programs and services
What is the Cascade Program?
The Cascade Program is a four-”path” treatment program focused on guiding individuals in emotional stabilization, trauma healing, relationship repair, identity development, and planning for the future. The program uses individual, couples/ relationship, and group sessions to teach skills from DBT, EMDR, CPT, the Gottman Method, Schema Therapy, and Career Coaching (all depending on the treatment path).
Who can it help?
Many of the people who I find this program to be most helpful are folks who experience emotions more intensely or who have lived in invalidating or abusive environments. Diagnostically, this often means folks who have been diagnosed with Borderline Personality Disorder, PTSD, Complex Trauma, and Bipolar Disorder. People with intense anxiety or depressive symptoms may also find these programs to be helpful. Below I’ve include a video of common phrases I hear when assessing new clients. If these phrases resonate with your experience, it’s likely this program would be helpful for you!
How does it help?
The program is designed so that each of the four paths is helping you with something different.
On the Alki Path, you will receive individual sessions and group skills classes focused on learning how to stabilize/ regulate emotions.
On the Evergreen Path, you will receive individual sessions and group skills classes focused on healing from trauma and decreasing feelings of daily suffering.
On the Otter Path, you and your partner(s) or family members will receive relationship counseling that will focus on healthier conflict resolution and communication strategies.
On the Rainier Path, you will learn more about your identity, set goals for the future, and gain more love/ appreciation for yourself.
The path you start with depends on the goals and needs that you and I identify in the assessment session.
What is the process like?
Step 1: Free Consultation
Start by scheduling a free 20-minute video consultation. This gives us a chance to meet, ask each other general questions, and see if we’re a good fit to work together. You can book that here.
Step 2: 90-Minute Assessment
If we decide to move forward, we’ll schedule a 90-minute assessment. During this session, I’ll ask questions to better understand your background, current symptoms, goals, and what kind of treatment you’re hoping for.
Step 3: Treatment Plan Presentation Call
After the assessment, I’ll take about two days to reflect and write up a tentative treatment plan tailored to you. Then, we’ll have a follow-up phone call where I’ll share my recommendations and talk through what treatment would involve, including the level of commitment it requires.
Step 4: Treatment Commitment Call
You’ll have 3–4 days to consider whether the proposed treatment plan feels like a good fit. We will schedule another call to answer any questions you may have or help clarify anything. By the end of this call, you will decide if you are committing to move forward with one of the treatment paths.
Step 5: Orientation
If you choose to begin treatment, we’ll start with an orientation period. This is when you’ll learn the foundational elements of your chosen treatment path and begin setting personalized goals. The orientation is generally about a month.
If your treatment includes a skills class, you’ll also complete a separate orientation for that part of the program.
Step 6: Treatment Starts
Following orientation, you will start your sessions and skills class (if applicable for your path). We will have Progress Check-Ins every 60 days, where we’re checking in on the goals we’ve set and if any adjustments to the treatment need to be made. I’ve designed the paths to take approximately 6-9 months to complete, all, of course, depending on the client’s goals and needs.
Step 6: Additional Treatment or Graduation from Treatment
Once your initial treatment path is complete, you’ll have options:
You may feel there’s more for us to explore together, so we can talk about continuing with another treatment path that supports your evolving needs.
Or, you may feel ready to complete your work with Crosby DBT or with therapy all together. At this point, we would agree to close your file and offer any necessary options for future follow-up treatment.
What about cost and insurance?
First and foremost, I want to express how grateful I am for the people who invest their time, effort, and money into the treatment I do with my clients. I’m really very honored that people would place such a value on this work. That being said, one of my biggest aims is to get you your time, effort, and money’s worth out of this process!
My session fees are as follows:
Intake Session/ Assessment (90 min) $200
Individual Sessions (50 min) $150
Groups/ Classes (60 min) $60
I am not paneled with any insurance, and so this would mean that you would be responsible for paying the full session fee (what we call self-pay or private-pay). I can offer what’s called a super bill for you to submit to your insurance to see if they can refund you for any out-of-network behavioral health benefits. Everyone’s insurance works differently with these benefits, so I encourage you to reach out to your insurance provider with any specific questions.