{"id":4621,"date":"2016-05-01T08:55:45","date_gmt":"2016-04-30T22:55:45","guid":{"rendered":"https:\/\/ppmmagazine.com.au\/?p=4621"},"modified":"2022-10-13T06:12:37","modified_gmt":"2022-10-12T20:12:37","slug":"im-being-bitten-please-help-me","status":"publish","type":"post","link":"https:\/\/professionalpestmanager.com\/nz\/pest-control-treatments\/im-being-bitten-please-help-me\/","title":{"rendered":"“I’M BEING BITTEN, PLEASE HELP ME!”"},"content":{"rendered":"

Sometimes when a customer complains of being bitten, the truth is much more complex than simply identifying the pest in question.<\/em>
\n<\/p>\n

<\/div>\n

When you\u2019ve been in the pest industry long enough, you will probably get called out on a job to deal with a homeowner who is being bitten, by \u2018unknown insects\u2019. However, on inspection you can find no trace of the culprit; no fleas, no bed bugs, no bird mites, nothing. Only on questioning the homeowner may you start to get a bit suspicious.<\/p>\n

It\u2019s possible you may have come across a case of delusionary parasitosis, a mental condition. In contrast to a phobia, where the person is frightened of the insect (being bitten or being infested), persons suffering from delusionary parasitosis actually believe they are being bitten, attacked or infested, but they\u2019re not!<\/p>\n

Persons suffering from delusionary parasitosis will often complain of bites, itching or crawling sensations on or under the skin. The scratching of these apparent symptoms will lead to skin irritations, visible signs which may further reinforce their belief. Typically if they notice any skin changes they will go to the doctor or dermatologist. If they bring this up when you visit, it\u2019s a potential warning sign. If they haven\u2019t noticed any skin changes, it is more likely they will have called you first, suspecting some \u2018mite\u2019 infestation.<\/p>\n

Sufferers of this condition, often have an obsessional personality as a predisposing factor. Although anyone can be a sufferer, the main group affected tends to be white, middle-aged women. The most important point to understand is that this is a mental condition and needs to be handled accordingly.<\/p>\n

What should you do?<\/h2>\n

Treat the case as any normal pest control job.<\/p>\n

1) Speak to the customer on arrival<\/strong><\/p>\n

The discussion may well set some alarm bells ringing. A classic presentation is where the suffer will readily show you a matchbox containing the culprit or sticky tape where they believe the culprit has been caught. Often this may simply be a collection of dust, lint and other debris. Nevertheless, you should listen to their feedback, with particular attention to their believed location and time of attacks, as this can give you some focus to the inspection.<\/p>\n

2) Carry out a thorough inspection<\/strong><\/p>\n

This needs to be a thorough inspection. You clearly need to establish whether there is or is not an infestation. Given the nature of this condition, the culprit is assumed to be small\/microscopic, so if it is a real infestation it is likely to be fleas, bed bugs or bird lice, which can sometimes be missed if the inspection is not thorough.<\/p>\n

A complicating factor of this condition is that a previous real infestation or insect bites obtained outside the house could have triggered the delusion. As such you should consider whether an issue lies outside the home, either in the yard or from a recent trip.<\/p>\n

Should you carry out a treatment?<\/h2>\n

As with any pest control treatment, you should not carry out a treatment unless there is a pest issue \u2013 you should not carry out a treatment \u2018just in case\u2019. If the homeowner is suffering from delusional parasitosis, carrying out a treatment will only make the situation worse. It won\u2019t solve the problem and could well leave you open to re-treatments when issue doesn\u2019t go away. Just say you are \u201cunable to find anything\u201d, but don\u2019t let your feedback develop into an argument. If they are suffering from delusional parasitosis, it\u2019s an argument you cannot win.<\/p>\n

If you strongly believe they may be suffering from delusional parasitosis, you could suggest that they visit their doctor\u00a0to have \u201cthe bites or itching checked out\u201d. You are not a physician so don\u2019t be manipulated into checking out the person\u2019s body, clothes or specimens and certainly don\u2019t suggest to them that they have delusionary parasitosis!<\/p>\n

You could consider leaving it open for them to call you again in a week or two if the \u2018bites\u2019 continue or reappear. A second negative inspection would then confirm your suspicions\u00a0and you should politely confirm that you can simply find\u00a0no cause and therefore there is nothing else you are able\u00a0to do. It is important to close off the customer, as they will continually call you if they believe you are a sympathetic ear.<\/p>\n

Illusionary parasitosis<\/h2>\n

This is quite different to delusionary parasitosis \u2013 the suffers do exhibit some genuine skin affliction but this is then incorrectly attributed to some small insect that is infesting the home or office. Such illusions are particularly common in offices, where the illusion becomes \u2018contagious\u2019.<\/p>\n

Common environmental factors that could be causing the \u2018bites\u2019 (skin irritations) include carpet fibres, static electricity, low humidity, ventilation and indoor air pollutants. In such cases, the symptoms often occur in more than one person, although again it tends to be more common in women. Sometimes the illusion can occur when one person has been bitten outside work (for example on a weekend away) and then first noticed it at work. The \u2018bites\u2019 can then spread to others by the power of suggestion. Stress can often be a factor in these illusions.<\/p>\n

Again, a comprehensive pest inspection needs to be carried out, but if no pests are found, no treatment should be carried out. Certainly don\u2019t suggest the bites are \u2018imaginary\u2019, but suggest that other environmental causes could be responsible (and that this is not uncommon). To investigate alternative causes, you could recommend that the company consult an industrial hygienist.<\/p>\n

<\/div>\n

Further reading: Government of Western Australia, Department of Health, Delusional Infestation \u2013 A management guide for Pest Management Technicians<\/a>.<\/p>\n

Techletter, Pest Control’s Role in Classic Delusions of Parasitosis<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

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