0410 429 686

7 Lakeside Boulevard Rowville

Germ Phobia Treatments: Helping You Overcome Your Fear

Phobias tend to be unreasonable or excessive compared to standard fears. This obsession may be from either a traumatic childhood event or a chemical imbalance. Germ phobia may be mild to severe, from just a general paranoia of germs to looking for them and fearing them constantly in every place, eventually not wanting to leave the house. 

Germ phobia, in part stems from the excessive need to be 100% certain about our safety. However, the person needs to accept that uncertainty is part of life. A person needs to review how this fear of germs interferes with the things that the individual wants to accomplish in life, relationships, and arrive to a reasonable deal.

Where does germaphobia stem from? 
Germs exist everywhere and for the most part they even help our immune system. Germaphobia is an exaggerated fear of contamination by germs, usually it is associated with OCD. As such, fear of contamination is characterized by intrusive thoughts of contamination and catastrophic consequences such as illness or death. These anxiety provoking thoughts about germ contamination lead to excessive measures to get rid of this anxiety by compulsive washing, disinfecting or avoidance. 

Some germaphobia examples are entering medical offices or coming in contact, even if remote, with bodily secretions such as saliva, sweat, faeces, sperm or urine. Someone that has germaphobia may avoid social situations such as use of public bathrooms, medical procedures, being intimate with a spouse, eating in restaurants, staying in hotels and traveling by airplanes. 

Germaphobia tends to be a subtype of OCD and like other OCD subtypes (checkers, repeaters, pure obsessionals, etc) it is thought to be a neurobehavioral disorder caused by multiple factors. One cause appears to be neurochemical. The imbalance in the brain of neurochemical substances such as serotonin might be involved; another cause might be a communication problem between different brain areas (e.g. frontal cortex and deeper structures of the brain and the amygdala). 

Finally, another important cause is a behavioural and learning component, lying most importantly in the relationship between the distress caused by thoughts of danger relating to germs and the decrease of anxiety by excessive washing or use of disinfectants such as alcohol and soaps. The repetitive habit of getting rid of the anxiety by avoidance or washing becomes inherently associated with relief and never allows the person to realize that life would go on without the ritual of avoidance or washing.

The emotional and psychological symptoms of germaphobia include: 

  • intense terror or fear of germs
  • anxiety, worries, or nervousness related to exposure to germs 
  • thoughts of germ exposure resulting in an illnesses or other negative consequence
  • thoughts of being overcome with fear in situations when germs are present 
  • trying to distract yourself from thoughts about germs or situations that involve germs
  • feeling powerless to control a fear of germs that you recognize as unreasonable or extreme

The behavioural symptoms of germaphobia include: 

  • avoiding or leaving situations perceived to result in germ exposure
  • spending an excessive amount of time thinking about, preparing for, or putting off situations that might involve germs
  • difficulty functioning at home, work, or school because of fear of germs (for example, the need to excessively wash your hands may limit your productivity in places where you perceive there to be many germs)
  • People with this fear might go to great lengths to avoid actions that could result in contamination, such as eating out at a restaurant or having sex.
  • Sometimes, this anxiety leads to compulsive behaviours. E.g. Frequent washing their hands, showering, or wiping surfaces clean. 

While these repeated actions might reduce the risk of contamination, they can be all-consuming, making it difficult to focus on anything else. 

The physical symptoms of germaphobia are similar to those of other anxiety disorders and can occur during both thoughts of germs and situations that involve germs.They include: 

  • rapid heartbeat
  • sweating or chills
  • shortness of breath
  • chest tightness or pain
  • light-headedness
  • tingling
  • shaking or tremors 
  • muscle tension
  • restlessness
  • nausea or vomiting
  • headache
  • difficulty relaxing 

Children who have a fear of germs can also experience the symptoms listed above. Depending on their age, they may experience additional symptoms, such as: 

  • tantrums, crying, or screaming
  • clinging to or refusing to leave parents
  • difficulty sleeping
  • nervous movements 
  • self-esteem issues

It makes sense to take precautions to avoid common illnesses, such as colds and the flu. 

In fact, it’s a good idea to take certain steps to lower your risk of contracting a contagious illness and potentially passing it on to others: E.g. Getting a seasonal flu shot and washing your hands on a regular basis.

