Maximizing CBIT Success: Tips, Tricks, and Real-Life Strategies
Comprehensive Behavioral Intervention for Tics (CBIT) is a proven approach to help individuals reduce tic frequency and improve daily functioning. While the therapy itself is powerful, success depends on preparation, consistent practice, and support beyond the therapy room. Here are practical strategies to help you or your child get the most out of CBIT.
1. Prepare for CBIT
Before starting CBIT, take time to set realistic goals and gather background information. Keep a tic diary for one to two weeks to identify common triggers, times of day when tics are worse, and situations where tics interfere with daily life. Discuss these patterns with your CBIT provider so sessions can be tailored to your unique needs. Preparation also includes managing expectations-CBIT is a skill-building process, not an overnight solution.
2. Reinforce Skills at Home
CBIT works best when practiced daily outside of therapy sessions. Set aside a few minutes each day to rehearse competing responses and relaxation strategies. Pair practice with existing routines-such as after brushing teeth or before bedtime-to build consistency. Parents can offer gentle reminders, but avoid pressuring the child, as stress can increase tics.
3. Involve School or Workplace Supports
Teachers, school counselors, and employers can play a crucial role in CBIT success. Share information about the therapy and strategies being used so they can support practice during the day. In schools, this may include providing discreet opportunities for the student to step out and use a competing response or adjusting seating to reduce distractions. In the workplace, flexibility in break times or workspace arrangement can make practice easier.
4. Handle Plateaus in Progress
It’s normal for tic improvement to level off at times. Plateaus are part of the learning process and not a sign of failure. If progress slows, review your tic diary to see if new triggers have emerged, or if certain competing responses need adjusting. Stay in communication with your CBIT provider-they can introduce new strategies or tweak existing ones to reignite progress.
Bottom Line
CBIT can be a highly effective tool for managing tics, but it works best when approached with preparation, consistent practice, and a strong support system. Whether you’re a parent, teacher, or individual with tics, your active involvement can make a significant difference in long-term success.