Home » Therapy » Phobias and fears » Mysophobia (fear of germs)

Do you have an intense fear of bacteria that interferes with your everyday life? Then you might be suffering from mysophobia. Here we explain what mysophobia is and how you can get help.

What is mysophobia?

Mysophobia is a phobia of dirt and germs. People suffering from mysophobia can become extremely worried about being infected or contaminated by germs. This can lead to excessive hand washing, cleaning and avoiding situations where they might come into contact with dirt or germs. Mysophobia is related to other anxiety disorders, such as obsessive-compulsive disorder (OCD), and can significantly affect a person’s daily life and well-being, but it is treatable.

What causes mysophobia?

The causes of mysophobia, like other phobias, can be due to several different factors and vary from person to person. A predisposition to anxiety disorders, including phobias, can be hereditary, meaning that people with a family history of anxiety disorders may have an increased risk of developing mysophobia.

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Traumatic events involving dirt or germs, such as a serious illness or an unpleasant event related to dirt, can trigger mysophobia in some individuals. Even experiential learning, such as observing others’ fear or aversion to dirt and germs, can contribute to the development of mysophobia.

Overexposure to information about germs, diseases and infection risks, especially in the media, can increase the fear of dirt and lead to mysophobia. This may be particularly relevant in times of health crises or epidemics, where information and warnings about infection risks are widespread.

Psychological factors, such as having other anxiety disorders such as obsessive-compulsive disorder (OCD) or general anxiety, can also make a person more prone to developing mysophobia. It is important to understand that mysophobia, like other phobias, is a valid and treatable anxiety issue, and effective treatment methods, including therapy and medication, can help individuals manage their fears and improve quality of life.

How common are phobias?

Approximately 12.5% of the American population suffer from one or more phobias in their lifetime (Harvard Medical School, 2017). These can range from common phobias such as fear of heights and social phobia to lesser known ones such as ‘hole phobia’ (trypophobia).


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Symptoms of mysophobia

The symptoms of mysophobia can vary in severity from mild to severe symptoms, but often include both physical and emotional reactions typical of anxiety disorders. Here are some of the most common symptoms of mysophobia:

  • Excessive fear or anxiety when thinking about dirt, germs or being contaminated.
  • Avoidance behavior, where the sufferer goes to great lengths to avoid places, situations or objects that they think may be dirty or contaminated.
  • Compulsive behaviors, such as excessive hand washing, cleaning, or using hand sanitizers to try to eliminate or reduce contact with germs.
  • Physical symptoms of anxiety, including heart palpitations, sweating, trembling, shortness of breath, or a feeling of suffocation.
  • Panic attacks, which can occur at the thought of or upon exposure to dirt or germs.
  • Emotional stress or anxiety that affects daily functioning, work, school or social interactions.
  • Rational or irrational beliefs about being in danger or at risk of illness from dirt or bacteria, which can lead to significant anxiety or stress.

The symptoms can become so severe that they affect a person’s work, school and social life, limiting their ability to function normally in everyday life. If you recognize these symptoms, it is important to seek professional help to get a proper diagnosis and treatment.

Mysophobia in children

Mysophobia can also develop in children, manifesting as a fear of dirt and germs, which can lead to excessive hand washing, avoidance of playgrounds, and anxiety. It is important to identify and manage mysophobia early on to prevent negative impacts on the child’s life.

To address mysophobia in children, professional help from child psychologists, tailored cognitive behavioral therapy (CBT), and possibly exposure therapy, where the child is gradually exposed to their fears, are recommended. Parents play an important role by offering support and creating a supportive environment at home. Education about germs and hygiene in a child-friendly way can also be helpful.

Early intervention and collaboration between therapists, parents, and children is essential to help the child overcome their fears and live a more satisfying life.


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Treatment for mysophobia

Treatment for mysophobia aims to reduce the person’s fear and anxiety and to help them manage their symptoms. One of the most effective forms of treatment for mysophobia is cognitive behavioral therapy (CBT), which focuses on identifying and challenging negative thoughts about dirt and germs and replacing them with more realistic and balanced ways of thinking. CBT may include exposure therapy, where the person is gradually and in a controlled way exposed to what they fear, in this case dirt and germs, to reduce fear over time.

For some people, medication may be prescribed to help manage symptoms of anxiety and panic attacks. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), and anti-anxiety medications can be helpful. Mindfulness and relaxation techniques, including meditation, progressive muscle relaxation and breathing exercises, can help individuals manage anxiety in the moment and reduce overall stress levels.

