Comprehensive Behavioral Intervention for Tics
(CBIT)
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Comprehensive Behavioral Intervention for Tics (CBIT) is a non-medication based intervention which consists of 3 components, as described by the Tourette Association of America (Tourette.org). The three components include:
1) Patient training to recognize the urge to tic and what tics a person is having.
2)Patient training in developing and using a competing response when they feel the urge to tic.
3) Making changes to day to day activities in ways that can help reduce tic occurrence.
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Why would an occupational therapist provide CBIT?
As an occupational therapist, I am able to help clients not only identify their tics, urges, and competing responses. I am also able to help clients determine how their tics are interfering with daily activities, environments, and engagement in meaningful activities.
Additionally, Occupational Therapists are skilled in helping clients with sensory processing problems, executive functioning challenges, attention, and learning skills. These challenges often occur right along side Tourette Syndrome and Tic Disorders. Therefore, working with an occupational therapist for CBIT allows for a more comprehensive approach to intervention.
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Evaluation: Once your phone intake is completed, you will receive our CBIT intake packet through our patient portal. Once completed, our office will contact you to schedule an occupational therapy evaluation.
You should plan 90 to 120 minutes for your occupational therapy evaluation, for both in person or virtual evaluations. Your occupational therapist will review medical and developmental history, daily routines and activities, your values, beliefs and community engagement, work and career information (for adults), school and education information, and much more.
For children receiving CBIT services, parents and child are required to attend the evaluation session.
For Adults receiving CBIT services, it is recommended that you bring a supportive person to your evaluations and most therapy sessions in order to help you through the CBIT process.
Following your initial evaluation, you will be able to access the full evaluation report on our Patient Portal.
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In General, there are 9 to 11 CBIT sessions that will occur while you are working with your occupational therapist on CBIT.
Weeks 1-6 are scheduled every week at the same time, on the same day each week.
Week 7 and 8 sessions occur every two weeks, to allow you and your support person time to practice what you have learned. After your 8th session of CBIT, additional sessions are considered “Booster” sessions.
Booster Sessions (Sessions 9-11)
Your 9th session is booked 4 weeks after your 8th session and is considered your last “official” session for CBIT. However, two additional sessions (up to 11 sessions) may be added as needed each month, or at any interval needed.
Length of treatment will vary based upon child’s age, awareness of tics and urges, attention, and behavior.
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Children in Motion accepts Insurance for CBIT sessions that are completed within the state of Utah. Please check our Insurance Page for more information regarding our current “In-Network” Plans.
For Out of Network Clients:
If Children in Motion is out of network for your insurance plan, you may choose to pay cash for sessions. You can view our pricing on our Services Page.
Payment Plans are available if needed.
Monthly Superbills are available to all out of network clients, once your weekly balance is paid in full.
Superbills may be submitted by the client directly to their insurance company for reimbursement.
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For Utah residents, CBIT is offered in person at Children in Motion, located in Murray UT.
In person CBIT allows your occupational therapist to engage your family and your child in learning, training, and problem solving in a fun environment.
During each session we will review your current Tics, which tics are the most bothersome, and will work together to develop competing responses for you to practice at home.
Additionally, basic emotional regulation, relaxation, mindfulness, and stress relief strategies will be explored with clients in order to reduce situational and environmental triggers that may increase the urge to tic.
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Can’t make it to our clinic? That is okay! Our providers are also licensed in Utah and Washington state.
Virtual OT services are provided on the same timeline as in-person sessions, but they occur via our HIPAA Compliant Virtual Platform.
Please note, Virtual CBIT is not appropriate for all clients and all age groups. Therefore, we may recommend a different provider that can see you in-person if Virtual CBIT is not likely to be effective for you or your child.
Insurance may not cover Virtual Services. Please contact your Insurance Company first to ensure Virutal Occupational Therapy is covered.
Washington State Clients must pay cash for CBIT Sessions.
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CBIT is well supported by research. Check out these awesome links to help you explore Tourette Syndrome and CBIT Interventions:
CBIT Research by Jan Rowe, PhD, OTR