What does effective anxiety treatment actually look like for teens and young adults—and how do you know when it's time for a higher level of care? In this powerful and deeply thoughtful episode Zack speaks with River, a college student who has lived with anxiety and OCD since early childhood. River shares how her anxiety intensified through adolescence, leading to depression, self-harm, hospitalizations, and ultimately residential treatment. She walks listeners through her experience with OCD, somatic anxiety, fear of illness, and how untreated anxiety can quietly derail school, relationships, and self-confidence.

This episode offers parents and young people a rare inside look at what anxiety treatment can involve—from inpatient care to residential OCD treatment, exposure and response prevention (ERP), trauma work, and the challenges of transitioning to college. River reflects on returning to treatment as a motivated young adult, learning skills to manage intrusive thoughts, people-pleasing, and uncertainty, and eventually rebuilding her confidence through independent living and college re-entry. Her story is both reassuring and practical, reminding families that anxiety recovery is not linear—but with the right support, healing is possible. If you're a parent wondering how to help a teen with anxiety, or a young person feeling stuck and overwhelmed, this conversation offers clarity, hope, and real-world insight into what effective anxiety treatment can look like.

Zack's Hack- In this week's anxiety hack Zack shares a quote from the inspirational Helen Keller to help you open up to Fear Less!

Fear Less is sponsored by Mountain Valley Treatment Center.