Interview: In this episode, Zack Schafer, OTR/L,  provides insight into the unique approach to anxiety treatment offered by Mountain Valley—the treatment program where he serves as executive program director.  In addition to highlighting exposure and response prevention therapy (ERP)—a method that involves gradually exposing patients to their fears to rewrite their narratives and reduce anxiety—Zack also describes the program’s use of cognitive behavioral therapy (CBT), and acceptance and commitment therapy (ACT) combined with experiential activities like art, farming, and outdoor adventures. These activities play a crucial role in the therapeutic process, helping residents conquer fears like agoraphobia and claustrophobia while building confidence and resilience. The program also emphasizes early intervention in anxiety to prevent long-term mental health issues.

Zack also shares his personal path to becoming an anxiety treatment expert.  He describes the motivation behind his career in mental health, his decision to pursue education in mental-health occupational therapy, and the path that led him to Mountain Valley.  Zack discusses the inspiration behind launching the Fear Less podcast and his popular segment, Zack's Hacks, where he provides practical anxiety management strategies. Fear Less not only sheds light on innovative anxiety treatments but also equips listeners with actionable advice and a profound understanding of mental health challenges and effective management.

This interview originally appeared on Stories from the Field, a podcast dedicated to educating people about mental health treatment in outdoor settings. The show is hosted and produced by Dr. Will White, a pioneer in adventure therapy, currently serving as a program advisor for Mountain Valley and the producer of the Fear Less podcast.

Zack’s Anxiety Hack: Zack shares how to use your imagination to help you make fear less!