Remote Delivery of a Mindfulness-based Intervention for Tics

Inclusion Criteria:

1. be ≥18 years of age;
2. meet diagnostic criteria for a primary or co-primary diagnosis of Tourette Syndrome or a Persistent Motor or Vocal Tic Disorder on a structured clinical interview;
3. have moderate or greater tic severity as evidenced by a YGTSS Total Tic Score of \>14 (when motor and vocal tics are present) or \>10 (when only motor or vocal tics are present);
4. be medication free and/or on a stable dose of psychiatric medication 8 weeks prior to study participation;
5. be not engaged in psychotherapy for non-TS conditions and/or be on a stable course of therapy for 6 months prior to study participation
6. be fluent in English;
7. have access to a smart phone and/or tablet.

Exclusion Criteria:

1. a current diagnosis of substance use disorder, psychosis, mania or another condition that requires another form of care;
2. severe current suicidal/homicidal ideation and/or self-injury requiring medical intervention;
3. concurrent psychotherapy for TS;
4. prior extensive experience with mindfulness and/or meditation.