Visual Tourettic OCD (VTO), also referred to as “Staring OCD”, is a symptom presentation that is characterized by a fear of staring at other people’s genitals or private body parts. Those with VTO also often experience somatic sensations similar to premonitory sensations in tic disorders (e.g., tingling around the eyes) leading some to suggest that this symptom presentation should be viewed as a distinct form of “Tourettic OCD” (TOCD) in which symptoms of OCD and chronic tic disorders are closely intertwined. Consequently, it has also been argued that existing cognitive-behavioral interventions for OCD need to be adapted to address the unique features of TOCD. The current case study describes the application of inference-based cognitive behavioral therapy (I-CBT) for a 52-year-old with a symptom presentation of VTO, including symptoms resembling those commonly ascribed to TOCD (tics, compulsions, and premonitory urges). Over the course of 16 weekly sessions with I-CBT, the client reached the complete remission of OC symptoms, together with a significant reduction in related symptoms (e.g., depression, social anxiety). Implications for the conceptualization and treatment of forms of OCD that appear to be intertwined with tic disorders will be discussed.