Safety Behaviors

This information handout describes the essential features of safety-seeking behaviors.

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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 develop in response to a perceived threat. In situations viewed as dangerous, people instinctively act to protect themselves, which can include automatic responses like the "fight or flight" reaction. While safety behaviors may provide short-term relief and thus be reinforced, they can also have negative effects. These behaviors may reinforce beliefs about the presence of danger, prevent these beliefs from being challenged, or lead to other unintended consequences.

The Safety Behaviors handout is a cognitive behavioral therapy (CBT) tool that offers a clear and thorough explanation of safety behaviors. For clients to effectively experiment with and ultimately let go of these behaviors, it's crucial they understand their causes and consequences.

Why Use This Resource?

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

  • Describes the types of safety behaviors that people sometimes use.
  • Outlines the short-term, long-term, and unintended consequences of safety behaviors.
  • Distinguishes between safety behaviors and adaptive behaviors.

Key Benefits

Insight

Provides a clear understanding of safety behaviors and their consequences.

Awareness

Increases client awareness of their safety behaviors.

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 safety behaviors.

03

Differentiate

Distinguish between unhelpful safety behaviors and adaptive coping strategies.

04

Discuss

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

05

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

  • An information handout presenting definitions and examples of safety behaviors.
  • Explanation of the short- and long-term effects of these behaviors.
  • Guidance on differentiating between safety and adaptive behaviors.
  • Suggestions for clinical use, including psychoeducation and therapy discussions.
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FAQs

Safety behaviors are actions intended to avert feared catastrophes, often providing short-term relief but maintaining anxiety in the long-term.
While they provide immediate relief, safety behaviors often prevent clients from challenging unhelpful beliefs which maintain their difficulties.
Therapists can use it for client education, as a discussion tool, and to enhance their understanding of safety behaviors.

How This Resource Improves Clinical Outcomes

Incorporating the Safety Behaviors 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.

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.
  • Rachman, S., Radomsky, A. S., & Shafran, R. (2008). Safety behaviour: A reconsideration. Behaviour Research and Therapy, 46(2), 163-173.