Oh...my son had problems with specific near phobic fears...a counselor wanted to set up a reward system for him working through the fear with baby steps...sounds good on paper...but he transferred all of his anxiety to worrying about if he was going to get the reward or not. Big fat fail. What he truly needed was the relaxation techniques, positive self talk, desensitizing without fear of failure or reward. The whole if you do this you can have this reward thing never worked for him...he was more of an after the fact "look at what you have accomplished...let's celebrate....how would you like to do that?" Kind of kid.