There is no question that tics are neurological in nature. However, tics are also also extremely sensitive to the environment in which they occur. Every person with tics has experienced certain situations that make their tics worse. Similarly, most people with tics know that other situations or activities help calm their tics. CBIT helps children and adults familiarize themselves and identify environmental factors that make their tics worse. CBIT also teaches skills on how to create environments that are more stable, predictable and easily manageable, as well as some relaxation techniques.
CBIT is a non-medicated treatment consisting of three important components:
(a) Training the patient to be more aware of his or her tics and the urge to tic.
(b) Training patients to do competing behavior when they feel the urge to tic.
(c) Making changes to day to day activities in ways that can be helpful in reducing tics.
Many of these strategies are already commonly used in the management of Tourette's Syndrome symptoms. CBIT takes the most effective concepts and blends them with strategies that help adults and children learn the techniques quickly.
A recent study showed that 87% of participants who had successes with CBIT continued to do well six months after treatment. Remember CBIT is not a cure; it is a management strategy. Patients learn a set of management skills that can be applied for the rest of their lives as needed.
Fees: CBIT consists of 8 sessions
Sessions 1 and 2 of the CBIT series are 60-minutes long, and are billed at $300 each session.
Sessions 3 through 8 are 45-minutes long and are billed at $250 each session.
This 10-minute video gives a great summary of tics and Tourette's Syndrome
This 15-minute video gives a nice overview of Comprehensive Behavioral Intervention for Tics (CBIT)
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