Concern for germs becomes unhealthy when the amount of distress it causes outweighs the distress it prevents. There is only so much you can do to avoid germs. 

Signs that your fear of germs is harmful to you and that you may need help.  

  • If your worries about germs put significant limitations on what you do, where you go, and who you see.
  • If you’re aware that your fear of germs is irrational but feel powerless to stop it.
  • If the routines and rituals you feel compelled to carry out to avoid contamination leave you feeling ashamed or mentally unwell.

In all cases seek help from a doctor or therapist. Luckily, like any phobia, there are treatments.

  1. Be mindful of the language/ words you use and adjust your perception of germs based on your language choices.
  1. Energy and alternate exercise/therapyare very good to couple with more traditional therapies. Yoga, acupuncture, Tai chi, and even traditional exercise can release endorphins and relax muscles which helps to ease your mind.
  1. A hypnotherapist can ease a fear of germs by implanting positive messages. These include NLP and CBT.
  1. Medically prescribed OCD medicationcan alleviate some symptoms of germ phobia immediately. Medications known as SSRI’s (selective serotonin reuptake inhibitor) which interact with serotonin (a brain chemical), are the primary antidepressant medications shown to be effective in the treatment of OCD. SSRI medications include: Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft), Clomipramine (Anafranil). Serotonin-norepinephrine reuptake inhibitors (SNRIs) affect two important brain chemicals — serotonin and norepinephrine may be an effective form of treatment for people who’ve had unsuccessful treatment with selective serotonin reuptake inhibitors (SSRIs). SSRIs only work on one chemical messenger, serotonin. SNRIs may also be a good choice for people with anxiety.

Serotonin, a brain neurotransmitter, is responsible for mood, anxiety and depression. Selective Serotonin Reuptake Inhibitors (SSRI’s) are medications that block the re-absorption of serotonin. When the reuptake of serotonin is inhibited, there is a reduction in anxiety, depression and an overall improvement in mood. SSRI’s do take several weeks before they are completely effective or before results are noticed by the person taking the medication.

With 2020 behind us and with four months of this year nearly passed, there may be a few changes that you are not aware of.

Time for your tune-up
If you did not come to clinic during the 2020 COVID year, then over 12 months have passed since your last Myotherapy/Reflexology/Reiki appointment. If this is the case you will require an initial 1-hour appointment. Call or text me today on 041 042 9686 to book your appointment.

Fees, Payments & Receipts
There have been no fee increases for the past five years, so prices remain the same.
Myotherapy: Payments by cash, card and electronic transfer are accepted.
Reflexology and Reiki: CASH payments only.
Receipts: Only issued for Myotherapy (upon request). No receipts issued for Reflexology or Reiki as they are no longer claimable services.

Clinic Hours
Monday and Wednesday: 9am – 6pm
Friday: 9am – 1pm
Saturday: 9am – 12pm
CLOSED Tuesday & Thursday

Yours in Health
Derek Miglietti
Like many businesses the clinic has had to abide to a number of stringent guidelines since March. Fortunately we were able to remain open to look after your needs. Now with eight weeks left before the end of 2020, I am pleased that at present there are no restrictions to receiving your Myotherapy, Reflexology or Reiki.

If you have not been in this year, or for the past 12 months, you will be required to undergo an initial 1 hour appointment for your return first appointment; to check, update and revise any medical conditions and records.

COVID-19 guidelines remain in place, which means;
• The wearing of a mask in clinic is compulsory
• Only one adult client allowed in clinic at a time (no partners or children)
• One adult may accompany a child if the child is undergoing treatment

The clinic follows all DHHS COVID hygiene regulations.

Clinic Hours
Since mid-October there has been a change to clinic hours. Current clinic hours are:
Mon / Tues / Wed 2pm – 6pm
Thursday 9am – 6pm
Friday & Saturday 9am – 12noon
S.H.A.W. Update
COVID-19 Restrictions

It is important to us to be able to continue to provide our regular service to you and your family at this time.  During the COVID-19 pandemic we are taking additional steps to make sure everyone can stay healthy and safe when you visit the clinic.
It is very important that you inform us in advance if anyone in your household is unwell, or self-isolating because they are at risk of becoming unwell, with COVID-19.

