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Sport Psych


Crazy-Makers: Dealing with Passive-Aggressive People

Why Are People Mean? Don't Take It Personally!

When You Have Been Betrayed

Struggling to Forgive: An Inability to Grieve

Happy Habits: 50 Suggestions

The Secret of Happiness: Let It Find You (But Make the Effort)

Excellence vs. Perfection

Depression is Not Sadness

Conflict in the Workplace

Motivation: Intrinsic vs. Extrinsic

20 Steps to Better Self-Esteem

7 Rules and 8 Methods for Responding to Passive-aggressive People

Promoting Healthy Behavior Change

10 Common Errors in CBT

What to Do When Your Jealousy Threatens to Destroy Your Marriage

Rejection Sensitivity, Irrational Jealousy and Impact on Relationships

For Women Only: How to Have the Relationship of Your Dreams

What to Do When Your Partner's Jealousy Threatens to Destroy Your Relationship

Making Attributions for a Healthier Attitude

Happiness is An Attitude

Thinking Your Way to a Healthy Weight

Guide to How to Set Achieveable Goals

The Effectiveness of Cognitive-Behavioral Treatment for Anxiety Disorders

Co-Dependency: An Issue of Control

The Pillars of the Self-Concept: Self-Esteem and Self-Efficacy

Catastrophe? Or Inconvenience?


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Change Yourself--Don't Wait for the World to Change

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Rainy Autumn Morning

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Quick Stress Relief

Thinking Your Way to a Healthy Weight

Lies You Were Told

Choosing Happiness

Lotus Flower Relaxation

Audio Version of Article: Crazy-Makers: Passive-Aggressive People

Audio Version of Article: Why Are People Mean? Don't Take It Personally!

Audio Version of Article: Happiness Is An Attitude

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Kindle Books by Dr. Monica Frank


Emotion Training: What is it and How Does it Work?

How You Can Be More Resistant to Workplace Bullying

Are You Passive Aggressive and Want to Change?

When Your Loved One Refuses Help

The Porcupine Effect: Pushing Others Away When You Want to Connect

What if You Considered Other Peoples' Views?

5 Common Microaggressions Against Those With Mental Illness

What to Expect from Mindfulness-based Cognitive-Behavioral Therapy (MCBT) When You Have Depression and Anxiety

Does Cognitive-Behavioral Therapy Lack Compassion? It Depends Upon the Therapist

When Needs Come Into Conflict

What to Do When Anger Hurts Those You Love

A Brief Primer On the Biology of Stress and How CBT Can Help

50 Tools for Panic and Anxiety

Coping With Change: Psychological Flexibility

Breaking Up is Hard to Do: Ending a Bad Relationship

I'm Depressed. I'm Overwhelmed. Where Do I Start?


Building Blocks Emotion Training

Hot Springs Relaxation

5 Methods to Managing Anger

Panic Assistance While Driving

Autogenic Relaxation Training

Rainbow Sandbox Mindfulness

Mindfulness Training

Riding a Horse Across the Plains

Cityscape Mindfulness

Change Yourself--Don't Wait for the World to Change

The Great Desert Mindfulness

Tropical Garden Mindfulness

Thinking Your Way to a Healthy Weight

Lies You Were Told

Probability and OCD

Choosing Happiness

Magic Bubbles for Children

Lotus Flower Relaxation

Cloud Castles for Children

Hot Air Balloon Motivation

All Audio Articles

January 4, 2017       

Exposure Treatment of Simple Phobias in Children

by Monica A. Frank, Ph.D.
fire observation tower
In my early career one of the cases that impressed upon me the effectiveness of exposure therapy when anxiety is caught early in childhood was a 10-year-old boy who had a fear of heights and crowds. He had a high degree of motivation to overcome his fear because he felt embarrassed that his younger brother could climb to the top of a old fire observation tower that was in a local public park. (This was in the days when it wouldn't be considered parental neglect to let your child climb a six story open rail tower—see picture)

So we developed a plan:

1) Anxiety management. I taught him a few exercises to reduce anxiety such as breathing and progressive muscle relaxation.

2) Coping script. Together we wrote out a description of what he imagined climbing to the first level of the tower would be like. Since he had already tried it once he could describe what it looked like and his anxiety symptoms. Then I helped him insert some ways to cope such as sitting on the step for five minutes and breathing slowly. We also included some self-talk statements that he created such as “I can do this.”

3) Record, listen, practice. His instructions after the session was to record the script we had written and listen to it over a few days. Then before he came for his next session his parents were to take him to the tower and practice exactly what we had written.

When he came in for his next session he reported that he had climbed to the first level of the tower and that it was scary but he managed to stay there for the full five minutes. Then we added to the script by describing climbing to the next level, sitting on the step to calm himself and, once he was ready, standing by the railing. Again, we inserted coping methods and self-talk.

The third session we followed the same plan for the third level of the tower. The following session he came running down the hall and burst into my office: “I climbed all the way to the top of the tower!”

Not only that but his fear of crowds had diminished as well. When a person faces one fear successfully they often have increased confidence and other fears become less intense. This case illustrates how helping children face fears can teach them a life lesson that will allow them to confront other challenges.


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