Online OTs is an occupational therapy practice specializing in Tics and Tourette Syndrome, as well as Body-Focused Repetitive Behaviors. Our expertise includes CBIT Therapy Habit Reversal Training and sensory regulation strategies. Telehealth is available in Boston, as well as most of New England and New York.
Online OTs specializes in sensory-based CBIT Habit Reveral Training. We support patients with vocal and/or motor Tic Disorders, as well as Body-Focused Repetitive Behaviors. Our CBIT Therapy services are in collaboration with clinicians at Boston Children's Hospital, UMass Memorial, Mass General, and numerous medical practices throughout New England and New York.
Common tics include blinking, head jerking, shoulder shrugging, mouth widening, facial grimacing, throat clearing, sniffing, humming, high pitched noises, saying words or phrases repeatedly, and arm movements. More complex tics include touching the ground, jumping, rolling forward, tics that make it difficult to walk, and involuntarily saying swear words or racial slurs.
Common Body-Focused Repetitive Behaviors (BFRB) include compulsive nail biting, hair pulling, cheek or lip biting, nose picking, and skin picking or scratching.
CBIT Therapy Habit Reversal Training (HRT) is an individualized evidence-based form of behavioral therapy. The goal is to replace unwanted repetitive actions with more meaningful and purposeful behaviors. The therapy process begins with a comprehensive evaluation which includes an initial training session.
CBIT Habit Reversal Training with Online OTs includes the following components:
Our goal-focused and evidence-based CBIT Therapy Habit Reversal Training is provided with great care and empathy. We focus on where you are at right now and help guide you toward where you want to go. Change often begins during the very first session and has lasting results.
Online OTs is based in Boston and provides support throughout MA, NY, CT, NH, ME, and VT. We accept most BCBS and MGBHP plans, and private pay.
Tics are repetitve, sudden, quick, and involuntary movements or vocalizations. The neurological cause of these behaviors is not fully understood but research is ongoing and led largely by funding from the Tourette Association of America. Common tics include blinking, shoulder shrugging, head jerking, throat clearing, coughing, jumping, mouth widening, nose scrunching, humming, and saying words or phrases repeatedly. The number, frequency, and intensity of tics vary from patient to patient and throughout the day and over time. Tics often decrease quality of life by causing pain, embarrassment, frustration, and anxiety. Tics can also make it hard to get to sleep at night and to perform daily activities throughout the day. People with Tic Disorders often have significant co-existing conditions such as OCD, ADHD, BFRB, Anxiety, Dysgraphia, Gender Dysphoria, behavioral concerns, and Autism. Despite these difficulties, it is important to know that many people with Tourette Syndrome and other Tic Disorders are resilient and thrive with proper support. Online OTs provides CBIT Habit Reversal Training via telehealth for the following Tic Disorders:
A thorough evaluation with a neurologist specializing in Tic Disorders is necessary to determine a proper diagnosis and to rule out other medical conditions that may be causing tic or tic-like behaviors.
Body-Focused Repetitive Behaviors (BFRB) is a cluster of compulsive and habitual grooming actions that are often mistaken for tics and Tourette Syndrome. BFRB causes significant damage to a patient's hair, skin, or nails. Most of these behaviors start in childhood and are a source of significant distress and isolation. Online OTs utilizes CBIT & ComB Habit Reversal Training to raise awareness of sensory, cognitive, environmental, motor, and emotional triggers that lead to harmful behaviors. Patients learn to modify their surroundings and to protect themselves with blockers ranging from household items to competing response holds. Patients are also introduced to wearable technology and community supports. Therapy also involves developing plans to replace time currently spent on unwanted actions with enjoyable leisure activities. Online OTs provides Habit Reversal Training for the following BFRBs:
People with a BFRB tend to have a long history of trying to stop their behaviors and hiding them from others. Many carry a sense of shame and a tendency to isolate from others. Online OTs is here to support you every step of the way and will help put useful strategies in place from the very start of your training program.
CBIT Therapy is available from our home office in Boston to your home in NY, CT, NH, VT, ME, or MA. Online OTs offers highly personalized and compassionate CBIT Therapy support for tics and BFRB. Telehealth sessions are conducted on a HIPPA-compliant form of Google Meet. Family members, pets, and fidgets are always wel
Online OTs and CBIT Therapy
Phone: 617-221-5944 Fax: 857-202-5085
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