Experiential Avoidance: The Hidden Process That Fuels OCD, Anxiety, and Emotional Suffering
Try this for a moment:
Don’t think about a pink elephant.
Seriously.
Do not picture one.
No floppy ears. No giant trunk. No pink elephant whatsoever.
And… there it is.
One of the strange things about the human mind is that when we become highly focused on not having a thought, feeling, sensation, or memory, we often become even more aware of it.
This is one reason experiential avoidance becomes such an important concept in OCD and anxiety treatment.

What Is Experiential Avoidance?
In his SUPER AMAZING workbook, Get Out of Your Mind and Into Your Life, Dr. Steven Hayes describes experiential avoidance as the process of trying to avoid or control unwanted internal experiences — thoughts, emotions, memories, sensations, or urges — even when doing so creates long-term problems in life.
In other words, the mind says:
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“I shouldn’t be feeling this way.”
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“I need to get rid of this thought.”
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“I can’t handle this anxiety.”
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“I have to figure this out or I'll go crazy."
And then life slowly becomes organized around avoiding discomfort.
This process shows up constantly in:
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OCD
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Panic disorder
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PTSD
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Social anxiety
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Phobias
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Health anxiety
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Depression
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Chronic pain
Experiential avoidance is not the experience of pain itself.
It is the struggle against pain that often creates additional suffering.

Why Avoidance Works…Until It Doesn’t
One reason experiential avoidance is so powerful is because it often works temporarily.
Avoiding the party lowers social anxiety.
Doing the compulsion reduces uncertainty.
Cancelling the trip lowers panic.
Staying home feels safer.
Hayes explains that avoidance often creates short-term relief while quietly strengthening fear and restriction over time.
At River City OCD Clinic, we often explain this to clients by saying: “The problem is not that avoidance never works. The problem is that it works too well in the short term.”
Unfortunately, the brain learns: “Escape discomfort immediately.”
And over time, life becomes narrower, smaller, and increasingly organized around fear management.
The More We Struggle, the More Stuck We Become
Hayes uses several powerful metaphors to describe experiential avoidance. One is the Chinese Finger Trap. The harder you pull to escape, the tighter the trap becomes.
OCD and anxiety often work the same way.
The harder people try to:
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Eliminate intrusive thoughts
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Feel completely certain
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Remove anxiety
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Control emotions
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Attempt to never make mistakes
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Avoid discomfort
…the more entangled they often become.
This is also the heart of the Passengers on the Bus metaphor that we frequently use in ACT-enhanced ERP.
The mind keeps yelling: “Stop the bus until you feel safe.”
But recovery often begins when people learn: “I can continue driving toward my values even while uncomfortable thoughts and feelings are present.”


The Problem Is Not the Thought
One of the biggest shifts in ACT-based treatment is realizing: “The problem is not necessarily that the thought exists.”
The problem is often the desperate attempt to control, neutralize, suppress, analyze, or escape the thought.
Hayes writes: “If you aren’t willing to have it, you will.”
That does not mean people should like anxiety or want painful experiences. It means that fighting endlessly with internal experiences often amplifies them.
Which is why ACT-enhanced ERP focuses less on eliminating discomfort and more on building:
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Willingness to have discomfort in the service of values
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Mindfulness
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Acceptance of what is already there
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Flexibility in our interpretations of thoughts and feelings
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Values-based action
Response-Ability Instead of Blame
One of the ideas we especially appreciate in Hayes’ writing is the distinction between responsibility and response-ability.
Many people with OCD or anxiety already blame themselves constantly.
ACT is not about blame.
It is about recognizing: “I may not control what shows up in my mind or body, and yet I can learn new ways to respond to it.”
That shift is incredibly empowering.
Because it moves people away from:
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Endless struggle
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Self-criticism
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Fear-driven internal control strategies
…and toward intentional, values-based living.
Experiential avoidance sits underneath many forms of emotional suffering. The more life becomes organized around escaping thoughts, feelings, uncertainty, shame, or discomfort, the smaller life often becomes.
ACT-enhanced ERP helps people begin practicing something radically different:
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Making room for difficult internal experiences
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Rarely missing the forest for the trees
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Reducing compulsive control strategies
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Letting thoughts exist without obeying them (even the ones of pink elephants)
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Moving toward values even when discomfort is present
Not because anxiety disappears or goes away.
But because life becomes bigger than the struggle to eliminate it.
Services That Target OCD Using Evidence-Based Approaches are Accessible in Kentucky, Indiana, and Many Locations Today
At River City OCD Clinic, we work with individuals, parents, spouses, and families impacted by OCD and anxiety disorders using ACT-enhanced ERP and family-informed approaches. Our clinicians specialize in ACT-enhanced ERP for OCD and anxiety disorders.
We offer individual therapy, group therapy, telehealth services, and specialized OCD treatment throughout Kentucky and across participating PSYPACT states (learn more by visiting Dr. Street Russell's profile page). Dr. Street Russell also provides professional consultation for therapists in need of OCD training.
Related Articles
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Reassurance Seeking in OCD: Why It Feels Helpful (But Keeps You Stuck)
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Contamination OCD: Why ERP Is About Acceptance, Choice, and Learning to Live Again
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Religious Scrupulosity OCD: When OCD Hijacks Faith, Sin, and Spiritual Certainty
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Values vs. Goals in OCD Recovery: Why Direction Matters More Than Perfection
