EDUCATIONAL ARTICLE

Understanding Avoidance and Safety Behaviours

By David Hennessy, Clinical Psychologist

Avoidance and safety behaviours are ways people respond when something feels threatening. A person might put off a conversation, leave a situation early or check something many times. These responses often make sense when we understand what the person fears.

Some actions protect people from real danger or make daily life more accessible. Others mainly reduce anxiety. They may bring relief while leaving the original fear unchanged. The difference depends on the situation and the purpose of the behaviour. [1], [2]

This article explains these patterns and the terms used to describe them. It complements the condition-specific information in the Anxiety Disorders hub.

A footbridge with dark railings leading through dense green woodland beneath overhanging branches.

A behaviour’s meaning depends on its purpose, its setting and the person’s needs. Appearance alone does not tell the whole story.

What Is Avoidance?

Avoidance means staying away from, putting off or not taking part in something. In anxiety, it often involves a situation or experience that seems threatening. Escape is a related response. It means leaving or stopping after the person has entered the situation. [1]

Someone may avoid a gathering because they expect to be judged. Another person may attend but leave as soon as anxiety rises. Both responses reduce contact with something that feels difficult.

Avoidance can also be less visible. Delaying a phone call, keeping a conversation very brief or avoiding a topic may serve a similar purpose.

Avoidance is not always harmful. Leaving danger, declining an unreasonable demand and taking a needed break can be appropriate. The clinical concern is a pattern that becomes rigid or limits daily life, rather than the mere presence of avoidance. [1]

What Are Safety Behaviours?

Safety behaviours, also called safety-seeking behaviours, are actions or mental strategies used to prevent a feared outcome. In anxiety, the term usually refers to responses that seem protective but are not needed to manage the actual risk. [2], [3]

A person may enter a situation while relying on these responses. For example, someone may attend a meeting but silently rehearse every sentence. They may believe this is the only way to avoid saying something embarrassing.

Another person may closely monitor their face, voice or hands for signs of anxiety. The meeting is taking place, but much of their attention is on preventing a feared event.

The term does not mean that all precautions are unnecessary. Seatbelts, prescribed medicines, accessibility aids and ordinary preparation have different roles. Their presence alone does not make them anxiety-related safety behaviours.

How Avoidance and Safety Behaviours Overlap

Avoidance and safety behaviours are closely related. Avoidance often reduces contact with a feared situation. A safety behaviour may allow contact, but only under conditions the person believes are essential. The boundary between them is not always clear. [2], [3]

For example, a person who fears criticism may avoid a discussion. They may also join the discussion but agree with everything, hoping to prevent disagreement. The actions look different, yet both may be linked to the same feared outcome.

Some responses fall between avoidance and escape. Sitting near an exit may be ordinary convenience, part of an access need, or a response to fear about being unable to leave.

There is no fixed list that explains every case. The same action can have different meanings for different people.

Why Relief Can Strengthen a Response

When an action reduces distress, it can become more likely to happen again. Psychologists call this negative reinforcement. Here, negative means that something unpleasant is removed or reduced. It does not mean punishment or bad behaviour. [1]

A person may cancel a feared appointment and feel immediate relief. That relief can make cancelling more likely when a similar appointment comes up. The response has become linked with an easing of anxiety.

This can happen without a deliberate decision. People do not need to understand the learning process for it to affect their behaviour.

Over time, the pattern may spread to more situations. Daily life can become organised around preventing distress. This helps explain why an understandable response can continue even when it has wider costs. It is one possible process, not a complete explanation for everyone’s anxiety. [1], [2]

Fear Predictions and Missed Information

A threat appraisal is a person’s interpretation of danger. It may involve a thought such as, “If I hesitate, everyone will think I am incompetent.” An expectancy is a prediction about what will happen. [2]

Safety behaviours can affect how an outcome is explained. If the feared event does not happen, the person may think, “It only went well because I rehearsed everything.” Their prediction about danger may remain unchanged. [3]

Disconfirmation means receiving information that does not fit a prediction. Avoidance can reduce contact with this information. A safety behaviour may also make the outcome seem dependent on the precaution. [2], [3]

Self-focused attention is another relevant term. It means attention directed towards one’s own thoughts, sensations or appearance. During social anxiety, close monitoring of these experiences may leave less attention available for the conversation or other people’s responses. [4]

These concepts explain possible links between fear, attention and behaviour. They do not establish why a particular person is anxious.

