Step 5: Assign Anxiety Ratings and Order the Activities
After generating your list of possible steps, it is time to form them into your mission plan by assigning anxiety ratings and placing them in order of difficulty (i.e., from easiest/least scary to hardest/scariest). This is Steps 4 and 5 in your child's manual. Even if you have done most of the steps leading up this part without your child, it is important to get their input when putting the mission plan steps in order. This ensures that your mission plan steps span the anxiety scale and that no two are too far apart. It can be helpful to transfer your possible activities onto post-its, notecards, or small slips of paper for this process, so they are easy to move around as you develop your mission plan. Also know that it is okay if you eliminate some activities during this process.
It can be difficult for young children to accurately report their level of anxiety for a given situation 鈥 especially if they have to guess without actually being in the situation! If your child has been able to use the鈥痑nxiety scale鈥痶o accurately report their level of anxiety associated with specific fears, have them rate each鈥痬ission plan step鈥痷sing the鈥痑nxiety scale鈥痑nd then place them in order accordingly. If your child has had some trouble using the鈥痑nxiety scale, consider the following options for involving them in the ordering process:鈥
- Simplify the鈥痑nxiety scale鈥痑nd language you are using to get your child鈥檚 input.鈥疐or example, we have suggested using 鈥渆asy,鈥 鈥渕edium,鈥濃痑nd 鈥渉ard鈥 as an鈥痑lternative.鈥疦o matter how your child communicates fear or anxiety with you, use terms your child鈥痷ses.鈥
- If you are still having a hard time successfully involving your child in the ordering process, first transfer your possible steps onto slips of paper and place them in an order you guess to start. Then, with your child, hold up the first two, read them out loud and ask, 鈥渨hich one would be harder, this one or this one?鈥 Adjust the order as necessary based on their response and repeat the process with the other activities.
As you are ordering the mission steps with your child, you might find out that some of the activities you came up with are not actually scary for your child or that you have four steps that all represent the same level on the anxiety scale. That鈥檚 okay! When things are less scary than you or your child expect, it can be a pleasant surprise and still counts as mission step practice. It is also okay if you have lots of different ideas at the same level on the anxiety scale. Changing up how you face a fear will help your child learn! Lastly, know that is it completely okay to eliminate some steps during this process based on this information.
Once you have worked with your child to put the mission plan steps in order of difficulty, reflect on the entire mission plan and ensure no two consecutive steps have too big of a jump. Also, make sure the first step of your mission plan is something you鈥痑re able to鈥痶ry today or tomorrow.鈥疶he first steps should be鈥痯retty鈥痚asy鈥痜or your child鈥 it is important to experience success at the beginning while learning the mission plan process. This will give them confidence in their ability to tackle subsequent, harder steps!鈥
As you can see, the number of steps will vary based on the individual child and the specific fear you are developing a mission plan for. Neil and Sally鈥檚 mission plans provide good examples of how you can manipulate steps to span the鈥痑nxiety scale. We can also plan different mission plans targeting different behaviors 鈥 once Neil is able to sleep鈥痑way鈥痜rom his mom, they could then develop a mission plan to reduce the amount of light he needs to sleep.鈥
Once you start getting used to doing mission plans, feel free to get more creative and adjust your goals/steps as you go along. You do not need to follow a mission plan perfectly鈥痠n order; in fact, you should feel鈥痜ree鈥痶o make changes as you learn about how your child faces their fears. If changing a鈥痝oal, jumping around to different steps, or going back to a previous step will help your child reach their goal鈥痑nd they feel ready,鈥痝o for it!鈥疌hanging it up can help your child overcome their fears in a wider range of situations.