Incorporating teleCBIT Into a Hospital-Based Tic Program

Inclusion Criteria: * age 5-65, diagnosis of Tourette Syndrome or other persistent tic disorder (per diagnostic interview and self-report of prior physician diagnosis) * Clinical Global Impressions - Severity Score \> 3 (i.e., "moderately ill" or worse), * unmedicated or on stable medication treatment for tics and psychiatric problems, * fluency in English * a functional accessible home computer and high speed (i.e., cable/DSL) internet connection * willingness to sign a release of information to contact a local, licensed medical or mental health provider, of whom they are currently a patient (in case of emergent safety concerns). * Minor participants must have a parent or guardian who is fluent in English available to attend treatment and assessment sessions. Exclusion Criteria: * significant suicidality, (i.e., a score of \> 12 on the MINI or MINI-Kid suicidality module); * prior diagnoses of intellectual disability; pervasive developmental disorder, mania, schizophrenia, psychotic disorder, substance abuse, substance dependence, or conduct disorder; currently experiencing a psychosocial, psychiatric, or neurological problem that requires immediate care * lack of a functional home computer with high speed (i.e., cable or DSL) internet connection; * or, prior receipt of \>3 previous sessions of behavior therapy for tics within the past year (per self/parent report)