CBIT Myths and Misunderstandings-And What the Science Really Says

Comprehensive Behavioral Intervention for Tics (CBIT) has been life-changing for many children, teens, and adults living with tic disorders. But despite its strong evidence base, there’s still confusion about what CBIT is, what it can (and can’t) do, and who it’s for. Let’s clear up some of the most common myths.

Myth #1: CBIT is just “holding your tics in.”

The truth: CBIT isn’t about simply suppressing tics. It teaches individuals to notice the urge before a tic happens and respond with a competing response-a movement that makes the tic harder to perform. Over time, this can retrain the brain’s response patterns and reduce tic frequency or intensity.

Myth #2: CBIT is only for mild tics.

The truth: CBIT has been shown to help people with both mild and severe tics. While results vary, many individuals with more noticeable tics report meaningful improvements in daily function and comfort.

Myth #3: CBIT works instantly.

The truth: Like learning any new skill, CBIT takes time and practice. Progress often happens gradually, over weeks or months, as competing responses become automatic and easier to use in different situations.

Myth #4: Kids can’t do CBIT because it’s too hard.

The truth: With the right therapist and age-appropriate strategies, children as young as 6–7 years old can learn and benefit from CBIT. Sessions are adapted to a child’s developmental level, attention span, and interests.

Myth #5: CBIT “cures” tics.

The truth: CBIT isn’t a cure, but it can significantly reduce tic severity and improve quality of life. Many people continue using CBIT skills long after therapy ends to maintain progress and manage new tics.

CBIT is not a quick fix, but it is a well-researched, highly effective behavioral approach for tic management. The key is realistic expectations, consistent practice, and working with a trained provider.

If you’re curious whether CBIT could help you or your child, reach out for an assessment. The right knowledge-and the right strategies-can make all the difference.