Rituals often develop as a way to cope with anxieties, so exposure therapy within a CBT treatment plan aims to treat the cause of these behaviors in order to eliminate the behavior itself. Despite her maturity, her therapists found that calling her obsession with contamination an “ickiness hierarchy” helped both parties to identify which scenarios triggered her the most by allowing Cassandra to rate items on a scale or “ickiness hierarchy.” They could then start at the least “icky” acts or items and work their way up the hierarchy to the most icky acts or items throughout their exposure therapy sessions. The ickiness hierarchy is a perfect example of a therapist adapting her typical treatment vocabulary and methods to fit the needs of an afflicted child or adolescent rather than an
Rituals often develop as a way to cope with anxieties, so exposure therapy within a CBT treatment plan aims to treat the cause of these behaviors in order to eliminate the behavior itself. Despite her maturity, her therapists found that calling her obsession with contamination an “ickiness hierarchy” helped both parties to identify which scenarios triggered her the most by allowing Cassandra to rate items on a scale or “ickiness hierarchy.” They could then start at the least “icky” acts or items and work their way up the hierarchy to the most icky acts or items throughout their exposure therapy sessions. The ickiness hierarchy is a perfect example of a therapist adapting her typical treatment vocabulary and methods to fit the needs of an afflicted child or adolescent rather than an