Clinical Services

Cascade Lodge utilizes the most current evidence-based treatment modalities. All therapists and staff are trained in interventions that specialize in treating your son’s specific needs. Cascade Lodge uses a comprehensive approach to healing that addresses the emotional, mental, social, physical, and spiritual wellbeing of each student.

Complex Challenges

Many adolescents experience anxiety alongside additional mental, emotional, or developmental challenges.

Holistic Care

At Cascade Lodge, we understand that these conditions rarely exist in isolation and effective treatment must address the whole person.

Integrated Support

Our team provides integrated, evidence-based care that supports each student’s unique clinical profile.
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Understanding 
Co-Occurring Challenges

These concerns can intersect and intensify anxiety, influencing how a student thinks, feels, and relates to the world.

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

Depression
Obsessive-Compulsive Disorder (OCD)
ADHD
Autism Spectrum / Neurodivergent Traits
Trauma-related symptoms
Mood dysregulation
Learning differences (dyslexia, processing challenges, executive function deficits)
Disordered eating patterns
School avoidance or academic struggles
Technology overuse
Somatic symptoms (headaches, stomachaches, tension)
Identity or self-esteem challenges
Relationship or attachment difficulties
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How Co-Occuring Disorders Affect Daily Life

Students may experience difficulty managing emotions, maintaining focus, or navigating social situations.
Co-occurring conditions can contribute to avoidance, heightened stress responses, or challenges in school performance.
Families often notice patterns of overwhelm, withdrawal, or frustration that can be hard to understand without professional support.
Addressing these interconnected symptoms is essential for long-term stability, resilience, and overall wellbeing.
Let Us Help

Creating Pathways for Growth

  • At Cascade Lodge, we help students understand how their symptoms interact and how to effectively manage them.
  • At Cascade Lodge, we help students understand how their symptoms interact and how to effectively manage them.
  • With steady guidance and a nurturing environment, students can make meaningful progress and rediscover a sense of purpose and possibility.

Cascade Lodge’s Integrated Treatment Approach

Multidisciplinary Model

We use a multidisciplinary model that blends therapeutic, academic, and wellness services into one cohesive plan.

Evidence Based Modalities

Treatment may include cognitive-behavioral strategies, ERP, I-CBT, ACT, DBT-informed skills, trauma-informed care, and neurodiversity-affirming approaches.

Individualized Treatment Plans

Each student receives individualized therapy, psychiatric care, structured routines, exposure practice, and ongoing skill development.

Group Connection & Community

Group work helps students connect with peers who share similar challenges, reducing isolation and building community.

Family & Provider Collaboration

We collaborate closely with schools, families, and outside providers to ensure continuity and holistic support.
Where Growth Takes Root

Individualized Treatment

The clinical team will assess your son’s needs and create a comprehensive treatment plan. 

Psychiatric Evaluation
Ongoing Medication Management
Collaboration with Next Providers, Schools, and Community Supports
Individual Therapy

Every student’s Master Treatment Plan will include:

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Family Therapy
Recreation Therapy
Family Interventions (SPACE Training, Support Calls, Coaching)
Nursing Assessment & Care
Group Therapy
Building Strength One Step at a Time

Evidence-Based Treatment Modalities for OCD & Anxiety Disorders

Evidence-based therapies building resilience and emotional flexibility in a supportive environment.

ERP

Exposure Response Prevention
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I-CBT

Inference-Based Cognitive Behavior Therapy
LEARN MORE

ACT

Acceptance and Commitment Therapy
LEARN MORE

RO-DBT

Radically Open Dialectical Behavior Therapy
LEARN MORE
"Our mission is to help each student reclaim hope, build resilience, and recognize the strength already within them. With compassionate guidance and structured clinical support, we empower lasting change that honors their unique story."

Merril Heslop - LCSW MSW

Clinical Director

Merrill Heslop Clinical Director CL
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Anxiety, OCD, & Depression Support

Cascade Lodge offers specialized treatment pathways that help students understand their symptoms, build skills, and move forward with confidence.
Click the links below to learn more ->

How Cascade Lodge Approaches Anxiety

Dedicated, Skilled, and Compassionate Care

Individualized Approach

At Cascade Lodge, we recognize that anxiety affects each student differently and requires a thoughtful, individualized approach.

Compassionate Expertise

Our clinicians bring extensive training and genuine warmth to every interaction, ensuring students feel understood and supported.

Proven Care

We rely on proven therapeutic methods designed to address anxiety at its core while strengthening overall wellbeing.

What Anxiety Can Look Like

Common Symptoms

Anxiety disorders can show up as ongoing worry, overwhelming fear, or physical stress responses that interfere with daily life.

Daily Impact

These symptoms may impact academics, friendships, emotional expression, and a student’s sense of stability.

Diverse Forms

Anxiety appears in various forms: generalized worry, panic episodes, social fear, phobias, and more.

Informed Treatment

Understanding these patterns helps our team build a treatment plan that fits each student’s experiences and challenges.

How Anxiety Affects Life

Emotional Impact

Anxiety can influence mood, energy, motivation, and a student’s ability to manage stress.

Avoidance Patterns

Many students avoid activities they once enjoyed or feel disconnected from peers and family.

Family Stress

Loved ones often share in the stress, wondering how to respond or how best to help.

Supported Healing

At Cascade Lodge, we work with both students and families to build clarity, compassion, and confidence throughout the treatment process.

Cascade Lodge’s Targeted Support for Anxiety

Adolescent-Focused

Our programming is designed specifically for adolescents who struggle with anxiety and related symptoms.

Evidence Based

Treatment uses research-backed approaches such as ERP, cognitive-behavioral strategies, I-CBT, ACT, and DBT-informed skills training.

