Sahil is a nine year old boy who describes himself as “scared to death of flying,” a fear that has gotten worse over the last few years. When he is on a plane, he feels trapped, and panicky. His heart races and his throat feels tight. He also sweats excessively. The worst part for Sahil is when the plane starts to take off; the shaking of the plane makes him convinced that it is going to crash. He is especially afraid of smaller planes, and when the weather is bad during a flight. He used to start dreading a plane trip a few months before he was due to take one. Now, he won’t fly at all. He thinks that his anxiety has become overwhelming and that he will freak out and have a panic attack on the plane.