CBIT for Tics
Comprehensive Behavioral Intervention for Tics. RCT evidence supports CBIT for Tourette syndrome. Very specialized population; OT role emerging.
RCT evidence supports CBIT efficacy for tic reduction; OT-specific certification outcomes not studied.
Applicable to the narrow population with tic disorders and Tourette syndrome; very limited scope.
Limited commercial coverage for behavioral tic intervention; mostly self-pay or EAP; no dedicated CPT code.
2-day CBIT workshop; moderate cost; training is accessible for OT and psychology providers.
Limited employer demand; niche behavioral intervention for specific OT and behavioral health roles.
Tic reduction has substantial QoL impact for patients and families.
Tourette families actively pay cash; CBIT-trained providers are scarce and waitlists are long.
Scarcity + motivated families supports premium per-session and intensive-package pricing.
Few OTs/psychologists are CBIT-trained; Tourette Association directory drives direct referrals.
Trainable protocol; additional clinicians can be brought up to deliver under the brand.
Strong demand within the Tourette community, though general consumer awareness is modest.
TAA training is relatively short and affordable for the revenue it unlocks.
Not a board specialty; recognized as a niche skill but doesn't carry weight in OT promotion files alone.
Active CBIT research literature, though most authors are psychology/psychiatry rather than OT faculty.
Adds depth to pediatric/mental-health OT content but isn't core curriculum.
Strong RCT support; first-line behavioral treatment for tic disorders.
Rarely listed in OT faculty postings.
Quick and inexpensive to obtain relative to the clinical credibility it provides.
- 01DOI ↗Behavioral interventions for tic disordersM. B. Himle; M. Marklin; B. Wellen · Handb Clin Neurol · 2026Otherdoi:10.1016/b978-0-443-13554-5.00030-4
- 02DOI ↗Functional tics and tic-like behaviorsA. A. Alruwaita; A. E. Lang; C. Ganos · Handb Clin Neurol · 2026Otherdoi:10.1016/b978-0-443-13554-5.00017-1
- 03DOI ↗Description, Implementation, and Efficacy of the Comprehensive Behavioral Intervention for Tics as First-Line Treatment for Tourette and Other Tic DisordersK. Kohler; N. Rosen; J. Piacentini · J Child Adolesc Psychopharmacol · 2025Otherdoi:10.1089/cap.2024.0023
- 04DOI ↗Evidence-Based Behavior Therapy for Tourette SyndromeH. Katato; J. A. Muniz; C. Lopez-Arvizu; J. F. McGuire · Psychiatr Clin North Am · 2025Otherdoi:10.1016/j.psc.2024.08.007
- 05DOI ↗Emerging therapeutic approaches for Tourette syndrome and other tic disorders – a systematic review of current clinical trialsA. Häge; R. Krämer; M. Dunlap; K. Mechler; K. R. Müller-Vahl; P. Nagy · European Child & Adolescent Psychiatry · 2025Systematic reviewdoi:10.1007/s00787-024-02637-x
- 06DOI ↗Tourette Syndrome and Tic DisordersJ. Frey · Continuum (Minneap Minn) · 2025Otherdoi:10.1212/cont.0000000000001595
- 07DOI ↗Integrating behavioral interventions for Tourette's syndrome: Current status and prospectiveX. M. Chen; S. Zhang; M. Xu · World J Psychiatry · 2025Cohort studydoi:10.5498/wjp.v15.i3.99045
