246: Overcoming Anxiety: Dr. Alison LaFollette on ERP and Outdoor Therapy Integration

In this episode Will reconnects with Derek Daley, co-founder of Legacy Outdoor Adventures and a seasoned professional with over 25 years in wilderness therapy. Derek shares how Legacy has evolved since its inception in 2012, focusing on adults aged 18 to 35. He discusses their unique approach of combining epic adventure therapy—such as canyoneering, rock climbing, and skiing in southern Utah—with strong clinical practices to create meaningful and effective treatment experiences and a hybrid model of residential treatment and outdoor adventures. Derek highlights the importance of engaging clients who choose to participate willingly, which enhances the therapeutic process and outcomes. The conversation delves into the broader changes and challenges within the wilderness therapy field, including increased scrutiny, the impact of technology and screen time on young adults, and the closure of several programs. Derek addresses criticisms of wilderness therapy by advocating for greater transparency, accountability, and the need to demonstrate measurable outcomes. He emphasizes that despite challenges, wilderness therapy remains one of the most compassionate and effective forms of treatment. Derek also shares his passion for engaging the next generation of mental health professionals through initiatives like the upcoming 2025 HIP (Healing in Progress) Tour to college campuses.

In the opening episode of Season 21, host Will White delves into the significant transformations occurring within the wilderness therapy field for adolescents and young adults, paralleling them with the impacts of climate change on our environment. He reflects on the "Great Collapse" between 2007 and 2010, when the number of wilderness therapy programs dramatically decreased due to economic pressures from the Great Recession. Drawing striking parallels to recent events, Will discusses how the closure of seven wilderness therapy programs in the last two years mirrors that earlier contraction, signaling a new period of challenge and change in the field. He also explores how these challenges echo those faced by longstanding outdoor organizations like the Boy Scouts of America, NOLS, and Outward Bound, highlighting how declining enrollments, controversies and technology have impacted the broader outdoor experiential field. Despite challenges like increased operational risks, changing market demands, and heightened public scrutiny, some programs have demonstrated remarkable resilience and continue to adapt to the evolving landscape. Will announces that this season will feature interviews with leaders from enduring programs to explore how they've navigated these challenges and what they envision for the future of outdoor behavioral healthcare. Emphasizing the importance of stepping away from screens and engaging with the real world, he encourages listeners to embrace the outdoors as a powerful platform for mental health treatment. The episode sets the stage for a season focused on adaptation, resilience, and the ongoing impact of wilderness therapy on young lives.

In this episode Will sits down with Dr. Alison LaFollette, the Clinical Director of Mountain Valley Treatment Center. Alison shares her journey from conducting neuropsychological evaluations in several of Utah's wilderness therapy programs to leading the clinical team at Mountain Valley. She discusses the integration of Exposure and Response Prevention (ERP) therapy with outdoor experiential activities at Mountain Valley, highlighting how natural settings like the Zen Garden, farm, outdoor climbing wall and hiking trails enhance therapeutic outcomes for adolescents and young adults struggling with anxiety and OCD. The conversation delves into the rising levels of social anxiety among young people, the impact of the pandemic on mental health, and the importance of family involvement in treatment. Alison also explores the similarities between ERP and adventure therapy, emphasizing the value of taking committed action in accordance with one's values. She reflects on the challenges facing behavioral healthcare organizations, including staff burnout and program sustainability, offering insights into how Mountain Valley addresses these issues. The episode concludes with Alison sharing how she utilizes the outdoors for her own mental well-being and her excitement about future innovations at Mountain Valley, such as expanding experiential components and fostering team synergy.

In this episode Will talks with Hayley Caddes, co-founder of Not Therapy Coaching, about her powerful personal journey through wilderness therapy and an all-girls therapeutic boarding school. Hayley shares how these experiences inspired her to help others who have gone through treatment, creating a unique coaching model that fills the gap between traditional therapy and the support needed to thrive in everyday life. She discusses how peer mentorship, structure, and community play pivotal roles in recovery and growth after treatment. Hayley also addresses the controversies surrounding wilderness therapy and the closures of the programs she attended, taking a business-minded approach to understanding the challenges faced by the industry. She reflects on how successful programs are, those that not only offer quality care but also adapt to the evolving mental health landscape. From selling her first startup, Chill Pill, to running Not Therapy Coaching, Hayley’s story is one of empowerment, recovery,  resilience, and entrepreneurial spirit. Tune in to learn how wilderness therapy shaped her path and how she is paying it forward to others on their mental health journeys.

In this powerful episode Will speaks with JD and his mother, Amber, as they recount their powerful journey through wilderness therapy. JD opens up about the struggles that led him down a dangerous path of substance abuse, starting as a teen during the COVID-19 pandemic. Amber shares the difficult decision to send JD to a wilderness therapy program in Utah, and how the experience not only saved his life but transformed their family. Together, they discuss the challenging process of recovery, manipulation, and ultimately the breakthrough that wilderness therapy provided. As September is National Recovery Month, this episode highlights the healing potential of wilderness therapy for addiction and mental health recovery. JD and Amber's story is a testament to the life-changing impact of being in nature, far from the destructive influences of modern life. Their conversation touches on the urgent need for support, as many wilderness therapy programs are closing despite their success in helping young people recover from addiction.  