Unfortunately, due to strict public health requirements you will be unable to attend clinic if anyone in your household is unwell or in self-isolation. We will of course treat this information in strict confidence and will be happy to reschedule your appointment for another time.
Please help us to manage the risks to the health and safety of our business and clients by co-operating with the measures we have outlined below. Do the same things for us that you are doing to keep your family and friends healthy and well.

This includes frequent handwashing, covering your nose and mouth when you need to cough or sneeze with the crook of your arm or clean tissue and observing rules for physical distancing, mask wearing and staying at home. More information can be found on the Department of Health website:

Stage 3 Guidelines
The clinic remains open and follows the required infection control and PPE guidelines.
1. Stay at home and contact your GP if you have been potentially exposed to Coronavirus (COVID-19) or have any symptoms, such as fever, cough, sore throat or shortness of breath.
2. Only one person (the client) allowed in the clinic during treatment.
Exception: A parent with a minor who is receiving treatment may remain in the clinic room.
3. Remember to wear your face mask
4. You will be temperature checked using an infrared thermometer upon arrival
5. Toilet facilities are not available

Stage 4 Guidelines
1. As per Level 3 restrictions, including;
2. If you would like an appointment, you must first obtain a referral from your GP

In accordance with the Department of Health and Human Services (Health Care and Social Assistance), “Community based services which are based on a referral from a registered medical practitioner (General practitioner and/or medical specialist). This includes all clinical and allied health services.”


Requesting a Referral

1. Contact your medical practitioner
a. Obtain a referral for Myotherapy or Remedial Massage
b. This will allow you to obtain services within the clinic

2. Supply me with a digital or hard copy of your referral
a. Either at the time of or prior to your appointment
b. A copy of your referral will be filed with your records as proof
c. Have your referral with you when travelling

SHAW Services and the Coronavirus disease (COVID-19) Update

By now you may have read and heard enough about the virus via the media, work or other avenues and some of you may have questions or concerns of how this affects your regular treatment regime. So here are a few points regarding SHAW services and what is happening in clinic.

Great news! Business as usual

There are no changes to hours or services offered.

The fact that I am the only therapist means that your chance of contracting COVID-19 in clinic is minimal. The clinic has and will continue to maintain rigid hygiene standards. As always I request clients do not attend clinic when unwell, so as long as you are not infected by the virus, have not travelled overseas recently and quarantined for 14 days, then feel free to come and get a Massage, Reflexology or Reiki.

Reduce Stress & Anxiety caused by COVID-19 with Reiki

If you are stressed and anxious about COVID-19 and its impact on your life and family members, then I highly recommend you book in for a Reiki to relax your mind and calm your nerves. Stress reduces your immune system and with the virus around and winter coming, you will want your immunity in top shape. For further information on Reiki go to the Services tab on the SHAW website.

Reflexology – The Natural Immune Booster

One way to reduce the effects of any flu or virus is to boost your immune system. Boost your immune system the natural way; through Reflexology. Both relaxing and soothing, Reflexology stimulates your Endocrine system, enhancing your immune system and assist reduce flu-like symptoms. For further information on Reflexology go to the Services tab on the SHAW website.

I would like to take this opportunity and thank you for your business and for entrusting me with your health during 2019. 

The clinic will close at 12pm on Monday December 23rd and re-open on Monday January 13th 2020 at 2pm.

I wish you and your family a safe, joyous and healthy festive season and look forward to being of service to you in 2020.


Derek M. 

As a therapist and sports trainer I have experienced and witnessed the numerous benefits of stretching. In my experience, flexible people tend to have less physical (musculoskeletal) ailments, and yet many people are reluctant to spend sufficient time, if any, to incorporate stretching into their lifestyle or exercise routine.

Often people consider stretching an easy and boring thing to do, or do not consider it an essential part of exercise or daily life. In fact flexibility is an essential part of health and the pursuit to increase and lengthen muscles and the soft tissues of the body requires effort and dedication, with benefits that are long-lasting.

Increased ROM
o Stretching is the activity or action of increasing the length of a muscle and joint mobility to achieve flexibility. The aim is to increase or maintain a degree of flexibility to at least the average range of motion (ROM) in a joint or group of joints. This ROM varies according to activity, age and requirement, with the average recommended ROM based on healthy, non-athletic patients. So depending on your activity, you may require more ROM and flexibility than recommended. Even if your activity requires less ROM than your joint can offer, healthy joints and muscles must at least be able to attain the normal ROM.

