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)
Every CBIT plan blends the same four building blocks, sequenced and personalized to the individual's tics, age, and environment.
Self-monitoring exercises that build sensitivity to the premonitory urge. Patients log when tics occur, what preceded them, and the bodily sensations involved.
A voluntary behavior physically incompatible with the tic, held for ~1 minute or until the urge fades. Tailored to each individual tic.
Identify environmental triggers and reactions that reinforce tics, then restructure routines and responses.
Stress is a major tic amplifier. Daily relaxation practice lowers the baseline arousal that feeds tic severity.
One hands-on exercise per pillar — rate an urge, hold a competing response, map a trigger, or pace your breath.
Pause when you notice a premonitory urge. Rate the intensity and describe the sensation in your own words.
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Pick a tic, see a physically incompatible response, then hold it for 60 seconds — or until the urge fades.
Soft, controlled blink every 5 seconds while looking down
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Identify a high-tic situation and what happens around you. Spotting the pattern is the first step to changing it.
Inhale 4, hold 7, exhale 8. A few rounds lowers baseline arousal — the stress that amplifies tics.
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