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young five and CBT

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Hi all, I have a question for those of you with experience with young children

and CBT. My daughter's therapist says she wants to construct the fear

hierarchy, but won't for now since my daughter is not able to distinguish

between " easier " and " harder " obsessions and compulsions. I believe this is

true, my daughter has repeatedly said that they're *all* bad and she wants them

*all* gone. During their session today, the therapist helped and reminded my

daughter to boss back compulsions as they happened during the session. Her

homework is to continue bossing back compulsions randomly as they occur.

I wonder if this problem means she is too young to benefit from CBT after all.

I thought the idea was to get some easy victories to begin with, gaining

confidence to attack the harder things later, in a step fashion. Do you think

this can work this way? Or should I discontinue therapy until she's a little

older or seems better able to rank her obsessions and compulsions?

Thanks, Kathy R.

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