In this blog we will discuss the symptoms, causes and treatment of Mottephobia.
An irrational fear of moths is called Mottephobia. It is a type of specific phobia which comes under the category of anxiety disorders in the DSM-V.
Someone suffering from this type of specific phobia feels extremely anxious when exposed to moths.
Not just the presence or sight of moths, but the mere thought of them can instigate extreme anxiety. This anxiety, if worsens, can cause panic attacks.
Moths are not potentially harmful to humans. However, they can contaminate food or humans.
Generally, people are scared of moths because of this reason but in Mottephobia, one suffers from an exaggerated sense of anxiety.
This intense anxiety leads to one avoiding their fear stimuli, moths.
Avoidance produces pleasant feelings and persuades the sufferer to repeat those actions because it eliminates anxiety.
Though, this might seem an easy way out of fear but in the long run, it can lead to dangerous consequences. The recurrent acts of avoidance can change into compulsions, developing OCD.
According to the DSM-V, this avoidance and anxiety affects one’s social and occupational functioning.
For example, one will avoid going out of their house in the evening when they fear they’ll encounter moths. One will also prefer to live in an area which is more populated and away from open fields/gardens.
If one lives near a garden, they will refrain from going out of the house whether for school or job.
This will affect their educational and professional careers.
In extreme cases, if one encounters a moth in their own house, they will isolate themselves in their room.
This social and occupational dysfunction can lead to the emergence of depression.
Mottephobia is the irrational fear of moths. The name originates from a German word ‘motte’ meaning moth and Greek word ‘phobos’ meaning fear.
Symptoms of Mottephobia
People with Mottephobia, like in all other specific phobias experience intense anxiety on having an encounter with moths.
They’re unable to control this anxiety and thus end up feeling more anxious. This anxiousness, in extreme cases, can give rise to full-blown panic attacks.
Sufferers go into flight or fight mode because of an adrenaline rush. In this state, the body’s physiological responses help one make decisions when in fear causing situations.
They either decide to escape the situation (flight) or stay and combat their fear (fight).
In the case of Mottephobia or any other type of specific phobia, the physiological symptoms that are produced when exposed to moths (including extreme anxiety) cause the person to escape or avoid that situation.
Sufferers don’t have the courage to fight with their fear because of the unpleasant, terrifying experience the body goes through.
Apart from anxiety, Mottephobia has a number of other physiological symptoms which include:
- Extreme anxiety when exposed to moths
- Extreme anxiety by just thinking about moths
- Avoiding moths
- Full-blown panic attacks
- Inability to handle anxiety
- Muscle tension
- Increased heart beat
- Feelings of dizziness
- Screaming or crying
- Hot/cold flashes when in a flight or fight mode (A hot flash refers to the temporary heating up of the body when in a state of fear. And a cold flash means when the body suddenly starts to shiver or cool down, when encountered by a fear stimulus).
- Upset stomach
Out of these, one should have at least 3-5 symptoms, including anxiety lasting for at least 6-months, to be diagnosed with Mottephobia.
Causes of Mottephobia
Like every other specific phobia, Mottephobia is a result of either genetics or a past traumatic experience.
Someone who has a family history of anxiety disorders or specific phobias has a higher chance of developing Mottephobia than someone who doesn’t.
This is because they are genetically predisposed to develop it.
This genetic tendency to develop a mental disorder/specific phobia can also be referred to as a Diathesis-stress relationship.
According to this, one with a genetic predisposition will not develop symptoms of Mottephobia until and unless there is some trigger event, instigating anxiety or fear of insects.
This triggering event can be for example, coming in contact with a moth in childhood.
The sufferer might have developed this fear since then because of the disgusting or unpleasant feelings it caused.
Also, he might be fearful of developing an allergy or other health problems because of the diseases the moths might transmit.
Or, one might have been punished as children, locked in rooms where they encountered moths.
Another example of an environmental cause can be, learning to be afraid of moths by looking at parents.
It is possible that someone whose parents are afraid of moths, or upon hearing an unpleasant experience of an individual’s encounter with them can induce fear in the person.
Also, watching documentaries on moths can be the reason for one to develop Mottephobia. One might be afraid of them because of the way they look.
Therefore, it is evident that there is no one cause for specific phobias to develop.
Genetics with environmental factors, together will cause one to have Mottephobia.
Treatment of Mottephobia
Mottephobia, like all other specific phobias, has no exclusive type of treatment that is specifically designed to treat it.
Like all the other specific phobias, Mottephobia is treated by a number of different therapies including, Exposure Therapy, Cognitive-behavioral Therapy (CBT) and or medications that lower downs the anxiety or other physical symptoms.
• Cognitive-Behavioral Therapy (CBT)
It is one of the most frequently used treatments for patients with almost all kinds of mental disorders.
Mottephobia is defined as the irrational fear of moths. Thus, the therapist helps the patient in replacing these irrational thoughts with more rational ones.
The patients are helped out in analyzing and justifying the way they feel about being exposed to moths.
Therapists assist them in uncovering the reasons behind their fear and later they provide them with alternate, pleasant thoughts.
The patient is told to maintain a thought diary (with ABCD column) which provides them a replacement for every irrational thought they have, when thinking about a particular situation.
The ABCD stands for:
i. A (antecedents) a situation or triggering event.
ii. B (belief) the thought that comes to one’s mind when in that triggering situation.
iii. C (consequences) the symptoms/feelings caused by that event/thought
iv. D (dispute) alternate, rational thoughts provided by the therapist in an attempt to dispute/challenge those irrational beliefs.
This last section of the thought diary is what really plays a role in helping the person feel good/less anxious.
