Anxiety & Avoidance Behavior: When Avoiding Everyday Life Becomes a Problem

Avoiding things because of anxiety can come in many forms. Some types of anxiety avoidance are so subtle that they don’t appear to disrupt life at all; they are just accepted as normal. However, many anxiety avoidance behaviors prevent people from engaging in rewarding and fulfilling activities, and sometimes make life extremely difficult.

Avoiding anxiety-inducing situations, people, or emotions can ease distress for a while. But this coping mechanism actually sustains a cycle of anxiety. 

This article will explore:

  • Avoidance behavior in the context of anxiety.
  • Common examples of anxiety avoidance behavior.
  • Consequences of avoidance behavior in everyday life.
  • How anxiety avoidance is treated.
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Table of Contents

Anxiety and Avoidance

Typically, anxiety is characterized by high levels of physical tension, worrying and rumination, along with a specific fear, such as social interaction or getting sick. Avoidance isn’t usually a big part of the anxiety conversation, even though it’s a key aspect of anxiety symptoms and is responsible for sustaining them.[1]

Defining Avoidance

Avoidance behavior is a response to anxiety that seeks to remove, diminish, or evade a perceived threat. Avoidance is not necessarily unhealthy. For example, healthy avoidance includes stepping away from an argument or going for a run to get a break from work. Anxiety-driven avoidance becomes problematic when it:[1]
  • Prevents you from living a fulfilling life.
  • Blocks you from getting your needs met.
  • Makes anxiety worse.
Avoidance can also take the form of emotional avoidance, where the perceived threat is a feeling that can’t be tolerated. It could be guilt, grief, shame, or fear. You might take certain steps to reduce the intensity of the emotion or make it go away entirely.[2]

What Is the Anxiety Avoidance Cycle?

The anxiety avoidance cycle describes the way in which avoidance can keep anxiety levels high and prevent someone from recovering. Here’s how it works:[3]
    • The feared emotion, situation, or person arises and sets off the physiological stress response.
    • Avoidance removes the threat and alleviates the stress.
    • Your body doesn’t get to experience that stressor and learn that it’s not as scary as you thought or that anxiety levels do come down eventually.
    • It becomes an automatic habit to label situations as unsafe and avoid them.
    • Eventually, it becomes normal to avoid activities that could be rewarding or enjoyable.
    • You cement the beliefs that these perceived threats are actually dangerous and that you won’t be able to cope with them, thereby accepting anxiety into your daily life.
      When you choose avoidance and don’t challenge it, anxious beliefs and habits remain. Increased awareness and the strategies we’ll explore later in this article can break the cycle.

      Examples of Anxiety Avoidance

      Avoidance can come in many forms. It’s not always obvious when someone’s avoiding something due to anxiety. Many examples of avoidance behavior are subtle things people do in everyday life. 

      But these more subtle instances of avoidance aren’t necessarily harmless. They can get in the way of pursuing ambitions and leading a rewarding life, and some types of avoidance can have a real impact on life quality. Here are the many ways it can manifest:[2]

      • Never leaving your house, avoiding crowds and large social gatherings, and never driving on highways or across bridges. These types of total avoidance can become part of someone’s identity.
      • Having “outs” or safety blankets, such as always taking the aisle seat or driving to events yourself so you can escape the situation easily. You might still attend social events, but you avoid eye contact. You might still go to the supermarket, but you use the self-checkout to avoid people. 
      • You might use distractions like TV, video games, podcasts, and naps. These avoidance strategies typically help people avoid distressing or uncomfortable thoughts. They may help them pass free time because it’s too anxiety-inducing to sit still.
      • Some people with anxiety believe that worrying keeps them safe and that it enables them to prepare for the worst. Others think that worrying is the same as anxiety, but it’s not. 

      When you are scared or not in control, it can feel like you should worry, and that if you don’t, you aren’t taking it seriously. But while worrying can feel productive, it doesn’t solve the problem or help with the underlying anxiety. 

      Both subtle and severe avoidance behaviors can have large impacts on a person’s life.

