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How delusional infestation makes you feel bugs that aren’t there

Imagine feeling an unbearable itch, convinced that tiny insects are crawling under your skin. But no doctor believes you. You try to prove it, collecting samples, documenting everything. But under a microscope? Nothing is there.

That was Paula Cox’s experience with delusional infestation, a rare disorder where people are absolutely certain they’re infested with bugs, despite all evidence to the contrary. In this episode, Paula shares her harrowing experience, and experts - a leading entomologist and a psychiatrist-dermatologist - explain what’s really happening in the brain and how healing is possible.

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GUESTS: 

  • : an entomologist and Associate Scientist at the ϳԹ Agricultural Experiment Station in New Haven. She oversees the daily activities of the insect inquiry office. She’s also the editor of
  • Paula Cox: a woman in Australia who experienced delusional infestation. She started a Facebook support group called “”
  • : a Professor of Dermatology at the University of California San Francisco (UCSF) Medical Center and Director of the UCSF Psoriasis Skin and Treatment Center. He is board-certified in both dermatology and psychiatry and co-author of

Jessica Severin de Martinez, Meg Fitzgerald, Robyn Doyon-Aitken, and Meg Dalton contributed to this show, with help from our interns, Kathy Wang and Angelica Gajewski.

Audacious with Chion Wolf is available as a podcast on , , , , , or wherever you get your podcasts. Subscribe and never miss an episode.

Join the conversation on,, , and email.

Jessica Severin de Martinez is a producer for <i>Audacious with Chion Wolf.</i>
Robyn Doyon-Aitken is the Deputy Director of Audio Storytelling and Talk Shows
Meg Fitzgerald is the senior manager of projects and radio programming.
Meg Dalton is the director of audio storytelling and talk shows for ϳԹ where she oversees the station’s talk shows and podcasts, including the limited series 'In Absentia'.
Chion Wolf is the host of Audacious with Chion Wolf on ϳԹ, spotlighting the stories of people whose experiences, professions, or conditions defy convention or are often misunderstood.