Identifying and Reducing Safety Behaviors

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ID: 337696
2026
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Abstract
Abstract This chapter outlines a structured session for identifying and reducing eating disorder safety behaviors while continuing exposure therapy, including assessment, collaborative weighing, review of the initial in vivo exposure, psychoeducation, and treatment planning. It instructs clinicians to administer weekly measures, monitor progress, set the agenda, and implement weighing as an exposure by eliciting commitment to refrain from safety behaviors, generating predictions, and processing outcomes to strengthen inhibitory learning. The chapter emphasizes processing the first exposure through expectancy violation, distress tolerance, and Subjective Units of Distress Scale (SUDS) patterns, reinforcing belief disconfirmation, highlighting anxiety tolerance without avoidance, and addressing barriers when homework remains incomplete. It defines safety behaviors as anxiety-reducing avoidance strategies, distinguishes them from coping skills based on behavioral function, and explains their short- and long-term reinforcing effects. Finally, the chapter assigns homework to complete another exposure, to eliminate two prioritized safety behaviors using a planning worksheet, and to read the next workbook chapter.
Reference Key
openalex_W7224380047 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Cheri A. Levinson, Rachel M. Butler
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Journal Oxford University Press eBooks
Year 2026
DOI
10.1093/med-psych/9780197816875.003.0006
URL
https://doi.org/10.1093/med-psych/9780197816875.003.0006
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