A traditional CBIT protocol you can do with a therapist or on your own. Each session has a clear focus, in-session activities, and between-session homework — interactively tracked so you can see progress build.
Disclaimer: This therapy plan is for educational and informational purposes only. It is not licensed medical or clinical advice, nor is it intended to replace care from a qualified healthcare professional. CBIT (Comprehensive Behavioral Intervention for Tics) should ideally be delivered by a trained clinician. If you have severe symptoms, are unsure of your diagnosis, or need medication guidance, please consult a licensed neurologist, psychiatrist, or CBIT-trained therapist. This is one possible approach — not the only route of action.
Understand CBIT, name every tic, set baseline severity.
You can name every tic and rate baseline severity without thinking.
Finish session 1 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Detect the urge BEFORE the tic fires.
You catch the urge first 50%+ of the time on your target tic.
Finish session 2 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Learn a physically incompatible response for your top tic.
CR catches the urge ≥60% of the time on target tic.
Finish session 3 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Map situations that spike tics and design environment fixes.
Top 3 triggers identified and 2 accommodations in place.
Finish session 4 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Lower baseline arousal; add CR for second tic.
Baseline urge ratings drop ≥1 point. Tic #2 CR catches ≥40% of urges.
Finish session 5 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Use CRs reliably in the hardest contexts (school, social, performance).
You can use CRs in 2 of your 3 hardest situations.
Finish session 6 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Add third CR; build a relapse-prevention playbook.
All 3 CRs in use. Flare playbook written and shared with one support person.
Finish session 7 to unlock
Complete every activity and homework item above. The order matters — each session builds on the last.
Lock in gains; transition to self-directed maintenance.
Average tic severity ↓ ≥30% from baseline. Maintenance plan on calendar.
Your Certificate of Completion
Finish all 8 sessions to unlock a dated, printable, emailable achievement certificate with your full activity record.
This plan mirrors the standard 8-session CBIT protocol used in clinical research. It is educational and not a substitute for care from a trained CBIT clinician — find one via the Find Care page if symptoms are severe or if you need a formal diagnosis or medication guidance.