Tics are sudden and involuntary twitches, movements, or sounds done repeatedly over a period of time. Tics occur anywhere in the body and can be highly noticeable or completely hidden from view. Tics are often distracting, annoying, embarrassing, and painful. Sometimes tics are due to a neurological condition such as Tourette Syndrome, also known as Tourette's and TS. Sometimes tics and tic-like behaviors are caused by anxiety and other emotional concerns. A neurology evaluation with a tic specialist is essential to determine the cause and proper treatment of tics.
CBIT Therapy is an online occupational therapy practice certified in Comprehensive Behavioral Intervention for tics, commonly known as CBIT. That acronym is pronounced like Sea Bit. We help patients and their families to manage Tourette Syndrome and other tic disorders and tic-like conditions. The most well known component of CBIT is the use of competing responses, also call CRs. A competing response is an action that prohibits a tic from occurring. For example, if someone has a tic that involves bending forward, they will learn how to lean back in a special way to prevent the tic from occurring. The patient then will hold the position for a count of 60. CBIT involves a clear understanding of which muscle groups contract during tics.
CBIT is only effective if tics are really bothersome to the person having them. The patient must also be motivated to frequently use strategies to manage the tics and reduce stressors. Homework often includes getting more exercise and limiting screen time. Family support is critical.
CBIT Therapy supports children, teens, and adults in the greater Boston area and throughout Massachusetts, New Hampshire, and Vermont. All services are provided via telehealth. Sessions are conducted with a HIPPA compliant version of Google Meet.
Yes, we take Blue Cross Blue Shield and Allways Health Partners. It is the patient's responsibility to check with their insurer about pre-authorization requirements and to have referrals faxed to 857-2020-5085. Sharing info about CBIT may help with obtaining approval. It is also useful to share that all billing will be done with Occupational Therapy codes 97165, 97530, and 97535.
As of 9/24/21 the cost for the first CBIT Therapy session is $245. This visit includes a thorough evaluation and CBIT therapeutic activities and self-care training. During this first visit a competing response strategy will be determined by the patient and a CBIT certified occupational therapist to help inhibit the most bothersome, dangerous, or intense tic. The fee for additional CBIT treatment sessions is $215.
Invoices and statements are provided for private pay patients to seek reimbursement from insurers. Most patients with PPO / out of network benefits are able to obtain at least partial reimbursement. Due to the limited number of CBIT specialists, some HMOs will also provide partial reimbursement. It is the patient's responsibility to check with their insurer about coverage and pre-authorization requirements in advance. Sharing info about CBIT with your insurer may be helpful to secure coverage. Please also make sure to have a referral faxed to 857-202-5085.
Discounted rates are available for MassHealth recipients who do not have another insurer. As of 9/24/21 the evaluation and first treatment session fee for MassHealth recipients is $60, additional sessions are $53.75
Yes, all fees are covered in full for children in foster care.
Please ask your doctor to fax a referral to 857-202-5085. Do NOT email referrals. Thank you!
No, most people with tics do not have Tourette Syndrome, which is also known as Tourette Disorder, Tourette's, and TS. It is important to see a neurologist who specializes in tic disorders to determine the cause of your symptoms. Tourette Syndrome is a neurological condition that begins usually in early childhood and is more common in males. Emotional concerns are often the cause of other tic-like disorders, especially when onset occurs in female teens or adults.
Due to anxiety and isolation from the pandemic, many people are now suffering from tics and tic-like behaviors. We will squeeze you in as soon as possible! To request intake forms please contact us.
CBIT Therapy is part of Online OTs LLC and collaborates with clinicians at UMass, MGH, Boston Children's Hospital, and many practices throughout New England to address tic disorders. A HIPPA compliant Google Suite platform is used for video calls. Allways Health Partners, Blue Cross Blue Shield, and private pay are accepted. Mass Health recipients are eligible for some financial assistance.
Please FAX referrals to 857-202-5085.