CADENCE
Comprehensive Psychotherapeutic Modalities for Trauma Resilient Professionals
CADENCE is a unique integration of evidence-based psychotherapeutic modalities, specifically tailored for professionals exposed to trauma—including first responders, military personnel, veterans, healthcare workers, and allied trauma-exposed professionals. The CADENCE framework is grounded in the robust foundations of CBT and REBT, incorporating the latest advances from both approaches. These serve as the core from which additional modalities are integrated, ensuring a comprehensive and flexible approach to both pre-injury resilience building and post-trauma recovery.
Core Modalities
Cognitive Behavioral Therapy (CBT) & Rational Emotive Behavior Therapy (REBT)
Combining the structured, evidence-based strategies of CBT with the philosophical and emotional insights of REBT.
Acceptance and Commitment Therapy (ACT)
Fostering psychological flexibility and values-driven action.
Dialectical Behavior Therapy (DBT)
Enhancing emotional regulation, distress tolerance, and interpersonal effectiveness.
Eye Movement Desensitization and Reprocessing (EMDR)
Facilitating adaptive processing of traumatic memories.
Neurofeedback
Promoting self-regulation and resilience through brain-based feedback.
Cognitive Processing Therapy (CPT)
Addressing maladaptive beliefs and cognitive distortions related to trauma.
Exposure and Response Prevention (ERP)
Utilizing exposure-based strategies to reduce avoidance and build coping skills.
Designed for Trauma-Exposed Professions (TExPs)
CADENCE supports individuals both before and after traumatic events by strengthening coping skills, emotional regulation, and moral resilience. This approach recognizes the unique challenges faced by professionals whose work inherently involves repeated exposure to trauma. It is built on the principle that effective trauma resilience requires both preventive and responsive strategies.

By grounding professionals in these core modalities, CADENCE empowers individuals to navigate ongoing trauma exposure, process moral injury, and maintain well-being—fostering a new standard of Trauma Resilient Professionals in high-stakes environments.
