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May 6, 2025

Scared of Bees (or something else)? Here's How Therapy Can Help With Phobias and Anxiety

Phobias can feel like invisible chains—irrational but powerful forces that hijack our daily lives. Whether it's the buzzing of a bee, the thought of germs on a doorknob, the sight of blood, or even the idea of bed bugs lurking unseen, these fears can provoke overwhelming anxiety and avoidance behaviors. Fortunately, there is a highly effective, evidence-based method to break the cycle of fear: Cognitive Behavioral Therapy (CBT).

Understanding Phobias

A phobia is an intense and persistent fear of a specific object, situation, or activity—one that is out of proportion to the actual danger posed. Common examples include:

  • Bees (Apiphobia): Fear of being stung, even when bees are at a safe distance or not acting aggressively.
  • Germs and Contamination (Mysophobia): Anxiety about being contaminated by everyday surfaces, people, or environments.
  • Blood or Injuries (Hemophobia): Fear of seeing blood or undergoing medical procedures, often accompanied by fainting.
  • Bed Bugs (Entomophobia): Fear of infestation, sometimes triggered by news stories or minor skin irritations.

These phobias can lead to panic attacks, social withdrawal, compulsive behaviors (like excessive cleaning or checking), and significant disruptions in quality of life. People often engage in avoidance or “safety behaviors”—such as staying indoors, avoiding travel, skipping medical appointments, or excessive disinfecting—which are intended to reduce anxiety but actually reinforce the phobia over time. This cycle can slowly limit freedom, interfering with goals, relationships, and overall well-being.

How CBT Tackles Phobias

CBT helps people understand and change the way their thoughts, feelings, and behaviors interact. It's not about simply "thinking positively"—it's about thinking accurately. Thoughts that are more reality-based lead to reduced emotional intensity, greater flexibility, and more effective problem-solving. In fact, research shows that people with more flexible thinking tend to have a greater sense of well-being compared to those with rigid, black-and-white thought patterns—patterns commonly seen in phobias and anxiety.

It’s important to recognize that extreme thinking has evolutionary roots. During moments of real danger, our ancestors relied on fast, black-and-white thinking to survive—what we now call the fight-or-flight response. Narrowing down options to “safe” or “unsafe” helped them make split-second decisions in life-threatening situations. However, with anxiety, this survival-mode thinking often shows up in situations that aren’t dangerous. When that happens, CBT refers to these thoughts as irrational or distorted.

What Are Irrational Beliefs?

An irrational belief is a thought or assumption that isn't based on facts, logic, or evidence—but still feels real in the moment. These beliefs are often automatic and rooted in the brain’s survival mechanisms.

Examples:

  • “If I touch a shopping cart, I’ll catch a deadly disease.”
  • “If a bee comes near me, I’ll go into anaphylactic shock—even though I’ve never had an allergic reaction.”
  • “If I see blood, I’ll faint and die.”

These beliefs aren't irrational because the feared outcome is impossible, but because the level of perceived threat is exaggerated and misaligned with the actual likelihood. Anxiety often mistakes possibility for probability.

What Are Distorted Thinking Patterns?

Distorted thinking patterns are habitual ways of thinking that consistently skew how we interpret reality. Common distortions include:

  • All-or-Nothing Thinking: “If I’m not 100% safe from germs, I’m definitely going to get sick.”
  • Overgeneralization: “I had one bad experience with bed bugs—so every hotel must be infested.”
  • Emotional Reasoning: “I feel terrified, so something must be wrong.”
  • Catastrophic Thinking: Imagining the worst possible outcome as likely or inevitable.

CBT helps individuals identify, question, and replace these unhelpful thought patterns with more realistic and balanced alternatives.

How CBT Helps

CBT includes several powerful techniques to break the cycle of chronic fear and avoidance:

1. Cognitive Restructuring

This technique involves identifying irrational beliefs and distorted thoughts, then examining and reframing them.

Examples:

  • “If a bee comes near me, I’ll get stung and have a life-threatening reaction.”
  • “Touching a doorknob without gloves means I’ll definitely get sick.”
  • “If I see blood, I’ll faint and everyone will judge me.”

A CBT therapist works collaboratively with clients to challenge these beliefs, gather evidence, and replace catastrophic predictions with realistic appraisals of risk and personal capability.

2. Exposure Therapy

Avoidance maintains and intensifies fear. Exposure therapy—one of the most effective CBT tools—uses gradual, planned exposure to help the brain learn that the feared object or situation is not actually dangerous.

This might involve:

  • Looking at pictures or videos of bees
  • Touching a slightly dirty surface and delaying handwashing
  • Watching medical videos to become more comfortable with the sight of blood
  • Spending a night in a room that has been checked for bed bugs, even if anxiety is present

With repetition, the brain becomes desensitized, and anxiety naturally decreases through a process called habituation.

3. Behavioral Experiments

CBT also uses real-life “experiments” to test feared predictions. For example:

  • Spending time in a garden with bees to see if panic results in actual harm
  • Going a day without using sanitizer to observe whether illness occurs
  • Watching videos of blood and tracking physical and emotional responses

These experiences provide evidence that helps challenge irrational fears and build confidence.

4. Skills Training and Coping Strategies

CBT teaches practical tools to manage anxiety more effectively, such as:

  • Mindfulness and relaxation techniques to calm the nervous system
  • Cognitive defusion strategies to reduce the power of anxious thoughts
  • Assertiveness training, especially helpful when social fears are involved

Success Stories

Many people who once felt ruled by phobias go on to live freer, fuller lives with the help of CBT. A person once terrified of bed bugs may travel again, even staying overnight in hotels. Someone with a severe fear of blood may comfortably attend medical appointments or even donate blood. A person afraid of bees might begin planting flowers, welcoming nature into their yard instead of avoiding it.

CBT doesn’t erase fear—it helps you face it, understand it, and change your relationship with it.

When to Seek Help

If a phobia or anxiety is interfering with your work, relationships, or overall mental health, it’s time to seek professional support. A trained CBT therapist can guide you through evidence-based steps to reduce your fear and increase your freedom. Well Bee Counseling is prepared to help you on your healing journey. Schedule online today, at www.wellbeecounseling.com.

Remember, the content on this blog is intended for educational purposes only and is not a substitute for professional mental health or medical treatment. Engaging with this blog, its content, or any associated social media or marketing materials does not establish a therapist-client relationship with Alexandra Holt or Well Bee Counseling. If you are experiencing psychological distress or seeking support for mental health concerns, please consult with a licensed mental health professional. Always seek the advice of your physician or a qualified mental health provider regarding any questions or concerns you may have about your well-being. If you need urgent help, please call 988 for mental health and addiction crisis services or 911 in an emergency.

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