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What is Trypophobia: A Deep Dive into the Fear of Holes

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Trypophobia is an irrational fear or aversion to clusters of small holes, bumps, or patterns.  
  • Common triggers include natural patterns, human and animal skin, and man-made objects. 
  • Symptoms include physical reactions like sweating and trembling and emotional responses like anxiety and disgust. 
  • The causes of trypophobia are still debated, with theories including evolutionary perspectives and visual characteristics. 
  •  Management of trypophobia may include cognitive behavioral therapy (CBT), exposure therapy, relaxation techniques, and medications. 

Introduction to Trypophobia 

Phobias may affect an individual’s day-to-day life in various ways. They cause fear which is disproportionate and irrational. Trypophobia is a lesser-known fear that has gained some fame lately.  

In this article, we’ll talk about  this phobia. It’s when people feel fear or disgust at the sight of clusters of small holes, bumps, or patterns. We’ll discuss what triggers it, the signs, and symptoms, as well as the theories about why it happens. We’ll also look at the risks, how it’s diagnosed, and available management options.  Lastly, we will answer some frequently asked questions regarding this topic. 

what is trypophobia

Did you know?

Identifying Trypophobia 

It’s important to know what trypophobia is and understand its triggers. It’s also important to know the signs and symptoms. By being aware, you may manage your condition better. You may also seek medical help and support  as and when needed. 

Common triggers 

There are many things that may trigger trypophobia. These may be natural or man-made. Here are some common trypophobia triggers discussed below. 

1. Natural patterns 

  • Lotus seed pods 
  • Honeycombs 
  • Coral structures 
  • Strawberries 

2. Human skin 

  • Acne scars 
  • Pores 
  • Freckles 

3. Animal skin 

  • Reptile scales 
  • Feather patterns on birds 
  • Insect eyes 

4. Man-made objects 

  • Swiss cheese 
  • Aerated chocolate 
  • Bubble wrap 
  • Patterns on fabric or wallpaper 

Signs and symptoms 

People with trypophobia may react in different ways to triggers as every individual is different. However, there are some common signs and symptoms. These are as follows. 

1. Physical reactions 

  • Sweating 
  • Trembling 
  • Increased heart rate 
  • Nausea 

2. Emotional responses 

  • Panic attacks 
  • Anxiety 
  • Disgust 
  • Uneasiness 

Understanding the Causes 

There is not much research that has been done on trypophobia but there are some theories trying to explain why people experience this unusual fear. Experts have put forward a few theories to try and explain trypophobia. They are as follows. 

1. Evolutionary perspective 

This theory says that trypophobia is a version of a natural survival instinct. People might link trypophobic patterns with things that may hurt them or make them sick. This then leads to fear or disgust at these patterns in order to avoid them. 

2. Association with dangerous animals 

Like the evolution idea, this theory says that people might link trypophobic patterns with harmful animals. This could then spark fear or disgust when seeing these patterns. 

3. Association with infectious pathogens 

Since illnesses often cause things like tiny sores, rashes, or other skin problems that look like trypophobic patterns, people might experience fear or disgust when they see these patterns. It could be because they subconsciously link them with illness and infection. 

4. Visual characteristics 

Another theory focuses on the unique visual traits of trypophobic patterns. It suggests that trypophobia comes from how the human brain reacts to certain visual cues. People with trypophobia might be more sensitive to certain patterns. This could then lead to fear or disgust when they see them. 

5. Pattern recognition 

The brain is great at recognizing patterns. It’s how we make sense of the world and spot potential threats.  However, people with trypophobia might have overactive pattern recognition. This could lead to strong fear or disgust responses when faced with trypophobic patterns. 

6. Contrast sensitivity and spatial frequency 

Some experts believe that the unique visual features of trypophobic patterns, like their contrast levels and the way they arrange space, cause the condition. These visual traits might stand out more to people with trypophobia. This could trigger fear and disgust in the brain more than other people. 

7. Debates and controversies 

Some experts claim that trypophobia is a real phobia. Others are not so sure. There are also some debates in the scientific community about whether trypophobia should be classified as a specific phobia. Some experts argue that people with trypophobia fit the criteria for a specific phobia, whereas others say the condition is not a unique mental health disorder. 

Trypophobia has a special relationship with dermatology because of its effects on individuals with skin disease, its relationship with disease avoiding behavior, clinically majority of individuals experienced disgust rather than fear when confronted with clusters of holes, education and counselling usually is very helpful.

Dr. Ashish Bajaj, M.B.B.S., M.D.

Risk Factors for Trypophobia 

We don’t yet know the exact cause of trypophobia.  However, several risk factors have been linked to the condition. 

1. Genetic predisposition 

Some people may be more likely to develop trypophobia due to genetic differences in the way they process certain types of visual data. This could raise the odds of experiencing trypophobia symptoms when seeing triggering patterns. 

