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.
Interventions

Four techniques. One protocol.

Every CBIT plan blends the same four building blocks, sequenced and personalized to the individual's tics, age, and environment.

01

Awareness Training

Self-monitoring exercises that build sensitivity to the premonitory urge. Patients log when tics occur, what preceded them, and the bodily sensations involved.

  • Tic logs
  • Mirror practice
  • Urge rating (0–10)
02

Competing Response

A voluntary behavior physically incompatible with the tic, held for ~1 minute or until the urge fades. Tailored to each individual tic.

  • Diaphragmatic breathing for vocal tics
  • Gentle arm tensing for shoulder tics
  • Soft eye-blink hold for eye tics
03

Function-Based Intervention

Identify environmental triggers and reactions that reinforce tics, then restructure routines and responses.

  • Mapping high-tic situations
  • Adjusting school accommodations
  • Coaching family responses
04

Relaxation Training

Stress is a major tic amplifier. Daily relaxation practice lowers the baseline arousal that feeds tic severity.

  • Diaphragmatic breathing
  • Progressive muscle relaxation
  • Guided imagery
Try it

Interactive practice for each technique.

One hands-on exercise per pillar — rate an urge, hold a competing response, map a trigger, or pace your breath.

01

Rate & name the urge

Pause when you notice a premonitory urge. Rate the intensity and describe the sensation in your own words.

5
Moderate

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02

Hold a competing response

Pick a tic, see a physically incompatible response, then hold it for 60 seconds — or until the urge fades.

Competing response

Soft, controlled blink every 5 seconds while looking down

60s

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03

Map a trigger & response

Identify a high-tic situation and what happens around you. Spotting the pattern is the first step to changing it.

5
  • Doing homework
    Parent reminds me to stop
    7
04

4-7-8 breathing

Inhale 4, hold 7, exhale 8. A few rounds lowers baseline arousal — the stress that amplifies tics.

Inhale
4
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© 2026 NeuroPause Clinical Group

Educational information only. Not a substitute for professional medical advice or diagnosis.

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.