69. Treating OCD and Eating Disorders: What Clinicians, Clients, and Families, Need to Know
Release Date: 05/21/2025
Fear Less
What happens when anxiety, self-doubt, and a major life transition collide?—and how do you find your way back? In this episode Zack sits down with Shane Holcomb, a former Mountain Valley resident and current University of Colorado Boulder student, to explore the real challenges of anxiety during the transition to college. Shane reflects on how social anxiety, loss of confidence, and impulsive behaviors—including sports gambling—began to take hold when he assumed his struggles would disappear just by going to college. Through candid storytelling, Shane shares how treatment helped...
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What happens when autism, anxiety, and OCD look so similar that even caring parents and professionals can’t tell what’s driving the behavior? In this episode of the Fear Less podcast, host Zack talks with Dr. Alison LaFollette, Clinical Director at about why these conditions so often overlap—and how to start separating what’s sensory, what’s anxiety, and what’s OCD. Dr. LaFollette explains the core autism criteria (social communication differences plus rigidity/routines, transitions, specific interests, and sensory sensitivities) and shares why anxiety is so common for...
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Parenting a teen with anxiety can feel confusing, contradictory, and emotionally exhausting. In this episode Zack breaks down what he calls the five key dichotomies of parenting an anxious child—the opposing truths parents must hold at the same time in order to truly help their teen grow. From being compassionate and firm, to offering support while allowing struggle, this episode speaks directly to parents who feel stuck between “doing too much” and “not doing enough.” Drawing from years of clinical work with anxious adolescents, Zach offers practical...
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Change is hard—especially when fear and anxiety get in the way. In this solo episode of Fear Less, our host Zack Schafer breaks down why change feels so uncomfortable and how to approach it in a realistic, sustainable way. Drawing from the Stages of Change model and insights from Atomic Habits by James Clear, Zach explains how habits form, why relapse is part of growth, and how small, consistent actions lead to lasting change. Whether you’re setting New Year intentions or feeling stuck between wanting change and fearing it, this episode offers practical guidance, reassurance, and a...
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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,...
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Why are so many teens struggling with anxiety right now—and what can parents actually do to help? In this episode, Zack speaks with psychologist Dr. Rachel Gingold, who brings nearly 30 years of experience treating adolescents and families. Together, they unpack how the COVID years disrupted social development, increased avoidance, and intensified anxiety for teens everywhere. Dr. Gingold explains why previously confident kids may now fear everyday tasks, how to recognize when anxiety is driving behavior, and why supportive challenge—not protection—is the key to rebuilding...
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In this episode Zack talks with Dr. Will White about the hidden ways men experience fear, anxiety, and major life transitions. Will shares candid stories from fatherhood, leadership, loss, and aging, while Zack reflects on overworking, anger, and becoming a father again. Together they highlight how men often express anxiety through anger, shutting down, or work—rather than naming it for what it is. They also explore healthier alternatives: men’s retreats, movement, meditation, community, and asking for help before things reach a breaking point. Will explains why nature, honest...
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Is having another child an anxiety provoking experience? Our host Zack Shafer returns for a solo episode reflecting on the arrival of his second child, baby Meli and how becoming a parent again reshaped his understanding of fear and anxiety. He revisits the worries he had before his first child’s birth—fears about not having life perfectly organized—and how becoming a dad taught him that anxiety doesn’t disappear, but you learn you can handle uncertainty anyway. With more experience under his belt, Zack describes approaching this second birth with less panic and more presence,...
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What happens when a teen who once struggled with anxiety and OCD grows up to help others face those same fears? In this episode Zack welcomes former Mountain Valley client, now Child Mind Institute clinician John Wyetzner, as he shares his powerful journey from school avoidance and OCD to evidence-based recovery. This episode unpacks what Exposure and Response Prevention (ERP) truly looks like, how Acceptance and Commitment Therapy (ACT) supports values-driven change, and the vital role of community in healing. For parents and clinicians, John offers practical insights into tackling intrusive...
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What if your child’s struggle with food isn’t really about food at all—but about fear? In this powerful episode of Fear Less, host Zack sits down with Libby Parker, a registered dietitian, certified eating disorder specialist, and author of Permission to Eat, to explore how fear, anxiety, and control often lie at the heart of eating disorders. Drawing on both her personal recovery and clinical expertise, Libby explains how restrictive or binge cycles develop, why they can be so difficult to break, and how compassionate, evidence-based approaches—like exposure therapy—can help young...
info_outlineIn this episode of Fear Less, Zack talks with licensed therapist Elian Beattie, the owner of Insights Group, an outpatient therapy practice in Rye, New Hampshire. Elian specializes in treating OCD, anxiety, and eating disorders, and shares her rare expertise in addressing both OCD and disordered eating at the same time—something many treatment providers avoid. Listeners will gain a clear understanding of how these two conditions often overlap, from perfectionism and control to compulsive behaviors around food and body image. Elian breaks down how both disorders can be identified, assessed, and treated with evidence-based approaches like Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT).
Whether you're a parent concerned about your teen’s mental health, someone who struggles with rigid food rules and anxiety, or a clinician who sees these overlapping conditions, this episode offers real hope and practical guidance. Elian also shares a powerful story of helping a young athlete recover through social reconnection, challenging food fears, and building values-based resilience. If you’re looking for answers about OCD, eating disorders, or how to find the right kind of help, this conversation will leave you informed, inspired, and ready to take action.
Zack’s Anxiety Hack: Zack shares a quote from Salvador Dali that can help you fear less!
Fear Less is sponsored by Mountain Valley Treatment Center.
Elian Beattie's outpatient practice website: https://insightsgroup.net/