Online OTs is an occupational therapy practice that specializes in Habit Reversal Training. CBIT Therapy and ComB treatment protocols are used to address tic disorders including Tourette Syndrome, as well as Body-Focused Repetitive Behaviors (BFRB) such as excessive skin picking and hair pulling. We have also supported hundreds of youth recovering from a sudden onset Functional Neurological Disorder commonly known as TikTok Tics.
All services are conducted via telehealth on a HIPPA-compliant Google Meet platform. Online OTs is based in Boston and licensed to provide services throughout MA, NY, NH, VT, and ME.
Online OTs specializes in CBIT Therapy as well as the ComB protocol.
Our Boston-based telehealth treatment includes the following components for tics and body-focused repetitive behaviors (BFRB):
Awareness training:
Competing response training:
Conditions addressed with CBIT Habit Reversal Training include:
Tics are unvoluntary and repetitive sudden muscle movements (motor tics) or uttered sounds (vocal tics) which can be highly disruptive in daily life. Tics are often very distracting, frustrating, painful, stressful, and embarrassing. Tics tend to worsen during times of anxiety, excitement, and boredom. They wax and wane over weeks, months, and years. Some tics last a lifetime while others fade away and new ones appear. Common motor tics include repetitive blinking and unusual eye movements, shoulder shrugging, and head jerks. Common vocal tics include throat clearing, and saying words or sentences. Tics often involve complex movements and sounds such as torso twisting with facial and neck movement and a high pitched noise. CBIT Therapy is the most effective strategy to manage tics in Boston and throughout the world.
Tic Disorders include:
Functional Neurological Disorder (FND) is a physical and / or sensory impairment that is due to an abnormality in how the brain processes information rather than structural damage in the brain. FND occurs suddenly but is often preceded by a lengthy period of heightened anxiety and loneliness. People with FND benefit from a proper diagnosis and guidance identifying and addressing stressors. Inhibiting unwanted and involuntary movements is also critical.
Online OTs treat patients with the following FND conditions:
Body-Focused Repetitive Behaviors (BFRB) are habitual grooming actions that cause significant physical damage to hair, skin, or nails. Online OTs utilizes two habit reversal programs (the ComB protocol and CBIT Therapy) to address unwanted repetitive behaviors. The ComB model was designed specifically for concerns such as excessive hair pulling, skin picking, and nail biting to address some of the sensory, cognitive, and emotional triggers. CBIT, which was initially used to address tics and Tourette Syndrome, enables patients and therapists a means to better understand the anatomy and physiology behind behaviors.With Online OTs, patients learn to use common household items as barriers to habitual actions and are introduced to wearable technology when appropriate. Training in CBIT Competing Responses also decreases unwanted movements and behaviors, as well as the urges that precede them.
Body-Focused Repetitive Behaviors include:
It should be noted that some of these behaviors seem to be somewhat weather related. When the skin is exposed to colder temperatures and lower levels of moisture, it can become dry and irritation can occur. Be sure to moisturize during the long winter months in New York,Boston, and the rest of New England, Contact a dermatologist if at risk for infections or other damage to the skin.
Online OTs accepts private pay, Mass General Brigham Health Plan, and Blue Cross Blue Shield. A referral from a PCP and pre-authorization is required for BCBS HMO plans.
Online OTs and CBIT Therapy
Phone: 617-221-5944 Fax: 857-202-5085
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