Movement Disorders Center at Washington University School of Medicine 

Diagnosis and treatment for pediatric and adult movement disorders, including tic disorders. Contact (314) 362-6908

Occupational Therapy for Comprehensive Behavior Intervention for Tics (CBIT)

Our CBIT program offers strategies to help clients manage their tic-like movements and provides each person with self-regulation strategies to manage daily situations and events that affect them when interacting in their home and community.

Behavior therapy for Tourette syndrome and other tic disorders

Compiled by Kevin J. Black, M.D. (last updated 2017)


  • Names
    • Habit Reversal Therapy (circa 1973)
    • CBIT = Comprehensive Behavioral Intervention for Tics (named circa 2003) — more or less HRT in new clothes
  • Overview
    • a behavior therapy treatment for tics
    • substantial reduction in tics often seen after first session
    • qualifies as a “well-established” treatment for TS under American Psychological Association guidelines (Chambless et al., 1998; Cook & Blacher, 2007)
    • recommended by several experts as the first treatment for many TS patients (Verdellen et al., 2011; Steeves et al., 2012; Leckman, 2014) read more…

Misconceptions of CBIT

Dr. Michael Himle, Associate Professor at the The University of Utah, discusses common misconceptions about Comprehensive Behavioral Intervention for Tics (CBIT), a non-medication treatment designed to teach skills that reduce tic severity and symptoms.

Online and smartphone treatment tools

TicTrainer™ is a web tool meant to help you build your ability to fight tics. BT-Coach is a self-help ERP tool. TicHelper.com provides self- (or parent-)directed CBIT. Click here for more information.