01
Rate the urge
When you notice a premonitory urge, pause and rate its intensity. Naming it builds awareness.
5
Moderate
010
Disclaimer: This page is not created by licensed professionals or doctors. It draws on the same publicly available information and evidence-based methods, but is not a substitute for medical advice, diagnosis, or treatment.
Evidence-Based Tic Management
Find your
stillness.
CBIT is a highly structured behavioral therapy designed to help you recognize the urge to tic and respond with intentional competing behaviors.
~50%
Average reduction in tic severity reported in randomized CBIT trials.
The three pillars of Comprehensive Intervention
Unlike traditional CBT, CBIT focuses specifically on the path between the premonitory urge and the physical tic.
01
Awareness Training
Learning to identify the subtle 'premonitory urge' — the physical sensation that precedes a tic before it happens.
02
Competing Response
Implementing a specific physical movement that makes it difficult to perform the tic while the urge subsides.
03
Functional Intervention
Identifying and modifying environmental triggers — stress, routine, social cues — that exacerbate tic frequency.
Measurable control.
CBIT doesn't just manage symptoms — it retrains the behavioral response. Through structured practice, patients learn to habituate to the premonitory urge without completing the tic cycle.
- Personalized trigger mapping
- Weekly progress metrics
- Guided competing behaviors
- Family & caregiver coaching
Practice at home
Try the techniques.
Fifteen interactive exercises — five for each pillar. Use them between sessions or as a gentle introduction to the method.
Build sensitivity to the premonitory urge.
02
Tic log
Capture what happened, what preceded it, and how intense it felt.
5
03
Body scan
Move attention slowly through each zone. Notice tension, urges, or stillness.
0 / 8 scanned
04
Mirror practice
Watch yourself in a mirror. Note each tic and the sensation just before it.
00:00
05
Urge counter
Tap each time you notice an urge — whether or not it became a tic.
0
Disclaimer: This page is not created by licensed professionals or doctors. It draws on the same publicly available information and evidence-based methods, but is not a substitute for medical advice, diagnosis, or treatment.