Comprehensive Support

Students receive a blend of individual sessions, family involvement, group work, experiential practice, academic guidance, and wellness supports.

Real World Skills

We help students apply skills in real-life situations so progress is both meaningful and sustainable.

Lasting Growth

Our mission is to help each student gain self-belief, emotional strength, and the tools to move through life with resilience and purpose.

OCD Support at Cascade Lodge

Compassionate Guidance for a Complex Condition

Often Misunderstood

Obsessive-Compulsive Disorder can be confusing, overwhelming, and often misunderstood.

Clinical Empathy

At Cascade Lodge, we approach OCD with expertise, empathy, and individualized care.

Sustainable Progress

Our clinical team is committed to helping each student understand their symptoms and learn skills that lead to long-term relief.

Understanding OCD

Intrusive Thoughts

OCD involves unwanted thoughts, images, or fears that feel intrusive and distressing.

Ritual Responses

To ease the discomfort of these thoughts, individuals may rely on repeated behaviors or mental rituals.

Functional Impact

These patterns can become time-consuming and disruptive, impacting school, relationships, and daily functioning.

Informed Treatment

Recognizing how these obsessions and compulsions work is the first step toward effective, targeted treatment.

How OCD Affects Daily Life

Cognitive Impact

OCD can influence decision-making, emotional wellbeing, focus, and confidence.

Emotional Toll

Many students experience avoidance, heightened anxiety, or shame related to their thoughts or rituals.

Shared Burden

Families often feel the weight of OCD too, as the condition can shape routines, communication patterns, and household stress.

Compassionate Response

Understanding the broader impact helps everyone involved respond with patience, clarity, and support.

Cascade Lodge’s Specialized Approach to OCD

Individualized Care

Cascade Lodge offers structured, individualized care designed to help adolescents break free from OCD patterns.

Proven Modalities

Treatment incorporates leading evidence-based modalities such as ERP, I-CBT, ACT, and DBT-informed strategies.

Multimodal Treatment

Students participate in a combination of individual therapy, exposure practice, group work, family sessions, and wellness programming.

Life Balance

Programming is designed to balance therapeutic intensity with academic and life responsibilities, minimizing disruption while maximizing progress.

Healing Environment

Our environment is safe, steady, and nurturing allowing students to take healthy risks, build resilience, and move toward the meaningful lives they want to lead.

Supporting Co-Occurring Conditions at Cascade Lodge

What Depression Can Look Like

Internal Struggle

Depression can present as persistent sadness, emptiness, irritability, or a loss of interest in activities once enjoyed.

Somatic Signs

Students may experience fatigue, difficulty concentrating, changes in appetite or sleep patterns, or a sense of numbness.

Unique Expression

Depression varies widely from person to person—some express their feelings openly, while others mask distress behind effort, humor, or perfectionism.

Tailored Treatment

Recognizing this range of symptoms allows us to tailor treatment to each student’s emotional and psychological needs.

How Depression Influences Daily Life

Functional Impact

Depression can make tasks that once felt easy seem overwhelming or impossible.

Life Disruption

It can impact school performance, motivation, relationships, and self-confidence.

Emotional Isolation

Many students withdraw socially or isolate themselves, struggling to feel understood or connected.

Family Uncertainty

Families often feel uncertain about how to respond, unsure of how to offer support while navigating their own worries.

Guided Healing

At Cascade Lodge, we guide both students and families in understanding the full scope of depression and how healing happens over time.

Cascade Lodge’s Therapeutic Framework for Depression

Evidence Based

Our approach integrates evidence-based practices including CBT-informed strategies, ACT, mindfulness, and wellness-based interventions.

Individualized Care

Students receive individualized treatment that may include therapy, psychiatric support, experiential learning, group connection, and structured daily routines.

Emotional Growth

We focus on building emotional regulation, distress tolerance, healthy thought patterns, and renewed engagement with meaningful activities.

Academic Wellness Balance

Academic support and wellness programming ensure that students move forward both therapeutically and developmentally.

Restorative Environment

Cascade Lodge provides a steady, encouraging environment where students can rebuild confidence, strengthen self-worth, and reconnect with their goals and values.

A Supportive Approach to a Challenging Experience

Deeply Personal

Depression is a deeply personal struggle that can affect every aspect of a young person’s life.

Clinical Compassion

At Cascade Lodge, we meet each student with compassion, understanding, and evidence-based care.

Renewed Hope

Our team is committed to helping students rediscover hope, connection, and a sense of direction.
Where Hope Returns

Meet Your Clinical Team

Experienced, Compassionate Clinicians Dedicated to Holistic Healing
Merrill Heslop Clinical Director CL

Merrill Heslop - LCSW MSW

Clinical Director
At Cascade Lodge, our clinical team is made up of highly trained, licensed professionals who specialize in treating adolescents with anxiety, OCD, and co-occurring conditions. Each clinician brings deep expertise in evidence-based modalities alongside a genuine commitment to understanding the unique experiences of every student. Working collaboratively across disciplines, our team provides thoughtful, individualized care that supports emotional growth, skill development, family healing, and long-term resilience, ensuring each student feels seen, supported, and empowered throughout their treatment journey.
Michelle Kohler - LCSW - Clinical CL

Michelle Kohler - LCSW, MSW

Clinical Services
Megan Hendrix, LCSW

Megan Hendrix - LCSW

Clinical Services
Tanner Taggart - LMFT Therapist Cascade Lodge

Tanner Taggart - LMFT

Therapist
Heather Petty CL Recreational Therapist

Heather Petty - 

TFT
Recreational Therapist
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