Comprehensive behavior intervention for tics (CBIT)
THE MOST EFFECTIVE TREATMENT FOR TICS DISORDERS AND TOURETTE SYNDROME.
PROVEN TO REDUCE TICS by at least 50%
schedule a discovery call
The Comprehensive Behavior Intervention for Tics (CBIT) program combines cognitive behavioral therapy and habit reversal training through weekly one-on-one video sessions. Designed for individuals ages 6 and older, this program aims to significantly reduce tics and associated symptoms in a short period. CBIT follows a structured approach, teaching self-awareness by focusing on one tic at a time. Using a specific protocol, individuals learn to implement an alternative movement that is incompatible with the tic. With consistent daily practice, these strategies lead to a noticeable reduction in tics. This process is repeated and tailored for each tic the individual experiences. Throughout the program, participants also develop skills to boost confidence, enhance self-advocacy, and manage sensory sensitivities, anxiety, and co-occurring OCD.
A PROGRAM TO HELP YOU TRANSFORM YOUR BRAIN AND BODY
why it works
Comprehensive Behavior Intervention for Tics (CBIT) is the most effective treatment for Tic disorders, and can be more effective than medicine, according to research studies! It is recommended by the American Academy of Neurology as the first line of treatment, before 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.
A simple behavior change stop the cycle of tics from re-occuring
Awareness training and Competing Response training are applied individually to each tic the client wishes to address. Since every tic has a distinct urge and presentation, they are targeted one at a time. Depending on the type and number of tics present, strategies used for one tic may also help decrease the frequency and severity of others. The ultimate goal of CBIT is to reduce all tics by at least 50% while equipping individuals and families with the tools needed to independently implement and sustain these strategies—if that aligns with their objectives.
cBIT program Overview
see a reduction in one tic within 2-3 sessions
initial session
A 60-minute virtual evaluation that includes a detailed review of tic history and onset, current challenges, education on the neurological processes behind tics, a comprehensive tic assessment, and an introduction to CBIT therapy.
competing response training
A 45-minute virtual session focused on developing a competing response that prevents the tic from occurring. The selected movement or breathing pattern is introduced in a structured way to interrupt the tic cycle and prevent reinforcement. Noticeable reduction is typically observed within 1-2 weeks of consistent practice.
A 45-minute virtual session focused on completing awareness training for the first targeted tic. The goal is for the client to recognize and understand the urge associated with the tic. Homework will be assigned to further develop awareness of the tic urge.
awareness training
than just tics
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 is 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.
It's more
It's the tip of the iceberg
Ready to Take the Next Step?
- Work toward reducing their tics – Clients who feel bothered by their tics or are motivated to decrease them tend to see the most success.
- Commit to the process – While CBIT is not overly difficult, consistency and effort are key to reducing tic frequency and severity.
- Develop body awareness – While this skill is refined throughout the sessions, having a basic understanding of bodily sensations (such as pain, hunger, thirst, or the need to use the restroom) helps build awareness and control over tics.
The key to success
how it works
Getting started is an easy and flexible process
Schedule a Discovery Call
Create a Client Portal
Before scheduling an initial appointment, I highly recommend booking a free 30-minute discovery call to discuss your current challenges and goals. During this call, I will provide an overview of how CBIT works. If you prefer to skip this step, simply email me, and I will set up a client portal for you.
When you're ready to start therapy, I will set up a client portal where you can access intake forms and scheduling. As a client, you’ll have the flexibility to choose appointment times and dates that fit your schedule. The portal also sends appointment reminders and allows you to communicate directly with the therapist.
get started
CBIT program cost
initial session (60 minutes): $180.00
follow-up sessions (45 minutes): $150.00
If the cost of therapy is a concern, please reach out to me. I offer a limited number of sliding scale slots each month.
What ages do you work with?
Do I attend sessions with my child?
What locations do you serve?
Do you accept insurance?
Is a diagnosis required to start?
Questions
FAQs
No! If tics are present, we can address them. A formal diagnosis is not required, but assessment by a medical professional is recommended.
CBIT is most effective starting at the age of 7 years old. I work with children, teens, and adults for CBIT. Anxiety treatment can be effective at any age. Parent coaching may be more appropriate for younger children
I am a private-pay provider. Depending on the state you live in, a super bill may be provided if you are seeking insurance reimbursement.
I work with clients across the US and beyond borders. Accessible care is my priority.
My general guideline is anyone under 16 years of age should have a parent/guardian attend the session with them.
If you're interested in CBIT therapy for tics or child anxiety therapy, complete the form below, and Emily will get back to you soon!
Expect to hear from me within the next 24-48 hours!
