Social Anxiety Disorder Coping Avoidance Behaviors and Social Anxiety Disorder By Arlin Cuncic Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." Learn about our editorial process Updated on May 28, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Amy Morin, LCSW Medically reviewed by Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our Medical Review Board Print Ekaterina Beznosova / EyeEm / Getty Images Avoidance behaviors, in the context of social anxiety disorder (SAD), are things that people do or don't do to reduce anxiety about being in social situations. These behaviors are problematic because in the long run they only serve to increase fear. Avoidance behaviors can take three different forms: avoidance, escape or partial avoidance. Avoidance True avoidance behaviors involve the complete avoidance of the feared social situation. For example, someone afraid of public speaking might: Drop a class in which he has to give a speech Change jobs to avoid giving presentations Fail to show up for an event such as a wedding or awards ceremony in which he is expected to speak in front of others Escape When total avoidance is impossible, escape behaviors may be used as a means of dealing with feared situations. Escape involves leaving or escaping from a feared social or performance situation. Some examples of escape include Leaving a gathering earlyWalking out in the middle of a speechHiding in the restroom during a dinner party Partial Avoidance When neither avoidance nor escape is possible, partial avoidance (also known as safety behaviors) may be used to alleviate feelings of anxiety during social or performance situations. Safety behaviors generally limit or control your experience of a situation. Safety behaviors might include such things as Avoiding eye contact Reduced verbal communication Lowering one's voice when speaking Are You Using Safety Behaviors? If safety behaviors have become a way of life for you, it might be hard to even be able to recognize if you are using them. They may have become habitual ways of behaving that now you don't even know what it would be like not to use them. If you continue to feel anxious in situations even after facing them many times, this is a clue that you might be using safety behaviors. Notice situations that you face often but that still cause you anxiety—and then identify what you might be doing in those situations to avoid feeling anxious, such as talking fast, avoiding eye contact, or wearing plain clothes to avoid drawing attention to yourself. While not using safety behaviors will result in increased anxiety in the short term, over the long term, it will help you to overcome your anxiety. Avoidance Maintains Anxiety The problem with avoidance behaviors is that they maintain the symptoms of anxiety. The safety behaviors are often assigned value for "surviving" social anxiety, but then blame for the anxiety or awkwardness is still placed upon the self, perpetuating the cycle. If you always avoid giving speeches, or if you only give speeches without making eye contact, your anxiety about giving a speech will never diminish. These behaviors prevent you from gathering evidence that disproves your maladaptive beliefs about social situations. For example, if you always leave a party at the first sign of anxiety, you never have the chance to learn that if you stay long enough in the situation, your anxiety will eventually diminish. Instead of avoiding giving speeches, or only delivering them in a "safe" way, you need exposure to giving speeches without avoiding, escaping or using safety behaviors. Cognitive-behavioral therapy (CBT) aims to identify avoidance behaviors and provide exposure to feared situations. Acceptance and commitment therapy (ACT) teaches you how to lessen the impact of your anxious thoughts in perpetuating the cycle of panic and anxiety. In fact, research has demonstrated that exposure treatment (one component of CBT) for social anxiety disorder will be less effective when a person is using safety behaviors. This suggests that reducing your use of safety behaviors when entering therapy may help to give you a better result. Five-Minute Solution Are you looking for a quick way to reduce your avoidance? Draw on the principles of the therapies mentioned above. For example, you might do the following: If you have an urge to hide in the bathroom at the next party you attend, promise yourself to go back out for at least five minute intervals before you return. Gradually work your way up to longer periods of returning to the party. If you have thoughts such as the following: Everyone must think I am awkward and boring say something to yourself like That is interesting, but it's just a thought. I don't have to let it bother me. That's just what my mind does when I am in these situations. A Word From Verywell While avoidance maintains anxiety, be careful to gradually move into exposure situations after a long period of using safety and avoidance. It's better to gradually work on reducing your use of these behaviors while increasing time spent in situations that cause you anxiety. The Best Online Therapy Programs We've tried, tested and written unbiased reviews of the best online therapy programs including Talkspace, Betterhelp, and Regain. 3 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Telch MJ, Lancaster CL. Is there room for safety behaviors in exposure therapy for anxiety disorders? InExposure therapy 2012 (pp. 313-334). Springer, New York, NY. Marom S, Aderka IM, Hermesh H, Gilboa-schechtman E. Social phobia: maintenance models and main components of CBT. Isr J Psychiatry Relat Sci. 2009;46(4):264-8. PMID: 20635773 Dalrymple KL, Herbert JD. Acceptance and commitment therapy for generalized social anxiety disorder: a pilot study. Behav Modif. 2007;31(5):543-68. doi:10.1177/0145445507302037 Additional Reading Piccirillo ML, Taylor Dryman M, Heimberg RG. Safety Behaviors in Adults With Social Anxiety: Review and Future Directions. Behav Ther. 2016;47(5):675-687. doi:10.1016/j.beth.2015.11.005. Antony, MM, Stein, MB. Oxford handbook of anxiety and related disorders. New York: Oxford University Press; 2008. Hoffman, SG, Otto, MW. Cognitive behavioral therapy for social anxiety disorder. Boca Raton, FL: CRC Press; 2008. Markway, BG, Markway, GP. Painfully Shy. New York: St. Martin's Press; 2003. By Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Social Anxiety Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.