Examples Across Anxiety-Related Difficulties

In social anxiety, a person may carefully control what they say, hide signs of nervousness or avoid drawing attention. The feared outcome often involves judgement or embarrassment. The existing article on what social anxiety feels like covers that experience in more detail. [4]

With persistent worry, a person may delay a decision until they feel completely certain. They may also ask the same question many times. These actions can be attempts to reduce doubt. They do not, by themselves, establish a diagnosis of generalised anxiety disorder.

When bodily sensations are feared, a person may repeatedly monitor their pulse or avoid activities they associate with those sensations. Similar actions can also have medical reasons. Their meaning depends on the person’s health, circumstances and the role of the checking.

In obsessive–compulsive disorder (OCD), repeated checking, reassurance seeking and mental rituals can form part of compulsions. Compulsions are repeated actions or mental acts linked to distress, feared consequences or rigid rules. OCD is a distinct condition; one example of checking does not establish that diagnosis. [5]

The separate articles on generalised anxiety and OCD describe those experiences more fully. The focus here is the shared pattern, rather than a full account of each condition.

Function Matters More Than Appearance

In psychology, a behaviour’s function means what it does in a particular setting. Its form means what it looks like. Two similar actions can have different functions. Different actions can also serve the same purpose. [6]

A friend at an appointment may provide transport, communication support or companionship. In another case, someone may believe that the friend’s presence is the only thing preventing a feared event. Appearance alone cannot show which explanation fits.

The same applies to preparation. Reading an agenda may support understanding. Rehearsing every possible answer may instead be driven by a belief that an ordinary mistake would be disastrous.

These roles can overlap. A response may meet a real need and also reduce anxiety. This makes simple labels such as “helpful” or “unhelpful” incomplete without context. [6]

Real Safety, Disability and Accessibility

Real danger and perceived danger are not always the same. Protection from abuse, safe driving, workplace procedures and medical care have important purposes. Anxiety-related language does not remove those needs.

Disability, illness and sensory differences also affect behaviour. For autistic adults, clinical guidance recognises the importance of changes to lighting, noise, communication and other features of the environment. It also recognises the role of breaks. [7]

Hearing protection may allow someone to remain in a busy place. A communication aid may make a conversation possible. Rest may be part of managing an illness. These are not automatically signs that anxiety is being maintained.

A need for support and an anxiety-related pattern can exist together. That is different from assuming every support is a safety behaviour, or that every avoided situation is safe and suitable.

Internal and Less Visible Safety Behaviours

Not all safety behaviours involve visible actions. Covert behaviours are responses that are less visible to other people, such as silently rehearsing words or repeatedly reviewing a memory. [3]

Someone may appear to be listening while mentally checking that they have not said anything wrong. Another person may repeat a phrase in their mind because they believe it prevents a feared event.

The presence of private thought does not make it a symptom. Mental rehearsal, reflection and imagination are ordinary parts of life. Their clinical meaning depends on their purpose, rigidity and effect on daily functioning.

This distinction helps explain why two people in the same situation may have very different experiences. What others can see may not show the effort involved.

Coping Skills and Rigid Requirements

A coping skill is not automatically a safety behaviour. A breathing or grounding exercise may help someone orient to the present moment. In another situation, the person may believe the exercise must remove all anxiety before anything else can happen.

The important distinction is not simply the exercise itself. It includes the meaning attached to it and whether it has become a rigid requirement. The evidence does not support treating every safety behaviour as harmful in every setting. Context and individual differences matter. [6], [8], [9]

Anxiety, Learning and Daily Functioning

Feeling calmer and learning something new are related, but they are not identical. A person may feel relief without changing a belief about danger. They may also receive new information while still feeling anxious. [10]

Inhibitory learning refers to new learning that can compete with an older fear association. The older association is not necessarily erased. This is one reason fear can vary between places or return after a period of time. [10], [11]

These terms describe learning processes. They are not instructions for facing fears, removing precautions or carrying out a behavioural experiment.

Avoidance and safety behaviours can affect how much time, attention and energy is available for other parts of life. Their impact may involve work, study, relationships or ordinary choices. The pattern can be important even when it is not obvious to other people.

Understanding these concepts does not require viewing every anxious response as a problem. Their meaning rests on the whole picture: the person’s fears, actual risks, support needs and daily life.

Frequently Asked Questions About Avoidance and Safety Behaviours

Are avoidance and safety behaviours the same thing?

They overlap. Avoidance often reduces contact with a feared situation. A safety behaviour may occur while someone remains in that situation. Both can be linked to the same feared outcome. [2], [3]

Does immediate relief mean a response is harmful?

No. Relief is a normal experience. Negative reinforcement explains how relief can strengthen a response, but it does not show whether that response is appropriate in a particular situation. [1]

Can reassurance be ordinary support?

