Cancer Fears in CNC Work Environments: A Mental Health Perspective

Q: Cancer Fears in CNC Work Environments: A Mental Health Perspective

Hello James： Formaldehyde and nitrites are indeed carcinogens (formaldehyde is classified as Group 1, and nitrites as Group 2A). <br>However, many substances in our daily lives are also carcinogenic, such as sunlight, air pollution, cigarettes, secondhand smoke, alcohol, and proc

Can the work environment be carcinogenic?

Doctor, I am a patient undergoing treatment for anxiety disorder and obsessive-compulsive disorder.
One of my symptoms is a severe fear of "cancer." Due to this fear, whenever I start a new job, I tend to catastrophize and magnify concerns that others may not see, constantly worrying about the possibility of developing cancer.
Yesterday, I came across an article online from an industrial lubricant supplier that mentioned water-soluble cutting oils used in the CNC industry, some of which contain carcinogens like formaldehyde or nitrites.
These substances can become aerosolized during the machining process and be inhaled or come into contact with the skin.
After reading this, I became very distressed and have the following concerns:
1.
My girlfriend has been working at a CNC milling company for six years, with about 20 employees.
The entire facility is air-conditioned, and she works in an office that is separated from the machining area by a plastic curtain.
I am unsure whether the water-soluble cutting oil used in her company contains formaldehyde or nitrites, and I cannot directly ask her boss about it without being perceived as irrational.
When I mentioned this to my girlfriend, I told her that the water-soluble cutting oil might contain carcinogens like formaldehyde and nitrites, and I suggested she inform her boss about it.
However, my girlfriend, who has been deeply affected by my long-term mental struggles, is also having a tough time.
She firmly told me that she would not consider my concerns and even suggested breaking up if I continued to extend my anxiety onto her, as it has left her emotionally and physically exhausted.
What should I do? I am very worried about her work environment being carcinogenic.
2.
Additionally, I am currently looking for a new job in CNC milling as well.
Similarly, I cannot know whether each company's water-soluble cutting oil contains formaldehyde or nitrites, and I certainly cannot ask the employer about this during an interview, as it would negatively impact their impression of me.
I am extremely worried that the work environment might be carcinogenic, which has led me to frequently change jobs.
Now, I am even hesitant to seek CNC-related positions.
I have been intermittently unemployed for almost a year because I feel that working in CNC could lead to cancer, and I am on the verge of a breakdown, hoping that I am just overthinking.
If I were to work in CNC milling without wearing a mask or gloves, and my girlfriend continued her job without protective gear, and we are both uncertain whether the company's cutting oil contains formaldehyde or nitrites, would we both be at risk of developing cancer from the water-soluble cutting oil? It shouldn't be the case, right? I should just relax and not despair.
The cancer risk is similar to the everyday exposure to PM2.5, eating out, consuming fried foods, drinking sugary beverages, and dealing with life stress, right? Is my understanding correct?

JAMES, 40~49 year old female. Ask Date: 2022/02/24

Dr. Lin Mianzhang reply Psychiatry

Hello James: Formaldehyde and nitrites are indeed carcinogens (formaldehyde is classified as Group 1, and nitrites as Group 2A).
However, many substances in our daily lives are also carcinogenic, such as sunlight, air pollution, cigarettes, secondhand smoke, alcohol, and processed meats.
The items I listed are all classified as Group 1 carcinogens, which have the strongest evidence of carcinogenicity.
These Group 1 carcinogens are commonly encountered, but do you feel anxious or fearful because of this? Carcinogens can increase the risk of cancer, but it is not a certainty; it also depends on factors such as the dose and duration of exposure, as well as your individual susceptibility.
However, if you are still concerned, perhaps you should consider not working in CNC.
Wishing you safety and good health.

Reply Date: 2022/02/24

More Info

Understanding cancer fears, especially in specific work environments like CNC machining, is a complex issue that intertwines both mental health and occupational safety. Your concerns about potential carcinogens, such as formaldehyde and nitrosamines found in some water-based cutting oils, are valid, especially given your background of anxiety and obsessive-compulsive disorder (OCD). However, it's essential to approach these fears with a balanced perspective.

Firstly, it's important to recognize that while certain substances are classified as carcinogenic, the risk of developing cancer is influenced by various factors, including the level and duration of exposure, individual susceptibility, and overall lifestyle. For instance, formaldehyde is a known carcinogen, but the risk of cancer from exposure in a well-ventilated office separated from the machining area is significantly lower than in a poorly ventilated environment where exposure is prolonged and concentrated.

In your girlfriend's case, working in an air-conditioned office that is separated from the machining area by plastic doors likely reduces her exposure to any harmful substances present in the cutting oils. Moreover, if her role primarily involves administrative tasks and she is not directly handling the oils or the machined products, the risk is further minimized. It's understandable that you want to protect her, but it's also crucial to respect her autonomy and her decision to not engage in discussions that may exacerbate your anxiety.

Regarding your own job search in CNC machining, it's essential to acknowledge that your fears may be leading to avoidance behaviors, which can perpetuate your anxiety. While it's prudent to be aware of workplace safety and potential hazards, it's equally important to seek employment in environments that prioritize worker safety and health. During interviews, you can inquire about safety protocols and the use of materials without directly asking about specific chemicals, which may help you feel more secure about your decision.

It's also worth noting that the fear of cancer should not overshadow your ability to work and live a fulfilling life. Many factors contribute to cancer risk, including lifestyle choices such as diet, exercise, and stress management. Your analogy comparing the risks of cutting oils to everyday exposures, like PM2.5 pollution or unhealthy eating habits, is valid. Life inherently involves risks, and while it's essential to be informed, it's equally important to avoid becoming paralyzed by fear.

To manage your anxiety, consider engaging in therapeutic practices such as cognitive-behavioral therapy (CBT), which can help you reframe your thoughts and reduce catastrophic thinking. Mindfulness and relaxation techniques can also be beneficial in managing anxiety symptoms. Additionally, discussing your concerns with a mental health professional can provide you with strategies to cope with your fears without projecting them onto your girlfriend or your job search.

In summary, while your concerns about carcinogens in the CNC industry are understandable, it's crucial to approach them with a balanced perspective. Focus on maintaining open communication with your girlfriend, seek environments that prioritize safety, and engage in therapeutic practices to manage your anxiety. Remember, it's about finding a balance between being informed and not allowing fear to dictate your life choices.

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