Phobias: Coping with Fear of Cockroaches - Psychiatry

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Emotional fear issues


I am a senior high school student.
When I was a child, I was once crawled on by a cockroach, and during that time, I often had nightmares about cockroaches.
Even now, whenever I see a cockroach, I cry and scream, shake uncontrollably, bite my nails, and frantically shout at those around me to kill it.
My speech becomes disorganized, and I want to curl up in a corner, hugging myself while shaking and crying.
I feel scared or tremble at the sight of shadows.
Is this a type of psychological disorder? What should I do? When I see a cockroach, I act like a person who has lost control, which troubles my parents greatly.

patty, 10~19 year old female. Ask Date: 2016/08/10

Dr. Liang Sunyuan reply Psychiatry


Hello Patty: This phenomenon is classified as a specific phobia towards cockroaches, resulting in excessive fear and anxiety responses.
Psychological therapy, cognitive-behavioral therapy, relaxation training, and pharmacotherapy can all be effective.
During the treatment process, the core of the fear is typically explored.
Behaviorally, a gradual exposure approach is often used for treatment.
With appropriate interventions, improvement is usually achievable.

Reply Date: 2016/08/10

More Info


It sounds like you are experiencing a significant fear of cockroaches, which may be classified as a specific phobia. Specific phobias are intense, irrational fears of a particular object or situation that lead to avoidance behavior and can cause considerable distress. In your case, the traumatic experience of having a cockroach crawl on you during childhood seems to have triggered this phobia, leading to panic-like symptoms whenever you encounter a cockroach or even think about them.

The symptoms you describe—crying, shaking, nail-biting, and feeling the urge to hide—are common responses to phobias. When faced with a feared object, the body can enter a "fight or flight" mode, which is a natural response to perceived danger. This response is often accompanied by physical symptoms such as increased heart rate, sweating, and trembling, which can feel overwhelming and lead to a cycle of anxiety.

To address your fear of cockroaches, consider the following coping strategies:
1. Education and Understanding: Learning more about cockroaches and understanding that they are generally not harmful can help reduce fear. Knowledge can empower you and help demystify the object of your fear.

2. Gradual Exposure: Gradual exposure therapy is a common technique used to treat phobias. This involves slowly and systematically exposing yourself to the source of your fear in a controlled manner. For example, you might start by looking at pictures of cockroaches, then watching videos, and eventually working up to being in the same room as a cockroach (with support). This process should be done at your own pace and ideally with the guidance of a mental health professional.

3. Cognitive Behavioral Therapy (CBT): CBT is an effective treatment for phobias. It involves identifying and challenging irrational thoughts related to your fear and replacing them with more rational, balanced thoughts. A therapist can help you work through your fear and develop coping strategies.

4. Relaxation Techniques: Practicing relaxation techniques such as deep breathing, mindfulness, or meditation can help you manage anxiety when you encounter a cockroach or even when you think about them. These techniques can help calm your mind and body, making it easier to cope with your fear.

5. Support from Family and Friends: Communicate with your parents about your feelings. They can provide support and understanding as you work through your fear. It may also help to have someone you trust with you when you are facing your fear.

6. Professional Help: If your fear significantly impacts your daily life, consider seeking help from a mental health professional. They can provide tailored strategies and support to help you overcome your phobia.

It's important to remember that you are not alone in experiencing phobias, and many people successfully overcome their fears with the right support and strategies. Taking the first step towards addressing your fear can lead to significant improvements in your quality of life. Don't hesitate to reach out for help, whether from a professional or supportive loved ones.

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