Trauma Treatment

When an individual experiences something that is horrible or frightening, the instinctive response may be to avoid memories, feelings, and situations that remind them of the trauma they experienced. This instinctive response unfortunately perpetuates fear and corresponding symptoms of trauma including distressing memories, traumatic reliving (flashbacks), nightmares, and changes in physical and emotional reactions (e.g. being easily startled, having angry outbursts, feeling constantly on guard). Therefore, the gradual process of approaching trauma memories and re-engaging with situations that cause distress but are not inherently dangerous allows for the individual to process the trauma more completely and accurately.

Prolonged exposure is a specific type of cognitive behavioral therapy that teaches individuals to gradually approach trauma-related memories, feelings and situations. At Cadence, prolonged exposure is done in the context of individual therapy, and may also be integrated into Dialectical Behavior Therapy for individuals who experience suicidal thoughts or engage in self-injurious behavior through DBT-PE.

For younger children with histories of trauma, Cadence employs Trauma-Focused Cognitive Behavior Therapy. TF-CBT aims to give children the skills they need to identify and manage distressing thoughts. Like Prolonged Exposure, TF-CBT incorporates gradual and age-appropriate narration of the trauma as well as a gradual approach to safe trauma cues currently being avoided. This evidence-based and effective treatment for trauma related symptoms may incorporate caregivers in treatment.

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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