1. Adam: The Problem 9 years old 9 years old Lived with mum Lived with mum Dog attack Dog attack Unable to walk to school Unable to walk to school Unable to play at friends’ houses Unable to play at friends’ houses

2. The therapy Explaining how it all works Explaining how it all works Teaching relaxation Teaching relaxation Making up the hierarchy Making up the hierarchy

3. Practising Relaxing and imagining all the way up the hierarchy e.g.: Relaxing and imagining all the way up the hierarchy e.g.: Seeing dog picture Seeing dog picture Seeing/hearing moving dog on TV/video Seeing/hearing moving dog on TV/video Seeing dog on street from inside Seeing dog on street from inside Seeing dog across road when outside………… Seeing dog across road when outside………… Being close to a dog Being close to a dog

4. Practising From therapy room to the ‘real’ world From therapy room to the ‘real’ world Adam’s dog drawing- route to school Adam’s dog drawing- route to school Out on street with mum, then without Out on street with mum, then without To school To school To friend’s house To friend’s house Back to scene of the crime Back to scene of the crime

5. ‘ Sneaky Poo’: A narrative approach to encopresis Minky Finding a strong character to help The map/race track Minky vs Sneaky Poo