Wednesday, June 4, 2025
Therapy

The Cycle of Avoidance in Anxiety: Why What Feels Safe Isn’t Always Helpful

Imagine this: You're invited to a party. You want to go - kind of. But then your thoughts start spinning:
"What if I say something stupid?"
"What if no one wants to talk to me?"
Your heart starts racing. Suddenly, staying home feels like the safest and smartest choice.

Relieved, you settle on the couch, Netflix queued up. Crisis averted… right?

Not exactly.

This moment, while understandable, is part of a powerful loop that keeps anxiety alive. It’s called the cycle of avoidance, and if you struggle with anxiety, you probably know it well.

What Is the Cycle of Avoidance?

Avoidance is a coping mechanism we all use. In fact, it works, at least in the short term. Avoiding something that feels threatening temporarily reduces our discomfort.

But here's the catch: avoidance also prevents healing. Over time, it shrinks your world, reinforces fear, and strengthens anxiety’s grip on your life.

Let’s break it down:

How the Cycle Works

  1. Trigger: A thought, situation, or sensation sparks anxiety (e.g., giving a presentation, being alone, having a racing heart).

  2. Anxiety: You feel it in your body - tight chest, racing thoughts, sense of dread.

  3. Avoidance: To escape the discomfort, you avoid the trigger - physically (leave the room), mentally (suppress the thought), or behaviorally (cancel the event).

  4. Temporary Relief: The anxiety goes down. For now. Your brain logs avoidance as a “success.”

  5. Long-Term Reinforcement: But the feared outcome was never tested, so your anxiety stays. In fact, it might grow. The message your brain receives is:
    “That was dangerous. I couldn’t handle it. I should always avoid it.”

And so the loop continues.

The Cost of Avoidance

Avoidance feels like protection, but it has a cost:

  • Missed opportunities for connection, growth, or success

  • Increased sensitivity to distressing thoughts and feelings

  • Reinforced self-doubt and helplessness

  • A shrinking comfort zone

  • Greater long-term anxiety

Breaking the Cycle: Moving Toward What Scares You (Gently)

The good news? You can break this cycle. The path forward is about facing what you fear, in small, intentional ways.

Here’s how:

1. Notice the Pattern

Start by becoming aware of your avoidance habits. What do you tend to avoid? How do you feel immediately after? What’s the long-term impact?

2. Try Gradual Exposure

Facing your fears all at once can feel overwhelming. Instead, start small. Choose low-stakes versions of the situations you avoid, and work your way up.

3. Reframe Your Thoughts

Ask yourself:

  • “What am I afraid will happen?”

  • “How likely is that really?”

  • “What evidence do I have that I can handle this?”

Challenging these thoughts helps loosen anxiety’s grip.

4. Practice Distress Tolerance

It’s not about eliminating anxiety, it’s about learning to stay with it. Breathing techniques, grounding exercises, and mindfulness can help you surf the wave of discomfort without being pulled under.

5. Be Kind to Yourself

Self-compassion is crucial. Avoidance often comes with shame. Instead of beating yourself up, remind yourself:
“I’m doing the best I can, and I’m learning to do things differently.”

The Truth About Courage

Courage doesn’t mean you never feel anxious. It means you show up anyway.

Every time you face something you’d rather avoid, you reclaim a piece of your freedom. You send your brain a new message:
“I can handle this. I don’t have to run.”

And that’s how healing begins.

References 

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). Guilford Press.

Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27. https://doi.org/10.1016/j.brat.2007.10.003

Clark, D. A., & Beck, A. T. (2012). The anxiety and worry workbook: The cognitive behavioral solution. Guilford Press.

Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2016). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

The Cycle of Avoidance in Anxiety: Why What Feels Safe Isn’t Always Helpful
June 4, 2025
Katie Coon
BSN, RN, San Antonio Clinic Manager