What it is
Tics are sudden, repeated movements or sounds that can feel difficult to control. They may be simple, like a blink or a throat clear, or more complex, involving a series of movements or words. Tourette is a condition in which a person has both motor and vocal tics over a period of time.
Many people describe a build-up of tension or an urge before a tic happens, sometimes called a premonitory urge. Doing the tic can bring a brief sense of relief, which is part of why tics can be so persistent.
Tics often change over time and can be influenced by stress, excitement, tiredness or focus. They vary widely from person to person, which is why individualized support and a licensed professional's guidance matter.
How it’s traditionally been approached
In the past, tics were often misunderstood and sometimes mistakenly seen as behaviors a person could simply stop if they tried harder. Over time, our understanding has grown, and tics are now recognized as involuntary and neurologically based rather than willful.
Historically, the focus was often on reducing tics through various means, and medication decisions have always been made with a licensed prescriber. Some people continue to explore that option with their medical team.
Today, behavioral approaches are a well-studied part of how many people learn to manage tics. One widely recognized approach is Comprehensive Behavioral Intervention for Tics, often shortened to CBIT, which therapists trained in tic disorders may use.
How a therapist may help
A therapist who uses cognitive and behavioral approaches, such as a CBIT-trained therapist, may help you better understand your tics and the situations and urges connected to them. Sessions often begin with getting to know your specific patterns and what you'd like to work toward.
Together, you might explore how awareness of premonitory urges works and practice new ways of responding when an urge arises. Therapists often help people notice the role of stress and daily routines, and work on reducing worry or self-judgment that can build up around tics.
This kind of work is collaborative and tailored to you, not a one-size-fits-all script. For some people, these skills can become tools they carry into everyday life, though outcomes vary and nothing is guaranteed.
Where mind meets body
Tics live where the mind and body meet. Thoughts, emotions and the body's stress response constantly influence one another, and many people notice that stress, excitement or tension can affect how tics show up. Learning to notice and settle the body may complement the mental and behavioral skills a therapist teaches.
Because of this connection, some people choose to pair thinking-based therapy with body-based (somatic) practices for a more whole-person approach. You can learn more about body-based options at our sister site, Somatic Experiences. Neither approach replaces the other, and many people find value in exploring both.
Explore on Somatic Experiences: neurodivergent →Explore on Somatic Experiences: biofeedback →
Keep in mind
- Tics and Tourette are best understood and supported with the guidance of licensed professionals.
- Medication decisions are always made with a licensed prescriber, not through self-help or coaching.
- Coaching, groups and self-help resources can offer support and education, but they do not treat any condition.
- If you or someone you know is in crisis, people in the US can call or text 988 or call 911.
Therapists who often help
Get matched privatelyFrequently asked questions
What are tic management skills?
Tic management skills are strategies people learn to better understand and respond to their tics. They often involve building awareness of the urges that come before a tic and practicing new ways to respond. A therapist trained in tic disorders can help tailor these skills to your situation.
What is CBIT and who provides it?
CBIT stands for Comprehensive Behavioral Intervention for Tics, a behavioral approach used by therapists trained in tic disorders. It focuses on increasing awareness of tics and developing new responses, along with addressing situations that may affect them. A qualified CBIT therapist can explain whether it may be a fit for you.
Can therapy make tics go away completely?
Therapy does not promise to cure tics or make them disappear completely. Many people find that behavioral approaches help them feel more in control and less distressed by their tics, but results vary from person to person. A licensed professional can give you a realistic picture based on your needs.
Does stress make tics worse?
Many people notice that stress, excitement or tiredness can affect how often or how strongly tics show up. Because thoughts, emotions and the body's stress response are connected, learning to manage stress may be part of a supportive approach. A therapist can help you explore your own patterns.
Do I need medication for tics?
Medication decisions are made with a licensed prescriber, who can discuss whether it may be appropriate for you. Some people explore behavioral approaches, some consider medication, and some combine options with their care team. Behavioral therapy and medication are separate paths that a professional can help you weigh.
How do I find a therapist who helps with tics?
You can look for therapists who specialize in tic disorders or who are trained in CBIT. Our directory connects people with independent therapists who use cognitive and behavioral approaches. It helps to ask about their experience with tics and Tourette when you reach out.
Educational resource. Therapists.plus shares general information and connects people with independent therapists, coaches and groups. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health. In a crisis in the US, call or text 988 or call 911.
