ABSTRACT
Joshua is 10 years old. Referred by his mother, he has an extreme fear of injury and death. Currently, his behavior is characterized by hypervigilance and scanning of the environment. Joshua refuses to engage in any activity unless he is certain that he will not observe injury to himself or anyone else. He refuses to go to or participate in sporting events because someone might be injured. He refuses to go to the movies unless he knows the entire plot ahead of time because someone might get hurt. He also refuses to watch television, including those shows that he knows are “fake,” such as cartoons, because there might be blood or injury. Although his mother reported that he was always a “sensitive” child, the frank onset of this disorder was triggered after watching the movie Godzilla.
