We offer three interventions that have been shown to help manage Tics, namely Habit Reversal Therapy, Exposure/Response Prevention and Comprehensive Behavioural Intervention for Tics.

We will also support you or your child with co-occurring difficulties as well as supporting with classroom strategies and liaison with school. For further information on Tics, Tourette Syndrome and behaviour therapies please see https://www.tourettes-action.org.uk/71-behavioural-therapies.html

FAQs

What Is The Difference Between Tics And Tourette Syndrome?

Tics are involuntary movements or sounds that happen repeatedly. The primary difference between tics and Tourette Syndrome lies in the duration, variety and frequency of the involuntary movements or sounds. A tic is a singular occurrence, either motor (like blinking) or vocal (like throat clearing) that may be temporary and often resolves within a year. In contrast, Tourette Syndrome is a chronic neurological condition that often begins before 18 years old, diagnosed only when a person has had multiple motor tics and at least one vocal tic for more than one year.

Many children experience transient tics during development that never evolve into Tourette Syndrome, which typically requires a more comprehensive management plan involving behavioral therapy, ERP or habit reversal training.

When Should I Seek Treatment For My Child’s Tics?

If your child’s tics are causing them distress or physical pain at home, in school or in social settings then it may be time to consider professional support. We recommend a consultation with one of our Clinical Psychologists experienced and trained in working with tics and Tourette Syndrome. 

 Tourette Syndrome and other tic disorders may occur alongside anxiety, ADHD or obsessive compulsive disorder (OCD). Treatment can improve control over the tics, can improve self esteem, reduce stress and support everyday life. We can also assist with education and interventions for school.

What Does Tics and Tourette Syndrome Treatment At CY&A Psychology Involve?

At CY&A psychology, we provide evidence-based interventions for tics and Tourette Syndrome in-person in our London clinic and online. We use structured behavioural therapy approaches: habit reversal therapy; exposure and response prevention (ERP), and Comprehensive Behavioural Interventions for Tics (CBiT) adapted for children and young people, also delivered to adults.

Our clinical psychologists also work closely with parents, schools and sometimes other healthcare professionals to create supportive environments. We address both the tics themselves and any co-occurring conditions such as attention deficit hyperactivity disorder (ADHD); anxiety or OCD.

Can Cognitive Behavioural Interventions Support Tic Disorders?

Yes. Evidence-based cognitive behavioural interventions – CBiT, ERP and Habit Reversal Therapy- can be effective for children and young people with a tic disorder or Tourette Syndrome. These therapies focus on helping the young person understand triggers, manage symptoms and build coping strategies.

CBT intervention can also assist with the common co-occurring conditions such as ADHD, OCD and Anxiety. 

Are Vocal Tics Treated Differently From Motor Tics?

No, both vocal and motor tics are primarily treated using Comprehensive Behavioral Intervention for Tics (CBIT), ERP or Habit Reversal Therapy. The core strategy involves identifying the warning sign that the tic is coming, the ‘premonitory urge’ and practicing a competing response that is physically incompatible with the tic.

Whether the tic is a shoulder shrug or a throat clear, the goal remains the same: strengthening the brain’s ability to inhibit the involuntary impulse through targeted behavioral exercises.

Can Cognitive Behavioural Therapy Help Children With Co-Occurring Conditions?

Yes. Many children with Tourette Syndrome or a tic disorder also experience ADHD, anxiety or obsessive compulsive disorder. Our experienced Clinical Psychologists design specific treatment plans that address these needs.

Working with children and young people, our team also provides support for parents and liaises with other professionals, including schools. This combined approach ensures that emotional wellbeing, learning and home life are all supported alongside tic management.

Our Charges

Our session fees range from £200 to £250, depending on who you are working with, and £85 for our Assistant Psychologist. The number of sessions required will be based on your needs, which will be assessed at your initial appointment. An approximate number of sessions will be recommended. We will informally review progress every four sessions throughout your care. Our egg timers provide a rough guide for you.

CY&A Mild Icon

Mild

1-8 sessions

CY&A Mild Icon

Moderate

8-16 sessions

CY&A Mild Icon

Long term

16+ sessions

We accept payments from these insurance companies

Bupa GlobalCigna  WPA Provident

When you visit...

Set in a quiet corner of Marylebone, our townhouse setting has been thoughtfully designed to create a welcoming, comfortable, and calming environment for children, young people, and their families.

Read more about our practice
Our townhouse in Marylebone, London

Please fill out the form below and we’ll get back to you. Alternatively, you can call us on 020 7458 4570 or send us a WhatsApp.

Don’t forget to check our frequently asked questions.

If your teen would like to build and strengthen their social skills and friendships then register for our PEERS® group (call or email us). It starts on 8th September 2026 at 7pm (PEERS® is UCLA’s Program for the Education and Enrichment of Relational Skills)