Tics, Tourette Syndrome, and BFRB

CBIT Therapy is a telehealth occupational therapy practice affiliated with Online OTs. We specialize in Habit Reversal Therapy to manage unwanted repetitive actions including tics and Body-Focused Repetitive Behaviors such as hairpulling and nail biting. Our short-term therapy provides long-term strategies that can be immediately put in place at home and in the community.

Tics are sudden, repetitive, and involuntary movements or sounds. 

Tic and Tic-like disorders include:

• Tourette Syndrome (Tourette Disorder, Tourette's, TS)
• Provisional Tic Disorder
• Persistent Tic Disorder
• Functional Tic-Like Behaviors and tremors
• TikTok Tics (social media influenced functional tic-like behaviors)

Body-Focused Repetitive Behavior (BFRB) is a cluster of habitual grooming actions that cause damage to the body. Common BFRBs include:

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

CBIT Therapy collaborates with patients and their families  to address present needs. We are certified in Comprehensive Behavioral Intervention for Tics (CBIT) and utilize sensory integration, habit reversal, and cognitive behavioral therapy 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 environments in which unwanted behaviors occur, as well as the patients' related thoughts, sensations, movements, and emotions, in addition to ways to immediately put plans into action. 

All evaluations and therapy sessions are via a HIPPA compliant Google telehealth platform. We are licensed to provide treatment in Boston and throughout New York, Massachusetts, Maine, Vermont, and New Hampshire.