- 08DOI ↗Evaluating the feasibility, acceptability, and preliminary effectiveness of tele-comprehensive behavior therapy for tics (teleCBIT) for Tourette syndrome in youth and adultsM. R. Capriotti; B. C. Wellen; B. N. Young; M. B. Himle; C. A. Conelea; F. M. Espil; H. Simpson; C. A. Mathews · J Telemed Telecare · 2025Pilot/feasibilitydoi:10.1177/1357633x231189305
- 09DOI ↗Behavioural Therapy for tic disorders: a comprehensive review of the literatureS. Morand-Beaulieu; N. Szejko; J. Fletcher; T. Pringsheim · Expert Rev Neurother · 2024Otherdoi:10.1080/14737175.2024.2405740
- 10DOI ↗Treating Tourette Together: An Agenda for Patient-Centered Research Focused on Comprehensive Behavioral Intervention for TicsC. A. Conelea; S. Bennett; M. Himle; S. Hamilton; C. Hunt; D. Shineman; C. Mathews; M. Capriotti · Behav Ther · 2024Otherdoi:10.1016/j.beth.2023.06.005
- 11DOI ↗Behavioral Interventions for Children and Adults with Tic DisorderD. W. Woods; M. B. Himle; J. T. Stiede; B. X. Pitts · Annu Rev Clin Psychol · 2023Otherdoi:10.1146/annurev-clinpsy-080921-074307
- 12DOI ↗Functional connectivity during tic suppression predicts reductions in vocal tics following behavior therapy in children with Tourette syndromeS. Morand-Beaulieu; M. J. Crowley; H. Grantz; J. F. Leckman; D. G. Sukhodolsky · Psychol Med · 2023Otherdoi:10.1017/s0033291723001940
- 13DOI ↗Modified Comprehensive Behavioral Intervention for Tics: Treating Children With Tic Disorders, Co-Occurring ADHD, and Psychosocial ImpairmentE. Greenberg; C. Albright; M. Hall; S. Hoeppner; S. Miller; A. Farley; M. Silverman; V. Braddick; S. Sprich; S. Wilhelm · Behav Ther · 2023Otherdoi:10.1016/j.beth.2022.07.007
- 14DOI ↗Cognitive and Neural Mechanisms of Behavior Therapy for Tics: A Perception-Action Integration ApproachJ. Friedrich; T. Rawish; A. Bluschke; C. Frings; C. Beste; A. Münchau · Biomedicines · 2023Otherdoi:10.3390/biomedicines11061550
- 15DOI ↗Emerging therapies and recent advances for Tourette syndromeC. Y. Chou; J. Agin-Liebes; S. H. Kuo · Heliyon · 2023Otherdoi:10.1016/j.heliyon.2023.e12874
- 16DOI ↗The Efficacy of Cognitive Behavioral Therapy for Tic Disorder: A Meta-Analysis and a Literature ReviewS. Shou; Y. Li; G. Fan; Q. Zhang; Y. Yan; T. Lv; J. Wang · Front Psychol · 2022Meta-analysisdoi:10.3389/fpsyg.2022.851250
- 17DOI ↗Internet-based guided self-help comprehensive behavioral intervention for tics (ICBIT) for youth with tic disorders: a feasibility and effectiveness study with 6 month-follow-upL. Rachamim; S. Zimmerman-Brenner; O. Rachamim; H. Mualem; N. Zingboim; M. Rotstein · Eur Child Adolesc Psychiatry · 2022Pilot/feasibilitydoi:10.1007/s00787-020-01686-2
- 18DOI ↗ONLINE-TICS: Internet-Delivered Behavioral Treatment for Patients with Chronic Tic DisordersM. Haas; E. Jakubovski; K. Kunert; C. Fremer; N. Buddensiek; S. Häckl; M. Lenz-Ziegenbein; R. Musil; V. Roessner; A. Münchau; I. Neuner; A. Koch; K. Müller-Vahl · J Clin Med · 2022Otherdoi:10.3390/jcm11010250
- 19DOI ↗Behavior Therapy for the Treatment of Tourette's Disorder in India: A Patient Series from an Indian General Hospital Psychiatric UnitN. Varadharajan; S. Chakrabarti; S. Sahoo; S. Balachander · Indian J Psychol Med · 2021Otherdoi:10.1177/0253717620927932