2. Personal experiences 

Past experiences with illness, injury, or nasty run-ins with animals or bugs might contribute to the development of trypophobia. These past experiences could make a person more sensitive to trypophobic patterns and quicker to view these patterns as unsafe or uncomfortable. 

3. Comorbidity with other phobias 

Research has found links between trypophobia and other phobias or anxiety-related disorders. Trypophobia has been linked to social anxiety disorder and specific fears like high levels of acrophobia. Having one of these conditions might increase the chance of experiencing trypophobia. 

So-called “trypophobia skin” is not a real skin disease, but trypophobia may be a common reaction to skin diseases that can present with clusters of holes, bumps, or nodules. If you have trypophobia, looking at objects covered in holes can stir up waves of discomfort.

Dr. M.G. Kartheeka, MBBS, MD

Diagnosing Trypophobia 

Diagnosing trypophobia is not easy. It’s not officially seen as a mental health disorder yet. Even so, mental health professionals can evaluate a person’s symptoms and see if they match with a specific phobia. 

1. Challenges in diagnosis 

One problem in diagnosing trypophobia is that the criterion for diagnosis is not in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)  as of now. That makes it harder for mental health professionals to separate the fear of closely packed holes or patterns as a distinct disorder. 

Also, trypophobia symptoms may overlap with other mental health disorders, such as depression, obsessive-compulsive disorder, generalized anxiety disorder, or other specific phobias. This makes it even harder to come to a clear diagnosis. 

2. Self-assessment 

A way to see if you have trypophobia is to check how you react to images or things known to cause trypophobic reactions. If you often feel afraid, disgusted, or uncomfortable when looking at these things, you might have trypophobia. 

However, it’s key to remember that a self-assessment should not replace seeing a mental health professional. If you think you might have trypophobia or another mental health issue, getting professional help is always the right option. 

3. Professional consultation 

A mental health expert, like a psychologist or a psychiatrist, can help see if a person’s fear of small holes, bumps, or patterns adds up to a diagnosis of a specific phobia. They can also point out the right management and ways of coping to deal with trypophobia. 

Management Options for Trypophobia 

Trypophobia doesn’t have any recommended management options yet, but there are therapies used for other specific phobias that may possibly help. 

1. Cognitive Behavioral Therapy (CBT) 

CBT is a therapy type that helps individuals change negative thought patterns, behaviours, and feelings causing their problems. For trypophobia, CBT may help people learn about and challenge their irrational beliefs and fears. Then they can replace these thoughts with better, more realistic ones. 

2. Exposure therapy 

Exposure therapy involves slowly and steadily facing feared objects, situations, or images in a safe space. Over time, this method may help lessen a person’s fear or disgust of the trypophobic triggers. By helping them learn that these things or patterns aren’t actually bad or harmful. 

Relaxation Techniques 

Different relaxation methods like deep breathing, progressive muscle relaxation, and visualization techniques may help control the anxiety and discomfort linked to trypophobia. 

1. Controlled breathing 

Controlled breathing methods may help people deal with trypophobia symptoms by lowering feelings of panic and worry. Methods like belly breathing or box breathing can slow the heart rate and bring on feelings of peace and relaxation. 

2. Progressive muscle relaxation (PMR) 

PMR involves taking turns tightening and relaxing different muscle groups in the body to help cope with feelings of anxiety and promote relaxation. This method may be super helpful for controlling the body symptoms of trypophobia, such as shakes, sweats, or a fast heartbeat. 

3. Visualization 

Visualization involves using your imagination to make a more relaxed and positive mental state. By thinking of calming or soothing scenes. 

 You can talk to a counsellor or a psychologist to learn various such techniques to help cope with immediate fear.  

4. Medications 

Various drugs may be used alone or along with therapy to help control trypophobia symptoms. Some commonly prescribed drugs for anxiety disorders, phobias, or similar conditions may be tried which are as follows.  

  • Antidepressants 

Selective serotonin reuptake inhibitors (SSRIs) are a type of drug used to treat depression and anxiety disorders. They may help control trypophobia symptoms by regulating the amounts of serotonin in the brain, which plays a key part in controlling mood and worry levels. Talk to your doctor to identify the most suitable treatment for you.  

  • Anxiolytics 

Anxiolytics, like benzodiazepines or beta-blockers, may be used to help overcome acute feelings of anxiety, panic, or fear tied to trypophobia. These drugs should only be used under the guidance of a healthcare provider, as they come with potential risks and side effects. 

3. Alternative and Complementary Approaches 

Besides modern medicine, some alternative and complementary approaches may be used to help deal with trypophobia symptoms under expert supervision. These are as follows. 

  • Self-help strategies 

Looking for information and guidance from trusted sources, joining trypophobia support groups, and using relaxation techniques are all examples of self-help methods that may help people cope with trypophobia. 

  • Online support networks 

Online support networks, like trypophobia-specific forums,  may give people a feeling of community and access to useful resources, tools, and coping methods for dealing with their fear. 

It is to be noted that self-diagnosis and self-medication are never advised. If one has any concerns regarding trypophobia it is always advised to consult a mental health professional. 

