Inclusion Criteria:  Youth participants are between seven and 17 years old Meet diagnostic criteria for a primary or co-primary diagnosis of a Tic Disorder Are available to participate in all sessions Are comfortable in English Youth participants have at least borderline clinician symptoms of ADHD, oppositional defiant disorder (ODD), obsessive compulsive disorder (OCD) and/or an anxiety disorder.  Exclusion Criteria:  Are identified as having a psychiatric condition that is more impairing and requiring treatment prior to a tic intervention. Meet criteria for Autism Spectrum Disorder.