      Long-Term Consequences of Avoidance

      Avoidance can be an effective short-term response to danger, but it becomes maladaptive when it turns into a long-term strategy. When anxiety interferes with life, it takes over decisions, routine, relationships, and general well-being. Here are some of the long-term consequences of avoidance you should know:[4]

      • Losing out on rewarding experiences, such as learning new hobbies like dancing, swimming, or cycling.
      • Social avoidance anxiety can lead people to have small or nonexistent social circles, causing loneliness and isolation.
      • A ‘shrinking’ of your world, whether that’s a lack of hobbies, traveling, social connection, and novelty.
      • A lack of romantic or sexual relationships, leading to chronic dissatisfaction and loneliness.
      • Missing out on career progression, perhaps leading to a sense of being trapped at work.
      • Worsened anxiety symptoms, such as more rigid thoughts and beliefs about the world.
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      How Anxiety Avoidance Is Treated

      Treatment for anxiety avoidance addresses both the causes and symptoms of the anxiety. Clinicians usually recommend a course of cognitive behavioral therapy (CBT) for people with severe anxiety avoidance, as it’s an evidence-based approach. Behavioral health services use CBT techniques, as they make a clear link between behavior and mental health.

      Here’s how the approach works and how it treats anxiety avoidance:

      Psychoeducation

      One standout feature of cognitive behavioral therapy (CBT), compared to other therapies, is how much education it provides about mental health. For people with unmanaged stress, worry, and anxiety, CBT explains a great deal about how these mental and physical processes work. 

      You’ll likely learn how the fight-or-flight system functions, outline your personal avoidance habits, and identify the thoughts and feelings that drive them. Usually, these are physically mapped out on a whiteboard or piece of paper, which can be helpful for people who learn visually.

      Exposure

      Cognitive-behavioral therapists also outline how exposure can interrupt and change your body’s anxiety response. This information can help you know what to expect from your therapy.

      Exposure techniques invite you to confront the situations that you fear without relying on avoidance or safety behaviors. It relies on proven findings that repeated exposure to a feared situation can teach various important things. These include:[5] 

      • The feared scenario is not as dangerous as you think.
      • Your stress levels eventually decrease if you stay in the situation for long enough.
      • Positive outcomes in that scenario exist and are likely.

      Exposure work follows a careful process that typically involves:[3][5]

      • Identifying all the things that you fear and avoid.
      • Rating each fear on a scale of 1-10, along with the distress you imagine you’d feel if exposed to each one.
      • Mapping out your predictions for these situations. For example, those with social anxiety might predict that they’ll turn red in the face, people will judge them, and they’ll feel embarrassed.
      • Carrying out experiments to test predictions. This could involve taking a survey that asks people what they think of people who turn red in the face or committing to attend a social event for 60 minutes. The results might find that people think compassionately about people who turn red and that anxiety levels actually decrease after 15 minutes.

      The findings of these exposures and experiments are then used to inform the rest of your cognitive behavioral therapy.

      Challenging and Reframing Thoughts

      The evidence from your experiments can help disprove your anxious predictions, which can challenge your beliefs about avoidance. This is another key part of CBT, known as cognitive intervention.[5]

      Cognitive interventions involve pushing back on thoughts that are biased, irrational, false, or highly unlikely to be true. With support from exposure and experiments, you can challenge and reframe thoughts and beliefs that drive avoidance.[5]

       For example:

      • “I will get hit by a car if I cycle to work” may be reframed as “I can take the necessary precautions to cycle safely.”
      • “I don’t drive on the highway” can be reframed as “I’m scared of driving on the highway, but my exposure taught me that I’m a competent driver under stress.”
      • “Worrying allows me to plan for everything” could be reframed as “Worrying helps me identify some of the things that can go wrong, but it creates an illusion of control.”

      Reframing helps you develop more flexible thinking styles, which are key to dismantling automatic avoidance and the anxious thoughts that drive it.

      Find Anxiety Treatment Programs

      A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Anxiety support is a phone call away – call 866-478-4383 to learn about our current treatment options.

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      Get Support for Anxiety Avoidance Behavior With AMFM Mental Health Treatment

      If anxiety is affecting the daily life of you or a loved one, it may be time to get professional support. At AMFM Mental Health Treatment, we treat several mental health conditions, including anxiety. Our expert clinical team offers a range of therapy options for anxiety avoidance, including cognitive behavioral therapy (CBT).

      We offer an intimate, focused mental health treatment experience for adults in home-like settings that are carefully maintained to be peaceful, comfortable spaces. In addition to residential treatment, AMFM Mental Health Treatment also offers multiple levels of outpatient treatment.

      Our locations in California, Minnesota, Virginia, and Washington accept insurance and are in-network with many major providers. To check your insurance coverage for mental health care, simply complete our confidential online verification form.

      Call us at 866-478-4383 if you would like to start the admissions process or learn more about how we can support your mental well-being. Our compassionate team is available 24/7 to answer your questions and provide guidance with no obligation.

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