Challenges for Kids and Teens



Thank you for visiting our site! This is the main menu for the treatment steps we recommend for kids and teens. The technical terms for the process (steps) is exposure and response prevention (ERP). Exposure means facing your fear on purpose. Sometimes I (David) will refer to those steps as ‘challenges’ because they are difficult. Steps, challenges, and hierarchy all refer to the same thing. Response prevention means responding differently to the feeling of fear. A person ‘prevents’ themself from ‘responding’ in the same way. Instead of trying to escape/avoid you practice accepting the feelings and disobey the urge that comes with the anxiety.


If you are a provider or parent using the exposures on this site and have some suggestions or feedback please email me. Additionally, I can share a dropbox folder with exposures I use in my practice.


Generally, the content assumes our reader/user is a clinician but we may address people with emetophobia, caregivers, and/or kids directly at times. Clinicians may need to make an informed judgment call on whether to use adult exposures or kid exposures for young teens.


Note to providers: When I am doing exposures with clients in my office, I usually use a large size tablet to display the exposures. If your monitor is visible that will work. A client can use their own device. When the exposure is displayed smaller (ex. phone) it is usually a bit easier but the full benefit may require a larger display. I am working on print versions as well. In other words, a bit of creativity may be required depending on office and device configurations.