MOVING MOUNTAINS

Resources

From Fear to Love: The Mountain Valley Reunion 2025

August 2, 2025, was a beautiful mid-summer day in Plainfield, New Hampshire. The sky was clear, the sun was shining, and the Mountain Valley campus buzzed with energy. It was the day of our annual Mountain Valley Reunion, and more than one hundred people gathered to reconnect and celebrate the life-changing experiences they’ve had through our program.

Alumni residents and their families flew in from across the country. Current residents spent the morning rounding up farm animals for a petting zoo and hanging “Welcome Back!” signs around campus. By noon, the open field behind the Carriage House dorm was filled with laughter and joy — alumni, parents, former and current staff, and family members mingled, reconnecting, and celebrating together.

It was a day full of emotions — good ones — but even good emotions can be overwhelming.

“How did we get all these people to spend a sunny summer afternoon in the field of a residential treatment center? How did we get so lucky? What did we do to deserve this?”

These questions swirled in my mind as I walked the now-quiet campus hours after the festivities ended. Searching for an answer, I did what we encourage our residents to do: I asked myself, “What am I feeling?”

Before the question had fully formed, my body answered: love.

Love is what I was feeling. Love is what made the day what it was.

What Is Love?
Love is a powerful word and a complex emotion — one we use so often that we risk losing sight of its meaning.

Like all emotions, love is both a biological and psychological process. Biologically, it’s a cocktail of hormones — oxytocin, dopamine, vasopressin, and endorphins — the perfect “feel-good” mix. Psychologically, love shapes our thoughts and behaviors and influences the development of our relationships and attachments.

But is love just biology and psychology? Or is it something bigger? Philosophers have debated it for millennia. Plato called love “a desire for beauty and truth.” Aristotle saw it as a virtue, essential to living a moral and good life. Kierkegaard described it as a choice — a commitment that demands self-sacrifice.

No matter the lens — science, psychology, or philosophy — love’s impact on the human experience is profound and undeniable.

So how did we get here? How did strangers from different walks of life come together and find themselves in a place of love? Maybe it begins where it all started: in a place of fear.

The Relationship Between Love & Fear
As an anxiety-focused program, fear is what brings people to our door. It can steal the spark from a young person’s life, causing them to retreat, avoid, and withdraw from the world. Parents often watch helplessly as their child’s life grows smaller and their own fears grow larger until the entire family system is engulfed in fear’s shadow.

So, what do we do? How do we find the light again? And where does love fit into all of this?

Love Reduces Fear
Biologically, love is the antidote to fear. It calms the brain’s alarm system, releasing hormones that reduce stress and foster connection. That sense of connection is at the heart of what we do.

As an exposure-based program, we walk alongside anxious young people and their families as they lean into what scares them most. Through this process, they build resilience, regain confidence, and rediscover their passion for life. But their bravery begins where love can be found, so it’s our job to provide it.

Love Transforms Fear
Love doesn’t just reduce fear — it transforms it. When we are in love — with a person, place, thing, or idea — we are more willing to face our fears. As psychologist Viktor Frankl said, “A man with a why can bear almost any how.” Love gives us something bigger than ourselves to be brave for. In its most authentic form, it can turn fear into courage.

If our mission is to help young people turn fear into courage, love is a key ingredient. We help them find it in the people, places, and things around them. By tapping into what they love, we tap into their strength — harnessing it for meaningful change.

Love Is Found Through Fear
Love isn’t just a tool to reduce or transform fear — it’s often the result of facing it. Embracing what scares us — talking about it or confronting it in real time — requires vulnerability. It requires us to be seen for who we truly are. In the right context, with the right support, that vulnerability often leads to profound connection and deep acceptance. This is the primary basis for experiencing love.

So although it’s easy to see fear as a barrier to love, it can also be a bridge — and when a community faces its fears together, it often discovers deep love and connection on the other side.

A Day of Love
Our reunion was a living testament to these truths and to the relationship between love and fear. We were reminded of the fears this community has faced, met, and transcended — and inspired by the genuine connection, understanding, and love that took their place.

As the sun set on that perfect summer day, I felt deep gratitude for the privilege of being part of a community dedicated to “making fear less” and “love more” in the world around us.

Let’s Face Fear Together
If you or someone you love is struggling with fear or anxiety, know that you’re not alone — and that healing and connection are possible. We invite you to learn more about our program, join our community events, or simply reach out to start a conversation. Together, we can face fear and make room for more love in our lives.

Stay connected with Mountain Valley — where courage grows and love leads the way.

MOVING MOUNTAINS

Resources

Understanding the Subjective Units of Distress Scale (SUDS): A Tool for Managing Anxiety

Anxiety can often feel overwhelming, especially when it surfaces unexpectedly. At Mountain Valley, we understand the importance of equipping individuals with effective tools to navigate these intense emotions. One such tool we regularly employ is the Subjective Units of Distress Scale (SUDS). Before our group and individual psychotherapy sessions, we often ask participants to share their SUDS levels. This practice not only promotes self-awareness but also fosters open communication about one’s emotional state.

What Is the Subjective Units of Distress Scale?