Lifestyle changes, including regular physical activity, a healthy diet and adequate sleep, can also help reduce anxiety and improve overall wellbeing. It is important that treatment is tailored to the individual, as everyone experiences their phobia and its symptoms differently, and a mental health professional can offer guidance and support in finding the most appropriate treatment plan.

How therapy can improve your life

Seeking professional help can significantly improve your quality of life. It can give you effective tools to manage phobias and can change the pattern you have developed that causes anxiety. Seeking help for psychological problems can be difficult, but talking to a psychologist or therapist can be incredibly liberating and helpful if you are living with a phobia that hinders your daily life.

Take the first step to booking a therapy session

Life is too short to let phobias limit you. Therefore, therapy is a step in the right direction to help you live a full and rich life. If you or someone you know is living with phobias, professional therapy can make a real difference. Our therapists and psychologists offer a confidential and safe environment to explore and treat your phobia.


12 frequently asked questions about mysophobia

What is mysophobia?

Mysophobia is a phobia of dirt and germs.

How are phobias different from ordinary fears?

Ordinary fear is a natural reaction to an actual danger, while a phobia is an exaggerated fear that has no rational explanation. Phobias can be triggered even when there is no actual risk.

Are phobias common?

Yes, phobias are one of the most common forms of mental health problems. It is estimated that 12.5% of the population suffers from at least one form of phobia at some point during their lifetime.

What are the symptoms of mysophobia?

People suffering from mysophobia may become extremely worried about being infected or contaminated by germs. This can lead to excessive hand washing, cleaning and avoiding situations where they may come into contact with dirt or germs.

What causes mysophobia?

The causes of mysophobia, like other phobias, can be due to several different factors and vary from person to person. Environmental, hereditary and individual factors interact.

Is it possible to get rid of a phobia?

Yes! With the right treatment and support, most people can overcome or at least reduce their symptoms. However, professional help is usually required.

How does treatment work?

Treatment can vary but often involves cognitive behavioral therapy (CBT), exposure therapy, and medication if necessary.

What is cognitive behavioral therapy?

CBT is an evidence-based treatment method that examines and changes thoughts, feelings and behaviors in different situations to improve quality of life and overcome certain symptoms.

Can children get mysophobia?

Children can also be affected and it is important to seek help from a child psychologist for proper treatment.

Can I get treatment online?

Yes, Lavendla therapists work exclusively online via our secure video conferencing platform.

I have a fear of germs after Covid, what should I do?

It is common to develop a strong fear of viruses during and after a pandemic. If this fear starts to affect your everyday life, seek help from an experienced therapist or doctor for an assessment.

Where can I turn if I need help?

If you suffer from a phobia, we recommend that you contact a licensed psychologist or therapist. You can book a first appointment with one of our therapists here at Lavendla. We make the hard things easier.

Treating mysophobia step by step

This is what treatment for specific phobias can look like, but you aren’t alone – help is available.

Understanding and assessment

The first step is to understand that you have a phobia and that it is wise to seek help for it. A licensed psychologist can help you assess your situation and understand what is causing your fear. You may also be asked to complete assessment forms.

Psychoeducation

You will learn about your phobia and how it affects you both physically and mentally. It is important to understand what happens in your body, thoughts and feelings when the fear occurs. Goals are also set for treatment.

Exposure therapy

Exposure therapy can be scary, but it is an effective way to gradually get used to what you are afraid of. Together with your therapist, you will explore situations that trigger your phobia and learn how to deal with them.

Cognitive behavioral therapy (CBT)

You will work on identifying and changing negative thought patterns that are linked to your fear. This will help you develop a more positive view of yourself and your ability to manage the phobia.

Self-help and homework

Your therapist can give you exercises and tools to use on your own between sessions to strengthen your skills and confidence.

Breathing and relaxation techniques

To manage anxiety, you will learn breathing exercises and relaxation techniques that you can use when you feel scared or anxious.

Medication (if needed)

In some cases, doctors may suggest medication to help with anxiety symptoms. This is something you and your doctor can discuss if appropriate.

Follow up and evaluate progress

It is important to regularly evaluate your progress and adjust the treatment plan if necessary. This ensures that you are on the right path towards overcoming your phobia.

Supporting recovery and quality of life

The goal is for you to regain a high quality of life and be able to participate in activities that you previously avoided because of your phobia. Treatment is about helping you to live a more free and joyful life.


Written by Emily Cox