CBT Program

Cognitive Behavior Therapy is an empirically supported treatment for anxiety and mood related issues. It is an umbrella therapeutic modality under which many other treatments fall (e.g. Behavioral Activation, Comprehensive Behavioral Intervention for Tics, Dialectical Behavior Therapy, and Exposure / Response Prevention).

At Cadence, it informs all our treatment plans, and takes center stage for individuals with concerns of:

Low mood or depression
Bipolar disorder
Chronic Pain

As the name suggest, Cognitive Behavior Therapy notes that moods carry both common thoughts and common behaviors which contribute to that mood state. Further, CBT notes that thoughts and behaviors influence one another. Therefore, by altering patterns of thinking or patterns of behavior, an individual has the capacity to change their mood. In therapy, this may involve understanding one’s bodily experience of emotions, how to identify and challenge unhelpful, negative thoughts and expectations, and how to engage in ultimately rewarding behaviors that feel scary or difficult. CBT is present focused and involves active participation and outside of session work.

Concerns of low mood or depression may also be addressed through the implementation of Behavioral Activation. Behavioral Activation is an evidence-based therapy that works to reverse patterns of avoidance that are common reactions to stress, negative life experiences, or predispositions to depression and instead facilitate an individual engaging in values-aligned, rewarding behaviors. Engagement in these goal-directed activities restores mood from the outside-in.

Treatment Options

What is CBT? Through CBT, we learn the skills to identify destructive thought patterns and change our emotional responses. In a departure from talk therapy, CBT involves homework and active practice to develop new behavior patterns.

What does the research say? CBT is backed by over 60 years of research. A meta-analysis of 269 studies shows that CBT is effective in treating a wide range of conditions, including anxiety, depression and OCD, among others (Source: National Institute of Health).

What does treatment look like? Weekly individual therapy session and phone coaching access between sessions.

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What is DBT? DBT is a type of therapy under the umbrella of CBT. Through DBT, we learn the core skills of Mindfulness, Tolerating Distress, Emotional Regulation and Interpersonal Effectiveness . Whereas CBT is highly goal focused, DBT embraces Zen principles of living in the moment and walking the Middle Path.

What does the research say? Randomized clinical trials show DBT in an outpatient setting is the most effective treatment to reduce self-harm and suicidal thoughts and behaviors in adolescents. Given the intensive nature of the program, DBT is also effective for those with a history of failed treatments or multiple diagnoses. (Source: Substance Abuse and Mental Health Services Administration).

What does treatment look like? Weekly individual therapy session, weekly 2-hr group with client and caregiver to learn and practice skills, and 24/7 access to phone coaching support. Minimum commitment of 6 months.

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What is FBT? FBT is a leading treatment for treating adolescent eating disorders in an outpatient setting. In a departure from traditional treatments that frame the family as the primary cause of the eating disorder, FBT views parents as an essential resource to heal. FBT does not focus on why the eating disorder developed; FBT focuses on how to move forward and empower parents as part of the treatment plan.

What does the research say? In a meta-analysis of randomized controlled trials comparing FBT with individual treatments in adolescents with eating disorders, FBT is the most effective over 6-12 months (Source: National Eating Disorders Association).

What does treatment look like? Weekly therapy session with child and caregiver. Commitment of 6+ months.

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Parent Training for Kids (Age 5-9): We hear parents asking how to deal with their child's temper tantrums, how to deal with emotional outbursts after the word 'NO,' how to transition activities (particularly those with children on the autism spectrum).

We are offering the Incredible Years program to solve this need. Supported by over 30 years of research, Incredible Years is a 4 month program with weekly 2-hr groups for parents to learn and practice skills they can apply in the home to increase compliance.

Parent Training for Teens (Age 13 +): We hear parents that are burnt-out from dealing with hostility, defiance, emotional volatility or apathy with their teen. We are offering a 1 month booster for parents to learn some DBT skills alongside other parents in the same journey.

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