CBIT Therapy for tics and Tourette Syndrome & BFRB
CBIT Therapy Habit Reversal Training
Welcome to CBIT Therapy, a telehealth occupational therapy practice. We specialize in Tourette Syndrome and vocal and motor Tic Disorders, as well as Body-Focused Repetitive Behavior (BFRB) such as compulsive nail biting, skin picking, and hair pulling. These conditions involve repetitive unwanted actions and behaviors that can be managed with CBIT and related Habit Reversal Training programs and professional support. Online help is available in Boston and throughout NY, NH, VT, ME, CT, and MA. We accept Blue Cross Blue Shield, Mass General Brigham Health Plan, and private pay. Support is available for children, adults, family members, and schools.
Tic Disorders
Tics are fast and repetitive muscle movements that result in sudden body jolts and twitches or vocalizations such as sounds, words, or phrases. They wax and wane over time and can have a mild to severe impact on daily living. Some people have just motor tics or vocal tics over their life time, while those with Tourette Syndrome have both motor and vocal tics. Tics tend to begin in early childhood and are influenced by many neurological factors, sensory input, emotions, and physical activity. Many people with a history of tics also report struggling with anxiety, ADHD, OCD, Autism, depression, and/or BFRB. Comprehensive Behavioral Intervention for Tics (CBIT) is considered to be the most effective treatment for tics.
Body-Focused Repetitive Behavior
Body-Focused Repetitive Behavior (BFRB) is a behavioral disorder which includes compulsive skin picking or scratching, hair pulling (Trichotillomania), and nail biting. These actions can cause significant damage to the body and often lead to isolation and shame. Many people with a history of BFRB also report struggling with anxiety, ADHD, OCD, Autism, depression, and/or tics. Components of CBIT as well as Comprehensive Behavioral (ComB) treatment is used to support children and adults with BFRB.
Treatment
CBIT Therapy and ComB are both forms of Habit Reversal Training (HRT). HRT is a behavioral therapy that helps people stop or reduce unwanted behaviors by replacing them with new ones. Our practice utilizes CBIT Therapy and ComB., as well as sensory based occupational therapy strategies.
Occupational Therapy
Occupational Therapy (OT) uses everyday life activities to promote health and well-being. Occupational therapists have a strong background in mental health and physical rehabilitation and work with both children and adults. Occupational therapy services for tics and BFRB typically include:
- an evaluation
- an intervention plan
- training sessions
- practice
- rewards
- and plans to continue using and refining strategies
Online OTs LLC was one of the first occupational therapy practices to offer telehealth and is proud to be providing CBIT Therapy to the tic, Tourette, and BFRB communities.
Getting Started
Please send us an email, and we will respond within 24 hours to discuss treatment and scheduling.
No time for traffic and waiting rooms?
Receive CBIT Therapy Support Online!
Tics and BFRB are manageable with the right support. CBIT Therapy is available in Boston and throughout MA, NY, NH, VT, ME, and CT via telehealth. Fidgets and pets are always welcome and encouraged! We accept Blue Cross Blue Shield, Mass General Brigham Health Plan, and private pay.