Abstract
In this paper, an intervention process for a 4-years-old kindergarten refusal boy is reported. A client had intense anxiety for interacting with other children, for some daily living behaviors, and had symptoms of selective mutism. These problems were considered to social skills and self-control skills deficit. Initially he was trained to acquire play skills in order to shape readiness for kindergarten attendance. Because existence of therapists was regarded as counter-response to anxiety, then he was exposed to various stimulus in In-Vivo settings with therapists. Finally his attendance time was extended gradually. After kindergarten attendance and conversation with other children was acquired and maintained, the intervention was ended. It was concluded that exposure in In-Vivo situation was effective for anxiety.
