CBIT Occupational Therapy for Tic Management

Empowering individuals with tics to gain control and confidence-through evidence-based, compassionate care.

What Is CBIT?

Comprehensive Behavioral Intervention for Tics (CBIT) is a research-backed, non-medication approach for managing tics associated with Tourette Syndrome and other tic disorders.

It’s based on:
- Awareness training
- Competing response training
- Strategies to reduce tic triggers

CBIT is effective for both children and adults and can significantly improve daily function and quality of life.

Why Choose an Occupational Therapist for CBIT?

As an occupational therapist (OT) trained in CBIT, I bring a whole-person, function-focused lens to treatment. We don’t just target tics-we explore how they impact your:
- School or work routines
- Social participation
- Emotional regulation
- Daily habits (sleep, grooming, transitions, etc.)

Together, we create personalized strategies that support your goals and values—at home, school, or in the community.

Meet Your Provider

Ellen Cullen, OTD, MS, OTR/L, BCP
Board-Certified Pediatric Occupational Therapist | CBIT-Trained Provider

With decades of experience supporting children and families, I specialize in empowering clients with tic disorders through a compassionate, neurodiversity-affirming approach. I offer:
- Virtual CBIT services throughout New York State
- In-person sessions in the Greater Rochester, NY area

What to Expect from CBIT with an OT

Step 1: Initial Evaluation
Understand tic patterns, triggers, and how they affect daily life.

Step 2: Skill Building
Learn awareness techniques and competing responses through personalized coaching.

Step 3: Functional Integration
Apply strategies to real-life settings and routines-with support for family and school partners.

Services Offered

- Virtual CBIT sessions for school-age children, teens, and adults
- In-person appointments (Rochester, NY area)
- Collaboration with teachers and medical professionals
- Parent coaching and support

Is CBIT Right for You?

CBIT is ideal if:
- You or your child have persistent motor or vocal tics
- You're looking for a non-medication option
- You're ready to learn strategies to increase control and reduce distress
- You want to work with someone who understands the occupational impact of tics

A formal diagnosis of a tic disorder is required to begin services.

Let's Connect

Ready to get started or have questions?

👉 Contact Me to schedule a free phone consultation.
📅 Flexible scheduling | ☎️ Virtual and in-person options

Serving New York State

CBIT occupational therapy services are available via telehealth statewide in New York and in person in the Rochester, NY area.