In this episode Will reconnects with Bill Brown, co-founder of Confluence Behavioral Health) in Vermont. Since their last conversation in 2019, Confluence has evolved significantly to meet the changing needs of young adults. Bill discusses how today's youth are internalizing their struggles more than ever, shifting from outward expressions of distress to feelings of self-hatred and isolation. Recognizing this change, Confluence adapted its wilderness therapy model by integrating nightly returns to their residential property, increasing accessibility through insurance coverage, and expanding services with Arete Transitions) and a new Intensive Outpatient Program (IOP) in Burlington. Bill emphasizes the importance of evolving treatment approaches to address the current mental health crisis among young adults. He notes that while the need for mental health services has risen, options have narrowed due to societal shifts and decreased parental willingness to engage in more challenging therapeutic interventions. Through innovative programs and a focus on integrating adventure therapy with clinical practices, Confluence aims to provide effective support tailored to the unique challenges faced by today's youth.