CBIT THERAPY IN NEW YORK

Tic and Tourette Treatment in New York Using CBIT

Specialized online therapy for children, teens, adults, and families seeking support for tics, Tourette syndrome, and chronic tic disorders.

Evidence-Based Tic Treatment

CBIT, Comprehensive Behavioral Intervention for Tics, is a structured behavioral therapy designed to help people understand their tics, notice tic urges, and practice skills that can reduce tic-related interference.

CBIT does not mean tics are intentional. It gives clients tools for managing symptoms when tics are painful, disruptive, stressful, or getting in the way of daily life.

Licensed care for:
Clients located in New York


WHAT TICS CAN LOOK LIKE

When Movements or Sounds Feel Hard to Control

Tics are sudden, repeated movements or sounds. Some people experience motor tics, vocal tics, or both. Tics can change over time and may become more noticeable during stress, excitement, fatigue, transitions, or high-pressure situations.

For some people, tics are mild and do not require treatment. For others, tics can cause pain, embarrassment, social stress, school or work disruption, family conflict, or avoidance of situations where tics feel more visible.

  • Eye blinking, facial movements, head movements, shoulder movements, or other motor tics

  • Throat clearing, sniffing, coughing, words, sounds, or other vocal tics

  • Premonitory urges, tension, pressure, or discomfort before a tic

  • Tics that interfere with school, work, sports, sleep, social life, or daily routines

  • Co-occurring OCD, anxiety, ADHD, perfectionism, or shame around symptoms

TREATMENT APPROACH

CBIT is structured, collaborative, and skill-based

CBIT typically includes education about tics, awareness training, competing response practice, functional interventions, and strategies for situations that make tics worse. The work is specific to each person’s tic pattern and daily life.

The goal is not to blame, pressure, or demand perfect control. The goal is to build usable skills that can reduce tic severity, tic-related distress, and the impact tics have on school, work, relationships, and confidence.

  • Understand the tics

    We identify tic patterns, urges, triggers, settings, and the ways tics are affecting daily life.

  • Learn competing responses

    We practice specific responses that can be used when an urge appears, with coaching and repetition.

  • Support real-life use

    We plan for school, work, family, stress, transitions, and other situations where tics may increase.

FREQUENTLY ASKED QUESTIONS

CBIT and Tourette Therapy Questions

These questions are written for people searching for tic treatment, Tourette treatment, and CBIT therapy in New York.

  • CBIT stands for Comprehensive Behavioral Intervention for Tics. It is an evidence-based behavioral therapy for Tourette syndrome and chronic tic disorders. CBIT usually includes tic education, awareness training, competing response practice, relaxation or coping strategies, and changes to situations that make tics worse.

  • Yes. Ricardo Despradel, LMHC-D, LPC provides online therapy for clients located in New York, including support for tics, Tourette syndrome, OCD, anxiety, and related concerns.

  • No. CBIT is not a cure for Tourette syndrome, and it does not help everyone in the same way. It is a skill-based treatment that can help many people manage tics and reduce the impact tics have on daily life.

  • Yes. CBIT can be used with children, teens, and adults. Adults may seek CBIT when tics interfere with work, relationships, social confidence, sleep, or physical comfort.

  • Tics often occur alongside other concerns, including OCD, anxiety, and ADHD. Treatment can address tic symptoms while also helping clients understand and manage anxiety, compulsions, avoidance, or shame connected to symptoms.

  • The first step is a consultation to discuss current tic symptoms, age, goals, co-occurring concerns, and whether online CBIT-focused therapy is a good fit.