Is your child’s tics, anxiety, or rigid behaviors “just a phase” – or something more? In this episode of the Autism Roundtable, Leah sits down with Dr. Meir Flancbaum, a clinical psychologist and CBT expert, to unpack tics, Tourette’s, anxiety, and OCD, and what all of this really means for your child, your family, and for you as a parent.

Dr. Meir Flancbaum introduces his background as a psychologist and founder of the Center for Cognitive Behavior Therapy, explaining how CBT helps children, teens, and families through structured, research-based strategies. He outlines the CBT triangle of thoughts, feelings, and actions, and shows how this framework applies to conditions like anxiety, OCD, and Tourette’s.

He then breaks down tics and Tourette’s syndrome, clarifying the difference between motor and vocal tics, and why Tourette’s is often misunderstood. Dr. Flancbaum explains the biological and hereditary roots of tics, the factors that intensify them, and how Habit Reversal Training teaches children awareness and alternative responses. He contrasts tics with autistic stimming, emphasizing that tics relieve discomfort, while stims provide soothing reinforcement. This leads to a broader discussion about acceptance, perspective-taking, and supporting children without increasing stress or pressure.

The conversation continues with anxiety and OCD, both framed as cycles fueled by avoidance and short-term relief. Dr. Flancbaum explains anxiety as a “false alarm,” discusses why rates may be increasing, and outlines CBT and medication options. He also describes OCD as intrusive thoughts paired with compulsive behaviors, treated through exposure and response prevention. The episode closes with guidance for parents: focus on progress, embrace “golden nugget” moments, and remember that raising a neurodivergent child may require more care—but the “roses in a tulip garden” are often the most meaningful gifts.

Time Stamps:

• 00:00 – 06:30 | What is Cognitive Behavioral Therapy (CBT)? The CBT triangle and real-life examples
• 06:30 – 12:30 | Tics and Tourette’s explained: motor vs. vocal tics, common misconceptions, and heredity
• 12:30 – 15:40 | Treatment for tics: Habit Reversal Training, awareness, social support, and “tic busters”
• 15:40 – 21:40 | Stimming vs. tics: reinforcement, the mosquito-bite analogy, and why blocking tics can be helpful
• 21:40 – 28:30 | Acceptance, perspective, and parenting: education, expectations, and understanding your child
• 28:30 – 37:50 | Anxiety as a “false alarm”: what anxiety is, why it’s on the rise, and how society has changed
• 37:50 – 46:30 | Treating anxiety: pills, skills, or both? CBT tools, cognitive restructuring, and exposure therapy
• 48:50 – 55:30 | OCD 101: obsessions, compulsions, contamination fears, mental loops, and the “thought filter”
• 55:30 – 59:30 | Comorbidities: Tourette’s, ADHD, anxiety, OCD together – what to treat first and why
• 59:30 – 1:02:30 | Final message to parents: golden nugget moments, roses in a tulip garden, and being kind to yourself