Yes. Reassurance can be part of everyday care and communication. In some anxiety-related patterns, it becomes repeated and closely tied to a need for certainty. Its meaning depends on context rather than one request for support. [5], [6]

Does a safety behaviour have to be visible?

No. Safety behaviours can include mental acts, such as silent rehearsal or repeated internal checking. Ordinary thought is not automatically a safety behaviour. Its purpose and role are important. [3]

Does avoidance mean someone has an anxiety disorder?

No. Avoidance occurs in everyday life and for many reasons. It is not enough, on its own, to establish an anxiety disorder or any other diagnosis. Its meaning depends on the wider pattern and its effects. [1]

Related Services and Information

Explore the primary anxiety hub and the practice’s general anxiety support options.

The primary hub for anxiety-related services and educational resources.

Information about the practice’s general anxiety service.

Related Educational Articles

These separate pages cover specific anxiety experiences and practical exercises. The present article explains avoidance and safety behaviours without therapeutic instructions.

A separate account of persistent worry, uncertainty and the experience of generalised anxiety.

A separate account of self-consciousness, fear of judgement and social anxiety.

A separate account of intrusive thoughts, doubt, compulsions and the lived experience of OCD.

A separate practical resource containing grounding exercises.

A separate practical resource describing the Deep Calm Cool Warm breathing exercise.

References and Resources

  1. Hofmann, S. G., & Hay, A. C. (2018). Rethinking avoidance: Toward a balanced approach to avoidance in treating anxiety disorders. Journal of Anxiety Disorders, 55, 14–21. https://doi.org/10.1016/j.janxdis.2018.03.004
  2. Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19(1), 6–19. https://doi.org/10.1017/S0141347300011472
  3. Blakey, S. M., & Abramowitz, J. S. (2016). The effects of safety behaviors during exposure therapy for anxiety: Critical analysis from an inhibitory learning perspective. Clinical Psychology Review, 49, 1–15. https://doi.org/10.1016/j.cpr.2016.07.002
  4. National Institute for Health and Care Excellence. (2013). Social anxiety disorder: Recognition, assessment and treatment (Clinical Guideline CG159). https://www.nice.org.uk/guidance/cg159/chapter/recommendations
  5. National Institute for Health and Care Excellence. (2005). Obsessive-compulsive disorder and body dysmorphic disorder: Treatment (Clinical Guideline CG31). https://www.nice.org.uk/guidance/cg31/chapter/recommendations
  6. Goetz, A. R., Davine, T. P., Siwiec, S. G., & Lee, H.-J. (2016). The functional value of preventive and restorative safety behaviors: A systematic review of the literature. Clinical Psychology Review, 44, 112–124. https://doi.org/10.1016/j.cpr.2015.12.005
  7. National Institute for Health and Care Excellence. (2021). Autism spectrum disorder in adults: Diagnosis and management (Clinical Guideline CG142). https://www.nice.org.uk/guidance/cg142/chapter/recommendations
  8. Goodson, J. T., Patel, T. A., Zech, J. M., Sala, M. C., & Cougle, J. R. (2026). The standalone effect of safety behavior manipulations: A systematic review and meta-analysis. Clinical Psychology Review, 124, Article 102703. https://doi.org/10.1016/j.cpr.2026.102703
  9. Meckes, S. J., Cole, A. C., Gee, K., & Lancaster, C. L. (2026). Testing judicious use of safety behaviors during exposure: A randomized controlled trial examining when and for whom safety behaviors improve fear reduction. Cognitive Therapy and Research, 50(2), 341–359. https://doi.org/10.1007/s10608-025-10667-1
  10. Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. https://doi.org/10.1016/j.brat.2014.04.006
  11. Craske, M. G., Treanor, M., Zbozinek, T. D., & Vervliet, B. (2022). Optimizing exposure therapy with an inhibitory retrieval approach and the OptEx Nexus. Behaviour Research and Therapy, 152, Article 104069. https://doi.org/10.1016/j.brat.2022.104069

Australian Resources

Educational Disclaimer

This article provides general educational information about avoidance, safety behaviours and psychological learning. It does not offer diagnosis, therapeutic advice, exercises or an individual treatment plan. Medical care, disability supports and actual safety needs are distinct considerations. The article does not replace individual assessment.

Enquiries and Appointments

Hennessy Clinical Psychology provides psychology appointments for adolescents and adults in Varsity Lakes on the Gold Coast, with telehealth across Australia where clinically appropriate. Information about the practice is available on the About David and Therapy for Anxiety pages.