How to reduce or possibly avoid it?  

While we can’t fully avoid trypophobia from developing, some coping tactics and anxiety-reducing strategies may make living with the condition more manageable. 

1. Coping mechanisms 

It’s vital to develop good coping methods that may help deal with trypophobic triggers. This is especially true if completely avoiding these patterns isn’t possible. Some effective coping tactics might include the following.  

  • Distracting oneself from triggers by focusing on something else. 
  •  Practicing techniques to manage anxiety, such as deep breathing or mindfulness meditation. 
  • Doing regular exercise and keeping a balanced diet to support overall mental and physical health. 

2. Anxiety reduction 

Reducing anxiety levels may make a big difference in lowering phobia-related symptoms. By identifying methods to effectively deal with and lower anxiety levels regularly, people with trypophobia might experience a decrease in the severity and frequency of their symptoms. Anxiety reduction methods might include exercise, yoga, mindfulness-based stress reduction (MBSR), or getting help from a mental health professional. 

Remember, trypophobia isn’t a formal mental health disorder yet. However, it affects many people and may have a big impact on daily functioning. If you think you may have trypophobia, going to a mental health professional is the best step. They will be able to create a good management plan and teach you useful coping methods that may help you deal with your condition. 

Conclusion 

Trypophobia, or the fear of closely packed holes, bumps, or patterns, is not be officially recognized in the field of psychiatry as a unique phobia. However, it may still cause major upset for many people. Getting to know the triggers, signs, and symptoms of trypophobia, and examining potential causes and theories behind it, may all help shape management options for those affected. 

By getting professional help, practicing self-help tricks, and using support network sites, people with trypophobia may help in better managing their condition and raise their quality of life. Everyone’s experience with trypophobia is unique, but getting help and not letting fear or shame get in the way is the first crucial step in dealing with this condition. 

Frequently Asked Questions (FAQs) 

Is trypophobia recognized as a real phobia? 

While it’s not officially recognized in the DSM-5, some experts see trypophobia as a real and potentially crippling phobia. Research on the condition is still in its early stages, but evidence suggests that people with trypophobia show symptoms similar to other specific phobias. 

Can trypophobia be cured or managed?

There isn’t a cure for trypophobia yet. However, it may be managed through a combination of therapies such as CBT, exposure therapy, relaxation techniques, and drugs. Working with a mental health professional to develop good coping methods may greatly help people with trypophobia to lessen their symptoms and raise their quality of life. Never self-diagnose or self-medicate. 

How can someone living with trypophobia minimize the triggers? 

Managing triggers involves developing coping tactics and safe plans for avoiding or managing exposure to trypophobic patterns. This could include distracting oneself from the pattern, taking part in relaxing activities and anxiety reduction, and getting help from a mental health professional to identify personalized approaches to manage symptoms effectively. 

Are there any celebrities known to have trypophobia? 

Actress Sarah Paulson and model Kendall Jenner have both openly spoken about their experiences with trypophobia. Their stories helped to raise awareness about the condition and encouraged others with similar symptoms to get help. 

Does trypophobia affect children and adults differently? 

Right now, we don’t have enough research to answer this question for sure. But it seems like people of all ages may have trypophobia, with symptoms and triggers being  similar among different age groups. Going for support from a mental health professional may help both children and adults learn good coping tactics and strategies for managing their condition. 

References: 

  1. National Center for Biotechnology Information (NCBI). Trypophobia: What Do We Know So Far? A Case Report and Comprehensive Review of the Literature [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811467 
  1. National Center for Biotechnology Information (NCBI). Trypophobia: an investigation of clinical features [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7111417 
  1. PubMed. Assessment of trypophobia and an analysis of its visual precipitation [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/25635930 
  1. National Center for Biotechnology Information (NCBI). Specific Phobia [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499923 
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  1. PubMed. Is Trypophobia a Phobia? [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/28558623 
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  1. National Health Service (NHS). Treatment – Phobias [Internet]. [cited 2023 Sep 26]. Available from: https://www.nhs.uk/mental-health/conditions/phobias/treatment 
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  1. PubMed. Trypophobia, skin, and media [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/30695985 
  1. National Health Service (NHS). Symptoms – Phobias [Internet]. [cited 2023 Sep 26]. Available from: https://www.nhs.uk/conditions/phobias/symptoms 
  1. National Center for Biotechnology Information (NCBI). Bookshelf [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t11 
  1. National Center for Biotechnology Information (NCBI). Clinical EFT (Emotional Freedom Techniques) Improves Multiple Physiological Markers of Health [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381429 
  1. PubMed. Evaluation of a meridian-based intervention, Emotional Freedom Techniques (EFT), for reducing specific phobias of small animals [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/12945061 
  1. PubMed. Disgusting clusters: trypophobia as an overgeneralised disease avoidance response [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/28681640 
  1. PubMed. Finding gene-environment interactions for phobias [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/18297421 

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