CLINICAL SERVICES

Cascade Home utilizes the most current evidenced-based treatment modalities. All therapists and staff are trained in interventions that specialize in the treatment of your child’s specific issues. Cascade Home utilizes a comprehensive approach to healing that addresses the emotional, mental, psychological, social, physical, and spiritual needs of each student.

Therapists are also trained in specialties such as trauma, family systems, Autism Spectrum Disorder/neurodiversity, ADHD, disordered eating and other comorbidities.

Evidence-based treatment modalities for OCD and Anxiety Disorders include:

Individualized Treatment

The clinical team will assess your child’s needs and create a comprehensive treatment plan. 
Every student’s master treatment plan will include:

  • Full Battery Psychological Testing
  • Psychiatric Evaluation
  • Ongoing Medication Management
  • Nursing Assessment & Care
  • Dietary Assessments & Support
  • Individual Therapy 
  • Family Therapy
  • Group Therapy
  • Family Interventions (SPACE Training, Support Calls, Coaching)
  • Brain Map with Neurofeedback
  • In Vivo Exposure
  • Virtual Reality Assisted Exposures
  • Recreation Therapy
  • Collaboration of Care With  Next Providers, Schools, and Community Supports
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Exposure Response Prevention (ERP)

Gradual exposure to feared outcomes, building confidence, distinguishing actual from perceived threats for effective OCD treatment.

Benefits of ERP

Exposure and response prevention (ERP) is the most researched clinical modality to address OCD. This modality focuses on encouraging clients to intentionally approach a feared object or situation without performing a neutralizing ritual in response. Once a client understands the nature of OCD and ERP, the next step is to begin to slowly approach that which is feared (exposure) while also refraining from engaging in a compensatory behavior (response prevention). Another goal of ERP is to increase the self efficacy of an individual and build a belief that they can manage stress. ERP creates new neural pathways of confidence and competency. Individuals become increasingly adept at discerning actual threats from perceived threats.
Gives your child a sense of empowerment over their obsessions and compulsions
Provides an opportunity to challenge their obsessions and compulsions in a safe way
Creates new neural pathways of confidence and competency through an experiential means of seeing and doing
Helps your child disconnect from obsessive thoughts and create new learning opportunities
Client centered and individualized targeting the exposures the client feels motivated to address
Student will find that even distressing thoughts are safe and manageable
Experiential approach provides a nature drop in anxiety called “habituation”
Learn that fears are less likely to come true than what you thought

Inference-Based Cognitive Behavior Therapy (I-CBT)

Targets cognitive narratives, restores self-confidence, addresses obsessional doubt for effective OCD treatment beyond ERP.

Benefits of I-CBT

Inference-Based Cognitive Behavior Therapy (I-CBT) is an evidence based modality that does not involve exposures as the primary method of treatment. The goal of I-CBT is to restore trust in using our senses. OCD may manifest as a result of us not trusting our present senses which can create “what ifs” and obsessional doubts. I-CBT teaches and implements skills to help an individual gain back confidence in self and their senses in order to better doubt the obsessional doubts, instead of doubting self.
Can target obsessional narratives that can be difficult to target with exposures
Creates an understanding of the student’s vulnerable self
Provides practical skills for reality sensing
Rewrites the OCD narrative to align with reality
Empowers our students to change the relationship with their thoughts
Gives individuals skills to reframe and adapt to obsessional reasoning

Acceptance Commitment Therapy (ACT)

Shifts mindset from control to acceptance, fostering non-reactive response to obsessive thoughts, promoting healthier neural plasticity.

Benefits of ACT

Acceptance and Commitment Therapy (ACT) is a third-wave cognitive-behavioral therapy that primarily focuses on increasing psychological flexibility. The goal of ACT is to reduce constant attempts to control or eliminate negative experiences. Instead, ACT aims to increase one’s involvement in meaningful value-driven life activities. ACT encourages commitment to healthy, constructive activities that support a meaningful life.
ACT utilizes six processes to help people create psychological flexibility, meaning the freedom to choose our actions regardless of our internal experiences.
ACT Processes Diagram
Decreases the avoidance of feared experiences
Increases psychological flexibility Vs. OCD’s rigid rules
Learn to make room for your emotions and thoughts
Focuses on life goals instead of only on illness

Increases motivation and engagement when practicing exposure

Radically Open Dialectical Behavior Therapy (RO DBT)

Emphasizes openness, flexibility, and social connectedness for individuals with overcontrolled personality traits.

Benefits of RO DBT

RO DBT is a treatment model which improves disorders characterized by overcontrol. Overcontrol may include low receptivity, inability to adapt, hyper-perfectionism, low emotional awareness, and low social connectedness. RO DBT is an effective approach for treating issues such as maladaptive perfectionism and rigid thinking. RO DBT focuses on three core components of mental health: openness, flexibility, and social connectedness.
Increase self-awareness
Expand ability to adopt alternative points of view
Improve emotional expression
Reduce intense focus on perfection
Address and loosen overly cautious, rigid, or rule-governed behavior
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