- 20DOI ↗A Review of Cognitive and Behavioral Interventions for Tic DisorderK. M. Kim; E. Bae; J. Lee; T. W. Park; M. H. Lim · Soa Chongsonyon Chongsin Uihak · 2021Otherdoi:10.5765/jkacap.200042
- 21DOI ↗The therapeutic effect of habit reversal training for Tourette syndrome: a meta-analysis of randomized control trialsL. Yu; Y. Li; J. Zhang; C. Yan; F. Wen; J. Yan; F. Wang; J. Liu; Y. Cui · Expert Rev Neurother · 2020Meta-analysisdoi:10.1080/14737175.2020.1826933
- 22DOI ↗Pediatric Prevention: Tic DisordersJ. T. Stiede; D. W. Woods · Pediatr Clin North Am · 2020Otherdoi:10.1016/j.pcl.2020.02.009
- 23DOI ↗Effect of behavior therapy for Tourette's disorder on psychiatric symptoms and functioning in adultsJ. F. McGuire; E. J. Ricketts; L. Scahill; S. Wilhelm; D. W. Woods; J. Piacentini; J. T. Walkup; A. L. Peterson · Psychol Med · 2020Otherdoi:10.1017/s0033291719002150
- 24DOI ↗Current Management of Tics and Tourette Syndrome: Behavioral, Pharmacologic, and Surgical TreatmentsA. Billnitzer; J. Jankovic · Neurotherapeutics · 2020Otherdoi:10.1007/s13311-020-00914-6
- 25DOI ↗Development and Open Trial of a Psychosocial Intervention for Young Children With Chronic Tics: The CBIT-JR StudyS. M. Bennett; M. Capriotti; C. Bauer; S. Chang; A. E. Keller; J. Walkup; D. Woods; J. Piacentini · Behav Ther · 2020Otherdoi:10.1016/j.beth.2019.10.004
- 26DOI ↗Comprehensive systematic review summary: Treatment of tics in people with Tourette syndrome and chronic tic disordersT. Pringsheim; Y. Holler-Managan; M. S. Okun; J. Jankovic; J. Piacentini; A. E. Cavanna; D. Martino; K. Müller-Vahl; D. W. Woods; M. Robinson; E. Jarvie; V. Roessner; M. Oskoui · Neurology · 2019Systematic reviewdoi:10.1212/WNL.0000000000007467
- 27DOI ↗Evidence-based treatment of Tourette's disorder and chronic tic disordersJ. K. Essoe; M. A. Grados; H. S. Singer; N. S. Myers; J. F. McGuire · Expert Rev Neurother · 2019Otherdoi:10.1080/14737175.2019.1643236
- 28DOI ↗Neurocognitive correlates of treatment response in children with Tourette's DisorderS. W. Chang; J. F. McGuire; J. T. Walkup; D. W. Woods; L. Scahill; S. Wilhelm; A. L. Peterson; J. Dziura; J. Piacentini · Psychiatry Res · 2018Otherdoi:10.1016/j.psychres.2017.12.066
- 29DOI ↗Moderators and predictors of response to behavior therapy for tics in Tourette syndromeD. G. Sukhodolsky; D. W. Woods; J. Piacentini; S. Wilhelm; A. L. Peterson; L. Katsovich; J. Dziura; J. T. Walkup; L. Scahill · Neurology · 2017Otherdoi:10.1212/wnl.0000000000003710
- 30DOI ↗Practitioner Review: Treatments for Tourette syndrome in children and young people - a systematic reviewC. Whittington; M. Pennant; T. Kendall; C. Glazebrook; P. Trayner; M. Groom; T. Hedderly; I. Heyman; G. Jackson; S. Jackson; T. Murphy; H. Rickards; M. Robertson; J. Stern; C. Hollis · J Child Psychol Psychiatry · 2016Systematic reviewdoi:10.1111/jcpp.12556
- 31DOI ↗Behavior Therapy for Youth With Tourette DisorderJ. F. McGuire · J Clin Psychol · 2016Otherdoi:10.1002/jclp.22398