Dear Patrick: You raise an important issue that I discuss in my book The Worry Cure: Seven Steps to Stop Worry from Stopping You. Some things to think about and try in overcoming procrastination and avoidance: 1) list the costs and benefits of each alternative--e.g., doing nothing vs. doing something; 2) ask yourself how you will feel after you do something---don't just focus on discomfort; 3) invest in constructive discomfort and successful imperfection (which I describe in my book); 4)recognize that doing nothing is a choice; 5) set a specific time to carry out the action; 6) write out your negative prediction and then collect information about what actually happens; 7) Reward yourself for doing something.