Tics, FND, and BFRB

CBIT Therapy is a telehealth occupational therapy practice affiliated with Online OTs. We specialize in CBIT Habit Reversal Training for tic disorders, Body Focused Repetitive Behaviors, and Functional Neurological Disorders.

Tics are repetitive and involuntary movements or sounds. Common tic disorders include:

• Tourette Syndrome (Tourette Disorder, Tourette's, TS)
• Provisional Tic Disorder
• Persistent Tic Disorder

Body-Focused Repetitive Behaviors (BFRB) are a cluster of habitual grooming behaviors that cause damage to the body. Common BFRBs include:

•  Excoriation (excessive skin picking)
• Trichotillomania (excessive hairpulling)
• Onychophagia and Onychotillomania (excessive nail grooming)
• Lip Bite Keratosis (excessive biting of lips)
• Cheek Keratosis (excessive biting of inner cheeks)

Functiona Neurological Disorder (FND) is a sensory and  physical impairment caused primarily by extreme anxiety and emotional distress.  There is no known medical cause such as a virus or tumor. FNDs we address include:

• Functional tremors
• Functional tic-like behaviors 
• TikTok Tics (social media influenced functional tic-like behaviors and other FND symptoms)

CBIT Therapy collaborates with patients and their families to identify physical and emotional needs and then addresses them with research backed strategies. We are certified in Comprehensive Behavioral Intervention for Tics (CBIT) and utilize sensory integration, habit reversal , and cognitive behavioral therapy strategies. Our clinicians have also completed the TLC Foundation's Professional Training Institute for the treatment of Body-Focused Repetitive Behaviors and utilize the ComB intervention strategy. Much attention is paid to the environments in which unwanted behaviors occur, as well as the patients' related thoughts, sensations, movements, and emotions.

CBIT Therapy collaborates with UMass Memorial, Mass General Brigham, Boston Children's Hospital, Tufts, and practices throughout NY, MA, NH, ME, and VT. We are affiliated with the Tourette Association of America and the TLC Foundation for BFRBs as well as the Massachusetts Asssociation for Occupational Therapy.

A HIPPA compliant Google Suite telehealth platform is used for all sessions.