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Lotus seed pods notoriously trigger the heebie-jeebies in people with trypophobia, a fear of clustered holes.
Credit: Shutterstock
▼ Does the sight of natural sponges, honeycomb cells or bubbly pancake batter make your skin crawl? You may be among thousands of people with trypophobia — an extreme aversion to clustered patterns of irregular holes or bumps. Viral images of lotus seed pods, pregnant Surinam toads and woodpeckers storing fruit in treeshave triggered reactions from trypophobes online, and raised awareness of the condition. Though anecdotally widespread, the phobia is not listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the diagnostic guide for mental disorders recognized by professional psychologists.
Causes and symptoms of trypophobia
Upon seeing a dimpled piece of coral, bubble-filled bathtub or even aerated chocolate, a person with trypophobia may become overcome with disgust or feel physically ill. They may feel their heart race, head pound or skin crawl. Sometimes, even a narrative description of a triggering visual can incite these symptoms, no picture needed.
Most trypophobic people show disgust as their main symptom, which is uncommon in recognized phobias, where fear is more prevalent, according to a 2018 review in Frontiers of Psychiatry. Women appear more likely to develop trypophobia, and its most common comorbid diagnoses are major depressive disorder and generalized anxiety disorder.
A phobia is a type of anxiety disorderthat can trigger symptoms of nausea, dizziness, heart palpitations, trembling and feelings of panic, according to the National Health Service. Phobias develop when people have an exaggerated sense of fear about a situation, place, feeling or object; this overwhelming reaction may stem from their own traumatic experiences or from responses they've picked up from observing others. The chances of developing a phobia depends on a person's genetic history.
"It is important to understand the underlying reasons for the individual's aversion to objects or images with small holes," psychologist Anthony Puliafico, assistant professor of clinical psychology at Columbia University, New York, told Live Science in an email. "If an individual is just 'grossed out' by pictures of small holes or patterns, but their aversion does not impair their functioning, this would not be a phobia."
In other words, a phobia must "significantly interfere with the person's normal routine," as stated in the DSM-5. Scientists remain dubious as to whether trypophobia meets this criterion, though more research may resolve that question.

The acorn woodpecker stashes acorns in numerous holes the bird drills into tree bark. The pattern it leaves is disturbing to some people.
Credit: Shutterstock
Is trypophobia real? (▪ ▪ ▪)
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