• Exposure Therapy
It is one of the most frequently used ways of treating patients with Mottephobia (or any other kind of specific phobia).
In this therapy, the patient is exposed to the source of his fear over a certain span of time.
To begin with the therapy, the therapist exposes the patient to the least triggering stimuli, a picture of a moth for example.
As the therapy progresses and the patient is able to control his anxious feelings, imagery can be used to take the treatment a step further.
In this part of the treatment the patient is asked to visualize/imagine a situation in which he sees or encounters a moth.
During this process of imagery, one actually feels being in that particular situation or place, experiencing various senses.
Once the person successfully, without feeling anxious clears this step of the therapy, he is then exposed to real moths.
While the patient is being exposed to different intensities of stimuli during the various stages of therapy, the therapist simultaneously teaches them coping exercises.
These include, breathing techniques or muscle relaxation methods to lower their anxiety, when in an actual fear/anxiety causing situation.
This teaches them how to remain calm when exposed to the fear stimuli.
Before actually starting the exposure therapy, the therapist needs to figure out the intensity of the patient’s fear, as to deduce whether they will be able to undergo this treatment, without any physical or psychological harm caused to them during the exposure processes.
However, these steps desensitize one to their fear of moths, by exposing them to that stimuli repeatedly, until they learn to undergo the situation without anxiety/panic attacks.
• Dialectical Behavior Therapy (DBT)
This is another effective therapy used to treat Mottephobia. It is more commonly used with people suffering from personality disorders, but is also useful with patients of this ‘animal’ specific phobia.
Coping skills are taught in the DBT group which lasts for about 6 months and can have a number of people (depending on how many join the group).
i. Half-smiling is the first module of DBT. It is a technique that is used with patients who are distressed because of their irrational thoughts.
The technique is known as ‘Half-smiling’ because the person is first advised to think about the stimuli that fears or upsets them, and while doing so they are told to lift the corners of their mouths by subtly smiling.
Smiling is not that will help one get rid of these unpleasant thoughts, it is the person’s ability to constrain itself from thinking about those thoughts while half smiling.
ii. Mindfulness, the second module, is another technique used in DBT groups which helps the individual in getting rid of those negative thoughts.
Individuals are told to focus on the present and be attentive to what is going on around them at the moment.
This helps in breaking the link between their mind and any negative thought that might come to them then.
For example, a person is told to focus on his breath or on the sound of the blowing wind, making use of their auditory sense.
iii. The third technique or module of the DBT is distress tolerance skills. This module teaches people to calm themselves down in healthy ways when they are distressed or emotionally overwhelmed.
Individuals are allowed to make wise, rational decisions and take immediate action, rather than being captured by emotionally destructive thoughts that might make the situation worse.
Reality acceptance skills are also learnt under this model so that people fully accept reality and later make plans on how to address the problem/fearful aspects to it.
• Mindfulness-Based Stress Reduction (MBSR)
MBSR is a meditation therapy, used to manage stress or anxiety. It is an 8-week program which includes group sessions.
Mindfulness meditation and Hatha yoga are practiced in these sessions. Lectures and group discussions are also done to talk about mental health and increase interactivity.
In mindfulness meditation the person is told to, for example, to focus on the sensations felt while breathing or the rhythm of the chest rising and falling during the process.
This distracts the person’s attention from something stressful to something which is neutral and soothing.
For quick and effective treatment, patients are also given a set of home works, for example 45 minutes of yoga and meditation sessions for 6 days a week and to record their results/feelings in a book or diary for 15 minutes a day.
• Drug Therapy
Drugs are used to reduce the physical symptoms caused by Mottephobia.
Drugs are very quick in effectiveness, as they start showing progress in the patients’ health at least 2 weeks after the medicine is taken.
This type of biological treatment is usually more effective if the cause of the phobia is only genetic. However, these drugs/medicines are not to be taken without a doctor’s prescription or consultation.
Two types of drugs are used in the treatment of this phobia:
i. Anti-anxiety Drugs
Medicines like Valium are anti-anxiety drugs. They are most commonly used with patients who experience panic attacks and also lowers their anxiety by binding to receptor cells of the brain that cause these unpleasant symptoms.
ii. Antidepressant Drugs
These drugs, as the name suggests don’t only treat depression but are also very effective in treating phobias.
Medicines like Lexapro reduce the anxious feelings of a person and makes him feel calm. They need to be taken on a daily basis but not without a doctor’s advice.
Whether the cause of Mottephobia, or any other type of specific phobia is genetics, environmental or both, the best and the most effective way of treating them is by using a combination of both biological treatments (drugs) with cognitive treatment (for example CBT/exposure therapy).
Titles to read
- The Moth Problem
by Chris Bevens
- Cognitive Behavioral Therapy Made Simple: 10 Strategies for Managing Anxiety, Depression, Anger, Panic, and Worry
by Seth J Gillihan PhD
- Phobias: The Psychology of Irrational Fear
by Irena Milosevic and Randi McCabe
- Mastering Your Fears and Phobias (Treatments That Work)
by Michelle G. Craske, Martin M. Antony, et al.
Frequently Asked Questions
Q1) How common is Mottephobia?
Fear of spiders/insects is a very common phobia. However, Mottephobia is not a very common one.
Q2) Is it normal to be scared of moths?
Many people do fear moths, butterflies or insects. However, the extreme anxiety caused in Mottephobia is only specific to people suffering from phobias.
Q3) Can moths hurt you?
Yes. They don’t bite, but coming in contact with them can cause allergic reactions.
Q4) What causes Mottephobia?
Mottephobia is caused by either a genetic predisposition or environmental factors.
Examples of other interesting phobias