In this deeply moving episode Will sits down with Melissa and Graham Squier, founders of the Harlan Serenity Foundation. This foundation, created in memory of their late son, Chris Squier, supports young people struggling with addiction by providing access to wilderness therapy programs. The interview takes a poignant turn when Will realizes he had interviewed Chris back in 2020, unaware that Chris would later lose his battle with addiction. This realization, combined with the ongoing closures of critical wilderness therapy programs, makes for an emotional conversation about the profound impact of wilderness therapy on those struggling with addiction. Melissa and Graham share Chris’s journey—from his initial struggles with addiction to finding sobriety through wilderness therapy, and later becoming a field guide to help others on the same path. They discuss the creation of the Harlan Serenity Foundation, its mission, and the importance of keeping wilderness therapy programs alive in a time when they are needed more than ever. This episode is a testament to the healing power of nature and the enduring legacy of those who have benefited from it. Link to the Harlan Serenity Foundation. Episode with Chris Squire which was released in September of 2020.

In this episode Will talks with Dr. Denise Mitten, a pioneering figure in outdoor education, adventure, and wilderness therapy. Denise shares her journey from her early days in the 1970s, overcoming gender barriers in a male-dominated field, to co-founding the influential Woodswomen organization, which focused on emotional safety and support in outdoor programs. Throughout the conversation, Denise discusses the evolution of outdoor therapy emphasizing the importance of creating safe, relational environments rather than relying on stress-based models. Her insights into the ethics of care, the role of women in the field, and the shift towards eco-psychology offer listeners a profound understanding of how wilderness experiences can foster deep personal growth and healing. Denise also reflects on the importance of relational connection in outdoor programs, critiquing the traditional "power over" models often seen in wilderness therapy. She advocates for a more deliberate and thoughtful approach to risk-taking, where the focus is on maintaining comfort and regulation rather than pushing participants beyond their limits. Her teachings challenge the field to embrace inclusivity, sustainability, and a deeper connection with nature, making this episode a must-listen for anyone interested in the future of outdoor therapy and education.

In this episode Will talks with Sheldon Nelson, founder of Crossroads Discovery and a veteran of the wilderness therapy field. Sheldon discusses the inspiration behind Crossroads Discovery, a program that bridges the gap between traditional wilderness therapy and ongoing support for adolescents and their families. He highlights the unique approach of offering short-term wilderness immersion experiences that emphasize not only survival skills but also personal growth and self-discovery. Sheldon shares how the program evolved to meet the needs of families seeking continued guidance after their children completed the wilderness programs, integrating in-home coaching and nature-based activities into their everyday lives. Sheldon also reflects on his extensive career, including his years at Anasazi Foundation, one of the oldest wilderness therapy programs for adolescents in the country. He emphasizes the importance of focusing on a change of heart over mere behavior modification and how this philosophy underpins the work at Crossroads Discovery. The episode offers a deep dive into the current state of wilderness therapy, its challenges, and its potential future, making it a must-listen for anyone interested in the field of adolescent mental health and outdoor experiential therapy.

In this episode, Will talks with Andy Benckart, a former wilderness therapy participant whose transformative journey has led him to pursue a master's degree in social work. Andy shares how his time in wilderness therapy helped him confront and process deep-seated anxiety and trauma, giving him the clarity and tools needed to rebuild his life. Through a technique referred to as brainspotting and the guidance of a compassionate therapist outdoors, Andy discovered new strengths within himself, setting him on a path toward helping others. Reflecting on his experiences as both a participant and later as a staff member in a young adult residential treatment program in Maine, Andy offers a nuanced perspective on the benefits and challenges of wilderness therapy and residential treatment. He discusses the importance of being ready for change, the value of outdoor experiences in mental health recovery, and his commitment to using his journey to support others in similar situations. Andy also shares how surfing in Maine has helped him to be the best version of himself. This episode is a powerful testament to the healing power of nature and the potential for personal growth through mental health treatment in the outdoors.

In this episode Will talks with Ciara Fanlo, founder of Homing Instinct, to discuss her transformative journey from a “troubled teen” to a dedicated mentor for adolescents. Ciara opens up about her personal struggles with depression, anxiety, and self-harm, and how wilderness therapy played a pivotal role in her recovery. She candidly addresses the pros and cons of teen treatment programs, highlighting how these experiences have deeply informed her approach to mentoring. Ciara shares how her time in wilderness therapy provided new perspectives and coping mechanisms, while also acknowledging the challenges and shortcomings she faced in therapeutic boarding school. These insights have shaped Homing Instinct, her mentoring program that focuses on understanding the unique needs of teenagers. By combining her personal experiences with professional training, Ciara offers tailored support to help teens navigate their emotional landscapes, build healthy relationships, and find a sense of purpose. This episode offers a nuanced look at the impact of teen treatment programs and the importance of compassionate mentorship.