Tourette Syndrome

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...