Panick attack

The ones you can't see

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Subtle avoidance

The ones you can’t see

3 min read · Lesson 10 of 14

The obvious crutches are the easy half. Distraction, bracing and half-doing it are the ones that survive the list.

Most people’s list from the last lesson is short and made of objects. The objects are the easy half.

The evidence is emphatic that the subtle forms count too: ‘All obvious and subtle forms of avoidance (e.g., distraction, minimal symptom induction) should be prevented in order to obtain the most benefit from these exposures.’8

Here’s what tends to be missing from a first list:

  • Distraction. Phone out, podcast on, counting things, conversation kept going. You were there — but attention was elsewhere on purpose, and it was elsewhere so that the situation would be bearable.
  • Going, but not really. Going at 7am when it’s empty. Sitting where you can leave. Staying eleven minutes because that’s tolerable. The phrase is ‘minimal symptom induction’8 — technically present, arranged so that nothing much happens.
  • Bracing. Getting through it clenched, waiting for it to end. Physically there and internally somewhere else.
  • Reassurance. Asking someone if you look all right. Looking up symptoms. A quick check for a specific answer before you’ll continue.
  • Checking. Pulse, chest, breathing, the pavement’s distance. Monitoring is not neutral — it finds sensations, and finding sensations is where Lesson 4’s loop starts.

Why are these worse than the water bottle? Not because they’re more damaging, but because they’re invisible. A bottle can be left at home. Distraction goes with you, doesn’t feel like a precaution, and quietly guarantees that every trip teaches nothing.

So a fair test of whether something belongs on the list is not does this feel like a crutch. It’s: would I still do this if I weren’t afraid? Music on a walk you’d enjoy anyway is music. The same music, on so you don’t notice your heart, is a safety behaviour — same headphones, different job.

The instruction, when the time comes, has two halves and they fit together. Inside any one practice, the crutch is out completely — the evidence doesn’t say reduce them: removing safety behaviours and safety signals altogether is what matters, and the fuller you can go into the practice without one, the more the habit breaks.8

Across practices, you drop them one at a time. Taking all of them out at once is meant for a course someone else is pacing; done wholesale and alone it tends to produce one dreadful afternoon followed by not trying again. The image for the pace is weaning — coming off one crutch at a time, the way you’d wean yourself off any other habit built for safety.8 Unit 3 starts with exactly one.

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Hilio Team

Hilio Team

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