The Subjective Units of Distress Scale, commonly known as SUDS, is a simple self-assessment tool used to quantify the intensity of distress or anxiety an individual feels at a particular moment. Developed by psychologist Joseph Wolpe in the 1960s, SUDS assigns a numerical value—typically ranging from 0 t0 10 (or 0 t0 100)—to represent one’s current level of discomfort. A score of 0 indicates complete calmness, while 10 signifies the highest level of distress imaginable.

How Does SUDS Work?

SUDS is inherently subjective, relying on personal perception rather than objective measurements. Here’s how it generally works:

  1.   Identification: When an individual begins to feel anxious or distressed, they pause to acknowledge these feelings.
  2.   Assessment: They assign a numerical value to their level of distress based on the SUDS scale.
  3.   Reflection: This number helps them—and the MV team—to understand the severity of their symptoms at that moment.
  4.   Action: Based on the SUDS score, appropriate coping strategies or therapeutic interventions can be applied to manage the distress.

Why Is SUDS Important for Managing Anxiety?

Promotes Self-Awareness

One of the first steps in managing anxiety is to recognize when it’s occurring.. By regularly assessing their SUDS score, individuals become more attuned to their emotional states. This heightened self-awareness can lead to earlier interventions and prevent anxiety from escalating.

Facilitates Communication

Articulating feelings of anxiety can be challenging. SUDS provides a straightforward way to communicate distress levels to therapists, caregivers, or peers. At Mountain Valley Treatment Center, sharing SUDS scores before group sessions helps create a common language that enhances understanding and fosters effective support.

Guides Therapeutic Interventions

In therapeutic settings, SUDS is often used during exposure therapy—a treatment commonly employed for anxiety disorders and phobias. By assigning distress levels during exposure to anxiety-provoking stimuli, therapists can tailor the intensity and duration of exposures to optimize treatment outcomes.

Research Supporting SUDS

A study published in the Journal of Anxiety Disorders highlighted the efficacy of using SUDS in exposure therapy for patients with obsessive-compulsive disorder (OCD). The research found that patients who consistently used SUDS to report their anxiety levels experienced a more significant reduction in symptoms compared to those who did not use the scale1.

Another study in Behavior Research and Therapy demonstrated that SUDS scores could predict treatment outcomes in cognitive-behavioral therapy (CBT) for panic disorder. Higher initial SUDS scores were associated with greater improvements by the end of treatment, suggesting that SUDS can be a useful prognostic tool2.

Implementing SUDS in Daily Life

While SUDS is often used in clinical settings, it can also be a valuable tool for personal use. Here are some tips for integrating SUDS into daily routines:

  • Regular Check-Ins: Set aside moments during the day to assess your SUDS score, even when not feeling particularly anxious. This practice can help track patterns and triggers over time.
  • Journaling: Keep a log of your SUDS scores along with notes about situations or thoughts that may have influenced your anxiety levels.
  • Coping Strategies: Use your SUDS score to determine when to employ relaxation techniques, such as deep breathing, mindfulness, or physical activity.

How We Use SUDS at Mountain Valley

At Mountain Valley, the SUDS scale is an integral part of our therapeutic approach. Before group sessions, we encourage participants to share their SUDS levels. This practice serves multiple purposes:

  • Encourages Open Dialogue: Sharing SUDS scores helps break down barriers and promotes honesty about one’s feelings.
  • Tailors Group Dynamics: Understanding the collective distress levels allows facilitators to adjust the session’s focus to better meet the group’s needs.
  • Monitors Progress: Regularly tracking SUDS scores provides tangible data on an individual’s progress over time.

The Benefits of Using SUDS at Mountain Valley

  • Personalized Treatment Plans: By consistently monitoring SUDS scores, our therapists can customize treatment plans to address specific anxiety levels.
  • Empowerment Through Self-Monitoring: Patients learn to take control of their anxiety by recognizing and addressing distress as it occurs.
  • Enhanced Peer Support: Sharing SUDS levels in group settings fosters a sense of community and mutual understanding among participants.

The Subjective Units of Distress Scale (SUDS) is a powerful yet simple tool that empowers individuals to understand and manage their anxiety. By quantifying distress, it transforms abstract feelings into concrete data that can guide personal coping strategies and therapeutic interventions.

At Mountain Valley, we are committed to providing evidence-based approaches like SUDS to support adolescents and young adults dealing with anxiety and OCD. By incorporating tools like the SUDS scale into our programs, we help individuals develop the skills they need to navigate their emotions and lead fulfilling lives.

If you or someone you know is struggling with anxiety, don’t hesitate to reach out. We’re here to help.

References:

  1.  Kircanski, K., & Peris, T. S. (2015). Exposure and response prevention process predicts treatment outcome in youth with OCD. Journal of Anxiety Disorders, 36, 45-51.
  2.  Meuret, A. E., Rosenfield, D., Seidel, A., Bhaskara, L., & Hofmann, S. G. (2010). Respiratory and cognitive mediators of treatment change in panic disorder: Evidence for intervention specificity. Behavior Research and Therapy, 48(8), 698-706.