CBIT for Adults with Tics: Breaking Free from Tic Interference

Tics don’t only affect children-many adults continue to experience them well into their 20s, 30s, 40s, and beyond. For some, tics may have started in childhood and persisted, while for others, they may return after years of improvement. Regardless of when or how tics present in adulthood, they can interfere with daily routines, work performance, social comfort, and overall well-being.

What is CBIT?

Comprehensive Behavioral Intervention for Tics (CBIT) is an evidence-based, non-medication approach for reducing tic severity and improving quality of life. CBIT focuses on three main components:
1. **Awareness Training** -Learning to identify the premonitory urge or sensations that come before a tic.
2. **Competing Response Training** -Practicing an alternative, voluntary movement that makes the tic more difficult or impossible to do.
3. **Functional Interventions** -Identifying and addressing environmental triggers that worsen tics.

Why CBIT Works for Adults

While some adults assume that tics are ‘set in stone,’ research shows that CBIT can help reduce both the frequency and impact of tics at any age. Adults often benefit from CBIT because they can better recognize patterns, commit to practice, and integrate strategies into real-world situations.

What to Expect in CBIT Sessions

A CBIT-trained occupational therapist or psychologist will work with you to:
- Understand your unique tic patterns
- Build personalized competing responses
- Develop a realistic practice schedule
- Reduce tic triggers and environmental stressors

CBIT is typically provided over 8-10 weekly sessions, though some adults may benefit from shorter or longer treatment plans.

Beyond Tic Reduction

CBIT doesn’t just help reduce tics -it also supports emotional well-being, confidence, and self-advocacy. Many adults report better focus, less embarrassment, and greater control over their bodies after completing the program.

Getting Started

If you’re an adult living with tics and want to explore CBIT, consider reaching out to a CBIT-trained professional who can help!