Comprehensive behavior intervention for tics (CBIT)

PROVEN TO REDUCE TICS by at least 50%

schedule a discovery call

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. 


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 repeated for each tic the client would like to address. Each tic has a unique urge and presentation which is why one tic is targeted at a time. Depending on the type and number of tics a client has present, strategies for one tic may reduce the frequency and severity of other tics. The goal of CBIT is to reduce all tics by at least 50% and provide tools to the individual and/or family in order for them to carry-out and implement strategies independently, if that aligns with your goal. 

cBIT program Overview

see a reduction in one tic within 2-3 sessions

initial session

60-minute virtual 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.

competing response training

45-minute virtual session to develop a competing response that will be incompatible with the tic. The movement and/or breathing pattern is implemented in a specific and structured way that stops that tic from being reinforced. Reduction seen within 1-2 weeks of implementation.

45-minute virtual session in which awareness training is completed for the first tic. The goal is for the client to understand the urge for the tic being targeted in the session. Homework assigned to increase awareness of the urge to tic.

awareness training

than just tics

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. 

It's more

It's the tip of the iceberg

Ready to Take the Next Step? 

Everyone has the potential to be successful with CBIT therapy, from young children to mature adults. In order to see the greatest results, a potential client should have the desire to: 
  1. Want to reduce their tics. Clients who are bothered by their tics or who want to see them decrease are most successful
  2. Be willing to put in the effort. This is not a very difficult program, but commitment and consistency is important for reducing frequency and severity. 
  3. Have basic body awareness. This is developed and refined with sessions, but understanding basic body sensations (pain, need to use the restroom, hunger, thirst) is an important skill to gain awareness and control of 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 we schedule an initial appointment, I highly recommend scheduling a free 30-minute discovery call to discuss your current challenges and goals. During this call, I review how CBIT works. If you would like to skip this step, please email me and I will set up a client portal for you. 

When you're ready to begin therapy, I will create a portal for you to access intake forms and scheduling. As a client, you can choose appointment time and dates that work best for your schedule. The portal provides appointment reminder and allows you to message the therapist.

get started

CBIT program cost

initial session (60 minutes): $180.00 

follow-up sessions (45 minutes): $150.00 

If you cannot afford the cost of therapy, please let me know. I accept a few sliding scale clients 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?



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!

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