Tics, FND, and BFRB

CBIT Therapy is a  telehealth occupational therapy practice affiliated with Online OTs. We support children, teens, and adults with tic-related disorders and Body-Focused Repetitive Behaviors (BFRB).

Our practice offers short-term therapy with long-term benefits. Most patients benefit from a total of 3 to 10 sessions, depending on need and use of strategies at home and in the community.

Tics are repetitive and involuntary movements or sounds.

Tic-related disorders include:

•  Tourette Syndrome
•  Provisional Tic Disorder
• Persistent (Chronic) Tic Disorder
• Functional Neurological Disorder (FND)
• TikTok Tics ( FND related to anxiety and social media with erroneous tic content)

 Body-Focused Repetitive Behaviors (BFRB) are a cluster of habitual grooming behaviors that cause distress and damage to the body.

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)

CBIT Therapy is goal directed and collaborative with patients and their families. We are certified in Comprehensive Behavioral Intervention for Tics (CBIT) and utilize sensory integration and habit reversal strategies. We 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 environment in which behaviors occur as well as related thoughts, sensations, movements, and emotions.

CBIT Therapy collaborates with UMass Memorial, Mass General Brigham, Boston Children's Hospital, and practices throughout NY, MA, NH, ME, and VT to address tic disorders and Body-Focussed Repetitive Behaviors.  We are affiliated with the Tourette Association of America and the TLC Foundation for BFRBs.

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