Cognitive Behavioral Intervention for Tics (CBIT) is an effective, non-medication approach for lessening the severity of tics. It's been been studied for over 30 years in both adults and children and has shown to be as effective as medication and has no negative side effects. In fact, in many cases, CBIT can have positive effects, such as boosting self-esteem. CBIT is supported by the American Psychological Association, the National Institute of Mental Health, and the Tourette Association of America as the first line of treatment for Tourette's and other tic disorders. Tics are relatively common and can affect both children and adults.
Changing one's thoughts and behaviors
Depending on tic severity, some people with tics function well at home, school, work and other social situations. For others, tics can be uncomfortable and problematic. Tic urges generally begin in early childhood, but they become most severe during the tween years (ages 8 to 12). The good news is that tics can subside over time. CBIT can give you back hope and help you manage them in the process. Typically, with CBIT, you'll notice a 50 percent reduction in tics after treatment. After six months, there's generally a 70 percent reduction in tics.
CBIT is based on the idea that tics can be self-managed by addressing the underlying causes — thoughts and behaviors — which are learned and can be unlearned. In a series of highly structured one-on-one therapy sessions, a person learns a set of specific skills they can use to manage their tic sounds or behaviors. When they feel a tic urge coming on, they can use their CBIT skills and respond in a calm, focused manner. The tics often begin to subside, the individual feels better, more in control and not as frustrated or irritable. Others will likely notice the difference, too.
CBIT at Stony Brook
At the Stony Brook Center for Tics and Tourette's Disorder, we take a multidisciplinary team approach to the treatment of tics that sets us apart. Psychologists, neuropsychologists, neurologists, psychiatrists and family medicine specialists work closely to determine a plan that works best for you. For very severe cases, we also offer the services of a neurosurgeon who specializes in deep brain stimulation as treatment for tics.
If a person is currently on medications for tics, they can still participate in CBIT, although part of CBIT is working with the individual and their family if appropriate, on considering a slow tapering off of the tic medications. As a person begins to notice improvements with CBIT, they often rely on the use of tic medications less and less.
While standard CBIT treatment is eight sessions over 10 weeks, it can be longer or shorter depending on individual needs. For about the first five sessions, treatment typically occurs weekly. After this, sessions are held every other week and then once per month. For maintenance, once the sessions are completed, there are check-in phone calls with the CBIT therapists as needed.
We accept most insurances for CBIT treatment. Check your insurance company first to make sure.
For more information on CBIT, the Tourette Association of America provides a comprehensive overview.
To schedule an initial assessment with a Stony Brook Medicine CBIT-certified psychologist, call (631) 632-2428.