What Are Safety Behaviors?

The What Are Safety Behaviors? information handout describes the essential features of safety-seeking behaviors, including their short-term benefits and long-term impacts.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Safety-seeking behaviors (‘safety behaviors’) are actions that people take in response to a real – or perceived – threat. When a threat is real, safety-seeking behaviors are adaptive. Stepping out of the way of a speeding car, leaving a burning building, or attending hospital when faced with a medical emergency are all actions which can save your life. However, if a misinterpretation leads an individual to perceive a threat in the absence of real danger, safety-seeking behaviors can prevent the anxious individual from learning about the (true) absence of danger.

The What Are Safety Behaviors? information handout can be used to introduce clients to the concept of safety-seeking behaviors, their short-term advantages, and their long-term effects.

Why Use This Resource?

Understanding and addressing safety behaviors is an important part of many therapies, especially CBT:

  • Presents common examples of safety behaviors.
  • Outlines the short-term and long-term consequences of safety behaviors.
  • Provides a rationale for reducing the use of safety behaviors.

Key Benefits

Education

Provides a clear understanding of safety behaviors and their consequences.

Awareness

Increases client awareness of their safety behaviors.

Insight

Helps clients see the connection between their behaviors and ongoing anxiety.

Motivation

Helps motivate clients to address their safety behaviors in therapy.

Who is this for?

Anxiety Disorders

Where safety behaviors perpetuate fear and anxiety.

Eating Disorders

Where safety behaviors maintain concerns about shape, weight, and eating.

Trauma

Where safety behaviors reinforce a sense of current threat.

Integrating it into your practice

01

Educate

Use the resource to educate clients about safety behaviors.

02

Explore

Reflect on the short-term and long-term consequences of using safety behaviors.

03

Discuss

Identify and explore the client's safety behaviors and their impacts.

04

Test

Encourage the client to experiment with reducing their safety behaviors to see the effect this has.

Theoretical Background & Therapist Guidance

Safety-seeking behaviors, also known as "safety behaviors," are actions that individuals take in response to a real or perceived threat. When a threat is genuine, these behaviors can be helpful and adaptive. However, if someone misinterprets a situation and perceives a threat where none exists, safety-seeking behaviors can prevent that person from learning about the true absence of danger. Additionally, safety behaviors often provide a sense of relief in the short term, which reinforces their use.

Understanding safety-seeking behaviors has important treatment implications. Instead of relying solely on exposure therapy - where safety behaviors might diminish its effectiveness - therapists can design behavioral experiments that directly disprove the individual's threat beliefs. For instance, someone who fears choking on a train can be encouraged to take a trip without their bottle of water to see if their throat will close up.

What's inside

  • Comprehensive guide to understanding safety behaviors.
  • Informative examples of common safety behaviors.
  • Instructions discussing safety behaviors with clients.
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FAQs

They often undermine therapeutic progress by preventing clients from realizing the absence of danger.
Therapists can use psychoeducation and behavioral experiments to help clients understand and reduce their reliance on these behaviors.
Begin with small tasks to build confidence before attempting more anxiety-provoking experiments.

How This Resource Improves Clinical Outcomes

Incorporating this handout into therapy can enhance:

  • Psychoeducation in CBT.
  • Client awareness of safety behaviors.
  • Insight into the consequences of using safety behaviors.
  • Motivation to address and reduce safety behaviors.

Therapists benefit from an accessible resource that can be used with a wide range of clients.

References And Further Reading

  • Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behaviour Research and Therapy, 19(1), 6–19.
  • Salkovskis, P. M. (Ed.). (1997). Frontiers of cognitive therapy. Guilford Press.
  • Seligman, M. E. P. (1988). Competing theories of panic. In S. Rachman & J. D. Maser (Eds.), Panic: Psychological perspectives (pp. 321–329). Lawrence Erlbaum Associates, Inc.