Trypophobia: Types, Symptoms, Causes, Diagnosis And Treatment

The most common fear you’ve never heard of – sound weird? … Because it is.

Trypophobia: Types, Symptoms, Causes, Diagnosis And Treatment

Trypophobia is said to be the alleged pathological fear of objects with irregular patterns of holes, such as beehives, ant hills and lotus seed heads.

According to, the question is posed, what is trypophobia? And is it real? To answer your question – Yes and No…

This is not an officially recognized phobia; you won’t find it in the Diagnostic and Statistical Manual of Mental Disorders. But you will find it all over the internet.

So, we’ve done a little research for you here –

Accordingly, the term trypophobia is rumored to have been coined in 2005 by an anonymous Irish woman in a Web forum.

There is little research known on the topic. Some does suggest that trypophobia is an instinctual fear of harm from legitimately dangerous things that have been transferred to harmless objects.

One article cites research on the matter – visual science experts Dr. Geoff Cole and Professor Arnold Wilkins from the University of Essex suggests that trypophobia may occur as a result of a specific visual feature also found among various poisonous animals. The findings are published in Psychological Science, a journal of the Association for Psychological Science.

“These findings,” explained Dr. Cole, “suggest that there may be an ancient evolutionary part of the brain telling people that they are looking at a poisonous animal.”

It is further stated that although trypophobia has been widely documented by sufferers on the internet, there is still little known about it and it was only recently accepted by Wikipedia, who thought it was a hoax entry.

The article cites that in one study, the Essex research team found that 16 percent of participants reported trypophobic reactions. Despite this, there has been little scientific investigation of the phenomenon, leading Dr. Cole to refer to trypophobia – which he suffered from himself – as “the most common phobia you have never heard of.”

After some research, Dr. Cole commented – “We think that everyone has trypophobic tendencies even though they may not be aware of it. We found that people who don’t have the phobia still rate trypophobic images as less comfortable to look at than other images. It backs up the theory that we are set up to be fearful of things which hurt us in our evolutionary past. We have an innate predisposition to be wary of things that can harm us.”

It is finally noted that in further research, the team from Essex are no exploring whether manipulating the spectral characteristics of images of everyday objects, like watches, leads people to prefer one object over another. They believe that these experiments will shed light on just how ingrained trypophobic tendencies may be.

As for just what cause’s trypophobia, – according to – a group dedicated to the fear of holes on a popular social media site has tried to establish the causes behind this as yet unexplored phobia. Often people are completely unaware that they have a latent form of trypophobia until they actually see images of holes. Individuals in the group have volunteered the following probable causes behind this unusual fear:

  • Deep rooted emotional problem – some object associated with childhood that triggers traumatic memories associated with holes. Possible bee stings in the past that led to a swelling wherein the swollen skin displayed every pore.
  • Scientists have also reported that evolution may be one of the major causes behind the fear of holes. They explain this fact by giving the example of “pockmarked objects” which do not seem “quite right or completely normal.” Some primitive portion of the brain perceives or associates these ‘pockmarks’ with something dangerous.
  • Holes also tend to be associated with organic objects like rashes or skin blisters that typically follow an episode of measles or the chicken pox.

There are obviously ways to work around this strange disorder.

Cognitive Behavior Therapy – this type of therapy focuses on altering a person’s thinking. This includes converting harmful or unproductive thought patterns into controlled and positive ones. It eventually helps the trypophobic individual distinguish between reality and imagination.

Furthermore, if a deep rooted emotional problem is the likely cause behind the fear of holes, then behavior therapy, counseling, and hypnosis may also prove to be very effective in treating trypophobia.

If you or a loved one has symptoms of Trypophobia, look out for your triggers. It is important you know what types of clusters of holes trigger your anxiety and other negative effects so that you can begin to confront these objects. Make a list of all the things that seem to set off your trypophobia and how you react to them –

  • Are you bothered by bubbles or anything resembling bubbles?
  • Do honeycomb patterns bother you – or just actual honeycombs?
  • Are you upset by certain animals because of the patterns on their skin?

Try to identify as many triggers as possible.

Try to describe how your triggers make you feel as well –

Get Nauseous
  • Do you get nauseous?
  • Do you feel anxious?
  • Do you tremble?

Identify the specific reactions that you have to your triggers.

If one type of clustered hole pattern is scarier to you than another, try ranking the items on your list. That way you can start by dealing with the least frightening one on your list and work your way up.

It is recommended to try to discover the underlying causes of your fear. Some people can trace their trypophobia to an event, which may help you to understand and deal with your fear. Think back to when your trypophobia started.

  • Do you remember when you first discovered that clusters of holes are revolting or frightening to you?

Like all phobias, there isn’t just one answer. For everyone, it is different. Try to discover what it is that disturbs you, whether it’s a bad memory, a bad experience, or simply disgust.

Finally, it is recommended to determine if you need to seek help from a mental health therapist. If your fear of holes has become so intense that it is interfering with your ability to carry out normal activities and enjoy your life, you should seek the help of a licensed mental health therapist.

Some signs you may need to seek help include (but are not limited to) –

  • Feeling disabled, panicky, or depressed because of your fear
  • Feeling like your fear is unreasonable
  • Dealing with the fear for more than 6 months

You should also understand what you can expect from a mental health therapist. A therapist can help you to better understand your trypophobia and help you find ways to minimize its impact on your life. Keep in mind that dealing with a profound fear takes time and effort. It can take a while before your fears become manageable, but some people see a dramatic improvement in just 8-10 therapy sessions. Some of the strategies that your therapist might use include:

  • Cognitive Behavioral Therapy – Also known as CBT – is a short term, goal-oriented psychotherapy treatment that takes a hands-on practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel.
  • Exposure Therapy – A psychological treatment that was developed to help people confront their fears. When people are fearful of something, they tend to avoid the feared objects, activities or situations.
  • Medications – If your fear of holes is causing you to have severe anxiety or panic attacks, your therapist may refer you to a psychiatrist who can prescribe medicine that may help you. These are medications that would be used to treat anxiety associated with fear and will only reduce your anxiety temporarily.

View All