How anxiety keeps itself alive
Why avoidance brings short-term relief while teaching the brain to keep sounding the alarm.
Anxiety · AvoidanceThe CBT Lab turns the science of cognitive behavioral therapy into clear, drawn explanations—so you can see how thoughts, feelings, behaviors, and physiology keep problems going, and where change becomes possible.
Instead of treating a feeling as an isolated problem, CBT maps the full loop around it. Each part becomes a place to observe, test, and practice something new.
Explore common loopsThe meanings, predictions, images, and rules the mind generates—often quickly and automatically.
The emotions that signal what matters and shape what feels urgent, risky, or worth approaching.
The body’s alarm, energy, tension, fatigue, and other sensations that feed information back into the loop.
What we do, avoid, repeat, or seek from others—and the consequences that teach the loop what to do next.
Short explanations that start with a blank page and end with a mechanism you can actually see.
Why avoidance brings short-term relief while teaching the brain to keep sounding the alarm.
Anxiety · AvoidanceHow intrusive thoughts, uncertainty, compulsions, and reassurance can lock together into a cycle.
OCD · ERPHow behavioral activation tests depression’s prediction that action must wait for a better mood.
Depression · ActivationThe subtle strategies that make a situation feel survivable—but can prevent new learning.
Fear · LearningHow ordinary sensations become danger signals and why monitoring the body can amplify the alarm.
Panic · InteroceptionHow cues, urges, actions, and relief form learned patterns—and where habit-reversal tools fit.
BFRBs · HabitsA video-first show that takes each whiteboard deeper—one model, study, clinical question, or expert conversation at a time.
Get one useful model when a new video or episode goes live. No feed-filling. No spam.
Unsubscribe anytime. Your email is never shared.
I’m Noah Robinson, PhD, a postdoctoral fellow in clinical psychology at a specialty CBT institute in New York City. My clinical and research focus includes cognitive behavioral therapy for anxiety, OCD, and depression, including exposure and response prevention (ERP) and other exposure-based approaches.
I made The CBT Lab because the mechanisms behind these conditions are drawable. Everything here is psychoeducation: clear, clinically grounded explanations of how problems can work and how evidence-based treatment approaches them.
Send a topic, a general CBT question, or a message about collaboration, media, speaking, or training. Submissions go directly to Noah’s inbox.
This is not a secure clinical or emergency channel. Please do not include private health information. You can also use the dedicated Ask The CBT Lab page.
Everything on this site and in The CBT Lab’s videos and podcast is educational only. It is not therapy, medical or psychological advice, and no professional relationship is created by watching, reading, or submitting a question. If you’re struggling, please reach out to a licensed professional in your area.
If you are in crisis: call or text 988 (Suicide & Crisis Lifeline, US), text HOME to 741741 (Crisis Text Line), or call 911. Outside the US, find local resources at findahelpline.com.