How It Works
The Science of Success: What is CBIT?
Comprehensive Behavioral Intervention for Tics or CBIT is a structured, behavioral therapy. It doesn't just "mask" symptoms; it teaches the brain to work differently. Rather than relying on willpower to suppress tics, I teach my clients how to manage the neurological "urges" that cause them.
The 5 Pillars of Treatment
Understanding the Basics (Psychoeducation): I provide essential education to both the client and parents on the science behind Tourette Syndrome, helping everyone move from confusion to clarity.
Catching the Urge (Awareness Training): I teach my clients to identify the "premonitory urge"—the specific physical sensation that happens just before a tic occurs.
The Competing Response (Habit Reversal): This is the core of CBIT. Clients learn to use a subtle, voluntary action that is physically incompatible with the tic. This teaches the brain to bypass the reflex until the urge fades.
Finding Your Triggers (Functional Intervention): I help identify and address environmental factors, like specific stressors or settings, that may be worsening tics.
Managing Stress (Relaxation Training): Clients learn simple, effective techniques to manage stress and anxiety, which often contribute to tic severity and frequency.
Recommended by Leading Experts
Research demonstrates that CBIT is as effective as medication for tic reduction, but without the risk of unwanted side effects. It is currently recognized as the first-line behavioral treatment for chronic tics and Tourette Syndrome by the Tourette Association of America (TAA) and the American Academy of Neurology (AAN).