a bully
You fear that tics will hold you or your child back in various aspects of life
The co-occuring conditions of tics are causing problems in and of themselves
Comprehensive Behavior Intervention for Tics (CBIT) is the most effective treatment for Tic disorders, and can be more effective than medicine! This therapy program will teach you what's happening in the brain and body that causes tics, teach you self-awareness from various aspects of your brain and body, and provide you will practical strategies that WILL reduce your tics and the symptoms associated with it.
Understand the process of how tics occur and impact the brain and body
Learn how to detect when the tic is about to occur and use an alternative movement to block the tic from happening
Identify potential triggers that influence tics and use effective strategies to decrease tics in various environments and situations
Develop a Competing Response which is physically incompatible with the tic. This results in significant reduction in tics, no longer bothering or impacting daily life
Access to tools, handouts, and knowledge to maintain tic control long-term
60-minute virtual initial evaluation covering the history, onset of tics, current challenges with tics, education on the neurological process of tic, tic assessment, and overview of CBIT therapy.
45-minute virtual treatment session in which the client chooses the first tic to address. This session is focused on awareness training of the urge to tic. We overview multiple components of the tic as well as environmental triggers. Weekly homework includes increasing awareness of urge to tic
45-minute virtual treatment session where we focus on developing a competing response, which is the body movement, body position, or breathing pattern we develop to stop the tic from happening. We practice in session and the weekly homework includes specific practice of blocking the tic using the competing response.
45-minute virtual treatment session where we either restart the process from Session 2 and then Session 3 the following week with a new tic. We may also introduce breathing strategies for tics, discuss environmental strategies for tic reduction, or modify the competing response. We focus on any other potential triggers that may contribute to increased tics and develop strategies to control or reduce that trigger as much as possible.
In just a few weeks, you will gain control over your mind and body and feel confident and comfortable with who you were created to be! Whether a child or an adult, the strategies you will learn will last a lifetime and provide with you more than just tic management.
FREE Discovery call to review your goals and answer questions
East client portal set-up and self-scheduling
Complete the initial evaluation (60 minutes) and develop plan of care
Self-schedule and complete weekly appointments (45 minutes)
A formal diagnosis is not required to begin therapy. I may recommend following a medical professional for management of symptoms, but it is not a prerequisite. Many clients prefer to seek a Neurologist recommendation prior to starting therapy to rule out other factors for symptom onset.
I am a private-pay provider. Because I serve clients throughout the country and across the borders, I do not contract with insurance providers. I can provide you with a monthly super-bill if you would like to submit to insurance for reimbursement. Cost of services is available upon request.
All sessions take place via a secure video chat platform, similar to Zoom or Facetime. Research shows video chat therapy is just as effective as in person therapy, and my clients see great results through video chat sessions. Video chat allows you to remain in your own comfortable environment without driving to and from a physical location.
I prefer at least one family member present with the child during therapy sessions. When the whole family is involved, we see progress a shorter amount of time. My goal is to make the child and parent the experts in the treatment process. I may provide specific strategies for parents to assist the process and help their children reach their highest potential.