01891nas a2200241 4500000000100000008004100001260001800042653004000060653002000100653001300120653002200133100002900155700002600184700002800210700002900238700003400267245008100301856007200382300001000454490000700464520116400471022001401635 2016 d cjulbElsevier10aCognitive-behavioural child therapy10aSpecific phobia10aExposure10aSingle-case study1 aOlga Santesteban-Echarri1 aDavid Rentero Martín1 aM. José Güerre Lobera1 aJose Carlos Espín Jaime1 aMiguel Angel Jiménez-Arriero00aCognitive-behavioral treatment of specific phobia in childhood: A case study uhttps://www.sciencedirect.com/science/article/pii/S1134793716300239 a80-900 v223 aThis article presents the case of a 12-year old adolescent referred to a child and adolescent mental health centre. The patient presented with anxious traits, leading to a primary diagnosis of specific phobias, which impaired his daily living. Objectives To achieve a reduction in the patient s number of concerns and psychophysiological arousal, to challenge unrealistic expectations and to eliminate avoidance and escape behaviours. Assessment Among others, the Spanish version of the Spence Children s Anxiety Scale (SCAS) and the Fear Survey Schedule for Children-Revised (FSSC-R), were used. Intervention Group adaptation of the Brief Coping Cat (BCC) and individual in vivo exposure. Results Overall anxious symptoms were reduced and the patient successfully exposed himself to his fears until anxiety completely disappeared. We highlight the importance of expectancy violation and positive stimuli techniques as change factors associated with exposure. Conclusions This article underscores the effectiveness of adapting the BCC to a group treatment format and the importance of optimising exposure techniques that may work for children and adolescents. a1134-7937