A phobia is a subset of anxiety in which a person feels extreme fear, stress, or worry about an object or situation. Fear of blushing, or erythrophobia, is a phobia related to fear, anxiety, and embarrassment. This kind of phobia can impact a person’s social and professional life and make them feel isolated as a result of the manifestation of the phobia.
What Is Erythrophobia?
Erythrophobia is a deep fear of blushing that can trigger embarrassment, social anxiety, and vulnerability. It can impact one’s ability to make friends, meet partners, and excel at work. Someone with erythrophobia may avoid situations that could induce blushing, including interviews, public speaking, or dating. While some aversion to blushing is typical, it becomes a problem if it prohibits you from engaging in certain activities, or constantly makes you feel socially awkward and uncomfortable.
This specific phobia is related to anxiety disorders. It’s an abnormal and chronic fear of blushing that often appears to be irrational. The fear is related to being the center of attention. Those with social anxiety may also be more prone to the residual feelings of embarrassment or shyness.
Many times, if someone with erythrophobia is in a situation where they’re blushing, they may attempt to reverse their blushing; however, this only triggers them to blush more, creating a vicious cycle.
What Is Blushing?
Blushing is an automatic response to a trigger within the sympathetic nervous system. When we feel vulnerable, embarrassed, or nervous, our sympathetic nervous system becomes activated, and our brains send adrenaline throughout the body, triggering the physiological response of blushing. Adrenaline can also mask pain and cause increased pulse and digestive issues.
The vasodilating nature of adrenaline rushing throughout the body makes certain veins in the face widen, which is why our cheeks redden. Blushing can also be a side effect of certain medications or substances, such as alcohol.1
Is Blushing a Sign of Anxiety?
Blushing can be a sign that you’re dealing with underlying social anxiety. Social anxiety comes from others giving you undesired attention. It can leave you feeling nervous or vulnerable, which can trigger blushing and keep you feeling like the center of attention. Similar to stage fright, being in the spotlight can feel overwhelming and stir up negative feelings and thoughts.
Symptoms of Erythrophobia
Erythrophobia is itself a symptom of many types of anxiety disorders, including social anxiety. That said, there are other symptoms related to erythrophobia that may show up simultaneously, including sweating, shaking, or twitching.
Symptoms related to erythrophobia are:
- Blushing
- Feeling anxious
- Sweating
- Panicking
- Fast heart beat
- Shaking or muscle twitching
- Changes with breathing
- Trouble forming sentences
- Avoidant tendencies
Impacts of Erythrophobia
Fear of blushing can make daily activities difficult. If you’re afraid to blush or be seen while blushing, it can leave you feeling isolated. You may avoid large groups or social situations, even with friends. Family gatherings may be a particular challenge since relatives have a way of triggering embarrassment.
The workplace or professional situations may also be difficult, leading you to not pursue certain tasks or projects. As a result, you may not reach certain goals. This can make it really hard to feel positive, leading to other issues like low self-esteem and depressed mood.2
What Causes Fear of Blushing?
While there are known causes of erythrophobia, such as social anxiety, it can also develop as an experiential phobia from a traumatic experience that happened to someone around blushing. For example, children who are severely bullied due to some of these basic physiological responses like blushing tend to have an aversion to it. They may also lead to a fear of being judged, which leaves them more vulnerable to blushing, making the whole experience that much worse. 3
How to Cope With Erythrophobia
Fortunately, there are many ways to treat erythrophobia. Regardless of where it
stems from or why it was developed, interventions like deep breathing, acknowledgement, and distraction can reach a wide population of people.
Here are tips to overcome erythrophobia:
- Deep breathing: This can help to relax the body, slow down your breath, and reduce your pulse, which helps limit blushing and redness in the cheeks
- Cool compress: Consider splashing cold water or placing a cool compress on your face to reduce the redness
- Try to make yourself laugh: If you can think of something funny that makes you laugh or smile, it can feel easier to deal with your fear
- Acknowledge it and let it pass: Remember, all feelings are fleeting (this includes fear and embarrassment)
- Remove yourself: Avoidance is not an ideal solution, but if you need to remove yourself for a moment to gather yourself, that is OK.
- Attend therapy: If you find yourself avoiding a lot activities, consider trying therapy to determine if you’re dealing with an underlying mental health or physical health issue
Erythrophobia Treatments
Fortunately, there are many ways to treat the phobia of blushing. Widely used interventions include therapy, cognitive behavioral therapy (CBT), Task concentration, exposure therapy, mindfulness, and in some cases, medication.
Treatments for erythrophobia could include:
Therapy
Therapy is a great way to address and cope with this phobia. To find a therapist who is a good fit, start by searching an online therapist directory and learn more about different therapeutic modalities.
CBT
CBT can help you understand why you have this phobia in the first place. Learning where it comes from and why can give you insight into what you may need to rewire your responses. CBT is designed to help rewire thoughts and behaviors so they’re more manageable.
Task Concentration Training (TCT)
TCT helps people understand how their hyperfixation on themselves and how others perceive them may impact their interactions. It helps them to focus more directly on their task at hand, whether that be interacting with another person or part of their environment rather than wondering what others think of them during that interaction. It takes time, but it is possible to use this technique to redirect your attention to actual tasks instead of reactions.
Exposure Therapy
Continued or intermittent exposure to the phobia in exposure therapy can help reduce the fear and anxiety around the actual act of blushing.
Virtual Reality Exposure Therapy
Using virtual reality exposure therapy, you can practice being in social situations, learn how to handle blushing with some separation, and apply other practices to manage it.
Mindfulness
Mindfulness meditation can help you focus on the present moment. It takes away the element of surprise and allows you to redirect your mind to whatever is happening right now vs. what others may be thinking or your own preoccupied thoughts.4
Medication
While there is no specific medication to treat this phobia, there are medications for anxiety to consider with your physician. If there are other physical reasons you may be blushing, a physician may prescribe a beta-blocker. It’s important to speak to a physician before starting and/or ending any medication.
Final Thoughts on Erythrophobia
The fear of blushing may be difficult to overcome, but therapy can help ease your distress. Also, consider reaching out to your support network, including trusted friends and family members. They can offer you understanding, community, and solidarity.
For Further Reading
Erythrophobia Infographics
