Tourette Syndrome

CALM, CARING, CONNECTED. How We Are Helping You and Your Family During COVID-I9

The world is in the midst of an evolving COVID-19 situation. These are unsettling times.  On March 17, 2020, we made the decision to delay all in-person testing and therapy sessions at the Possibilities Clinic until the public health situation subsides. It was a difficult decision, but it was the right decision to make. Your physical health and safety are of utmost concern to us. Your mental health, and the mental health of your family, are important, too. And so, we are still here for you. As mental health professionals, our guiding principles remain unchanged. We remain calm, caring, and connected in everything we do for you. We are adhering to social distancing measures, but remain connected in our caring. As we move forward, all therapy, medical appointments, coaching and consultation sessions, as well as specific testing assessments, will now be offered to you and your family through secure video connections. As long as you reside anywhere in Ontario, we can offer our medical and mental health expertise through Telemedicine over a secure video connection. All you will need is a smartphone, tablet, or computer with internet access. We've worked with clients from Toronto to Ottawa, from Oakville to London, from Windsor to Kingston,...

Comprehensive Behavioural Intervention for Tics

Bye Bye Annoying Tics: Introducing Comprehensive Behavioural Intervention for Tics (CBIT) What is CBIT? Comprehensive Behavioural Intervention for Tics (CBIT) is a non-drug powerful behavioural treatment that helps patients to (1) become more aware of tics and early signs a tic is about to occur, (2) use competing responses (voluntary behaviours that are designed to be physically incompatible with tics thereby disrupting the tic cycle), and (3) change their environment in ways that can help reduce tics. CBIT is more than basic supportive therapy and education. CBIT is a highly structured and specialized treatment, provided by a therapist who is trained and certified in CBIT. CBIT is generally delivered over 8 sessions (although the length depends on the child and family’s needs). In CBIT, Jonny learned that before his neck cracking tic, he feels a pressure build up in his neck. Instead of doing the tic, he began tilting his head slightly forward when he felt that pressure, so that he could not crack his neck at the same time. After a week of using his competing response consistently, the pressure began decreasing and he no longer felt the urge to do this tic. He was super happy since this tic was causing him...