Many people do not understand the psychological toll that bed bugs can take on those living with infestations. Bed bugs attack you when you are at your most vulnerable, asleep in your bed. As common as the bed bug problem is, many people do not hear about the honest truth of what it is really like to live with these pests.

Right now, everything I own is in garbage bags piled up in the middle of my kitchen and bathroom and filling my shower. It’s been that way for a week and a half and will continue to be so for at least another week on top of that. If you live in a major city, you might know what’s coming. If not, welcome to the hell that is bed bugs.

This isn’t the first time I’ve had bed bugs. Nor the second. It’s the third, and this time it’s taken two visits from the exterminators to (hopefully) rid our apartment of the tiny beasts. Luckily we were able to catch the bugs early before they got a real hold on the apartment. Unluckily, that’s mostly because rather than mosquito-esque little bumps, my bites turn into hardened ping-pong ball sized welts that itch for over a week. So when we have bed bugs, I know pretty quickly. And each time everything goes into bags. I stop sleeping. I avoid furniture on the street. I refuse to enter libraries.

I used to joke that I had bed bug PTSD. There’s a certain kind of anxiety that the seemingly invisible biters incite. But in fact, it might not be a joke. Research is starting to show that bed bug infections can leave people with anxiety, depression, and paranoia. And that’s normal. In fact, it would be weird for you not to be freaked out, says Stéphane Perron, a doctor and researcher at the University of Montreal. “If you have bed bugs, and if you don’t care, that’s not a normal reaction. You should be worried. I would consider it a normal reaction to a stressor.”

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