This case study explores the treatment of pediophobia (fear of dolls) in a 21-year-old male using a Cognitive Behavioral Therapy with Art-Based Methods. The client had experienced severe anxiety, including sweating, trembling, and avoidance behaviors, in response to dolls since childhood. Over the course of four therapy sessions, the client underwent gradual exposure to dolls, starting with symbolic exposure through art therapy (drawing dolls) and progressing to direct interaction with real dolls. Cognitive reframing was also integrated to challenge irrational beliefs about the fear. The results showed a significant reduction in the patients anxiety and avoidance behaviors, with the patient able to hold and interact with dolls without distress by the final session. The combination of exposure therapy and art therapy proved effective in helping the patient overcome his pediophobia, with lasting improvements reported during a follow-up interview, 10 years after the interventions. This case highlights the effectiveness of cognitive behavioral therapy with art-based methods in treating specific phobias in adolescents and young adults, emphasizing the potential of art therapy to enhance traditional CBT interventions. The findings suggest that incorporating creative expression may facilitate emotional processing and reduce anxiety, offering an alternative pathway for treating phobias in youth.