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facing fear one step at a time

In this first video, we interview Dr Julie Sposari, PhD/Clinical Psychologist and learn how exposure principles can be used to create goals to help your children face and overcome their worries and fears.  Facing Fear to Fight Fear!  Remember avoiding fears doesn’t help, it strengthens the anxious beliefs, making it increasingly difficult for children to do things.

In this video you will learn:

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What exposure therapy is

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the rationale for exposure

(1:10 into video)

    • An example of the fear of public speaking is used to show how graded exposure is used to overcome specific fears.

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the principles of exposure

(5:57 into video)

    1. Grading of steps
    2. Duration of exposure
    3. Repetition of steps
    4. Use of rewards
    5. Persistence
    6. Appropriate use of safety behaviours

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How to build an exposure hierarchy

(11:10 into video)

    1. Talk with your child about their concerns
    2. Brainstorm the steps
    3. Rank steps from easiest to most difficult
    4. Add rewards to each step

 


Q&A – Creating and working through exposure goals

This second video is a Q&A session with Dr Julie Sposari, PhD/Clinical Psychologist where we ask her a number of questions based on our experience using exposure goals and the obstacles we encountered. We hope you find it useful and pick up some great tips and strategies.

 

Questions contained in this video:

Time into
video

Questions

00:14

1

How do you explain exposure goals to children?

01:38

2

I have a goal and have no idea how to break it down.  How do you suggest I get started?

03:32

3

Once I’ve brainstormed a list of possible steps how do I order these steps?

04:27

4

What is the ideal number of steps?

06:27

5

How do I decide how many repetitions to do for each step?

08:06

6

What is the ideal timeframe to complete a goal?

09:40

7

How many times a week should my child do something towards achieving a step or goal?

10:52

8

Is it Ok to take a break from a hierarchy?

12:00

9

Should I only undertake one goal at a time?

13:53

10

When would you break a goal into separate mini goals?

15:54

11

What commitment is required from parents?

17:15

12

Would you recommend a family pledge a commitment to the goal and each other?

18:08

13

What should I do if my child gets stuck on a step and refuses to move on?

19:23

14

My child is not ready to move to the next step when they should be. What should I do?

21:20

15

What happens if my child tries a step and fails?

22:24

16

If kids fail a step should you still reward them?

23:14

17

My child seems to be moving through the steps very quickly, is this a problem?

24:27

18

What are the dangers of parents taking over or getting too involved?

25:55

19

Can the parents own anxiety get in the way?

26:41

20

What are the dangers of parents putting unrealistic expectations on their kids?

27:41

21

What to do for your other kids while your particular child is working through their hierarchy?

28:43

22

How do you distinguish between anxious behaviour and being defiant or non-compliant?

30:12

23

What are the benefits of journaling?

31:27

24

Is it important to make it fun for kids?

32:19

25

When do parents need support of a health professional?