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Exposure · 6 minute practice · Go deeper with "Drop a safety behavior"

Drop a safety behavior

Notice the small things you do "just in case", and find out what happens without them.

Key takeaways

  • A safety behavior is something small you do "just in case": rehearsing, gripping, checking, staying near the exit.
  • It takes the credit when nothing bad happens, so you never learn you would have been fine without it. Some even cause what you fear.
  • Pick one, name what you fear would happen without it, and drop it in one real situation to find out.

Never drop medication, or anything a doctor has advised, as an experiment.

The elephant repellent

There's an old joke therapists like to tell. A man on a train keeps tearing up bits of paper and throwing them out of the window. "Why are you doing that?" asks the woman opposite. "It keeps the elephants away." "But there aren't any elephants here." "Exactly. It works."

In 1991, the Oxford psychologist Paul Salkovskis gave this a name: safety behaviors. Someone afraid of fainting during panic grips a rail or sits down, and never finds out they wouldn't have fainted anyway. The behavior gets the credit, and the fear survives.

They're sneaky

Safety behaviors are often small and easy to miss. A few common ones:

  • Rehearsing every sentence before you speak
  • Avoiding eye contact, or keeping your hands busy
  • Sitting near the exit, or always having someone with you
  • Checking your phone, your pulse, or the route, again and again
  • Carrying things "just in case" that you never actually use

They can even backfire. In David Clark and Adrian Wells's work on social anxiety, someone who stays quiet and avoids eye contact so as not to seem awkward can come across as distant, which is the very thing they feared.

The same action can be a safety behavior or an ordinary choice. What decides it is why you do it: to head off a feared outcome, or for its own sake.

Question 1 of 3

Alex is anxious about a party. Sort each one.

  • Rehearsing what to say in your head before every sentence
  • Bringing a bottle of wine for the host
  • Staying by the door so you can slip out unnoticed
  • Leaving at eleven because you're working early tomorrow
  • Asking a friend to stay by your side all night

0 of 5 sorted

Run the experiment

One experiment

  • Pick one

    A safety behavior you use in a situation that comes up often.

  • Predict

    What do you fear would happen without it? Make it specific enough to check.

  • Drop it

    In one real situation, go without it, or with less of it.

  • Compare

    What actually happened, against what you predicted?

Question 2 of 3

Jo always sits on the end of a row at the movies, "in case I need to get out". Jo has never once had to leave. What would be a good experiment?

Plan your own experiment

If you like, try it on one of your own.

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Ben's Monday meeting

Every Monday, Ben gives a two-minute update to his team. He's terrified his mind will go blank. So he writes out every word and reads it from his phone, keeps his eyes down, holds a pen so no one sees his hands shake, and leaves the call the moment he's done. It always goes fine, and he dreads it just as much every week.

Question 3 of 3

Sources and further reading

  • Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19(1), 6-19.
  • Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social Phobia: Diagnosis, Assessment, and Treatment (pp. 69-93). Guilford Press.

Finish the lesson

0 of 3 questions done. Answer the rest to finish.