Improved posture
o Shortened and constricted muscles and ligaments hold the body in restricted positions that contribute to poor posture. Poor posture can attribute to other issues such as restricted breathing, chronic pain, headache, cramps etc. By maintaining and increasing muscle and joint flexibility, joints, ligaments and muscles maintain their correct position and symmetry, improve correct posture and body appearance.

Increased mobility
o Optimal flexibility increases efficiency of movement. Muscles require energy to move and the tighter the muscle, the more energy is required to move it. When muscles, joints and ligaments are flexible, the body moves more efficiently using less energy, leaving extra energy for additional activity.

o Another benefit of increased mobility is the ability to perform daily tasks; e.g. brushing one’s hair or reaching up for something. Flexibility is also important for safety; e.g. being able to cross a street quickly or stride out to move out of harm’s way without tearing a muscle.

Stretching reduces injury
o The answer is both ‘yes’ and ‘no’. Any time you extend a joint or overstretch a contracted muscle or shortened ligament beyond its range of motion you are likely to injure it, regardless of your degree of flexibility. Being flexible means that you are able to move your joints and body through its full ROM with reduced possibility of overstretch and injury. If however your activity or sport requires you to move through greater degrees of flexibility and ROM then the norm and you do not have that range, then yes, you can injure it. So the answer is? Ensure you have at least the average range of flexibility and greater flexibility to suit your specific work or sporting needs.

Please be advised that after several years of using Twitter as a Social Media platform, it has been decided that it no longer suits our business model and is now deactivated

Thank you for those who followed us at #spectrumHW during these past years.

You can still find us on Facebook, LinkedIn and of course online.


Derek M.


As mid-year quickly approaches, this is a timely reminder that some of you have not been in for six months. As you are well aware, prevention is better than the cure, so please make time to book in and look after your health with a Myotherapy, Reflexology or Reiki session.

Things may have changed since you were last in, so please look through the website for the latest consultation times, prices and information.

Contacting me by phone is the quickest way to book an appointment. Either text or leave a message if I am unable to immediately answer your call.

Please note that the clinic will close for renovations on Sat June 1st and reopen on Wed June 12th. I do apologise for any inconvenience and will make arrangements to book you in at the next available appointment.

Reflexology – Boost your Immune System Naturally!
An excellent, relaxing and natural way to keep your body healthy and ward off any colds during winter. Book your session today!

Thanks for Your Referrals
Once again thank you for your referrals throughout the year. Not only do your referrals help family and friends improve their health, with each referral I donate a portion of the consultation fee to the Royal Flying Doctor Service of Australia so they can continue to help others in remote locations across Australia.

Reducing Elbow Tendinopathy and Related Conditions using a Vertical Mouse

Still using your old outdated and potentially harmful horizontal, flat mouse? If you spend hours at a computer and don’t have a vertical mouse, the likelihood of getting Carpel Tunnel and Elbow Tendinopathy is greatly increased; that’s if you don’t already have those conditions.

While the old ergonomically outdated horizontal mouse still dominates the market, the vertical mouse is becoming a common sight on computer desks at home and in the workplace and needs to become the norm.

Rather than the traditional horizontal position, the vertical mouse body and buttons sit at an angle, keeping your wrist and forearm in a more natural and neutral position, reducing rotation and strain of the forearm muscles.

The vertical mouse position varies according to manufacturer, however studies with regard to the design of the computer mouse by Professor Han Ming Chen of National Taiwan University and Professor Snijders of Erasamus University Medical Centre demonstrate that the truly neutral hand position of an ergonomic mouse is not vertical but slanted at around 60°.

If you suffer from elbow, wrist or finger pain for whatever reason and spend time at a computer, than purchase a vertical mouse today. Increasing mouse height and angling of the mouse can improve wrist posture without negatively affecting performance.

Things to look for when buying your vertical mouse
• Angle of the mouse: 50°- 90°
• Left hand & Right hand
• Features – wired or wireless
• Hand size
• Brands: As mentioned there are multiple brands, though Logitech is most often sold in Australia.
• Cost: A vertical mouse can be costly; fortunately you can buy the reputable OJ. Burrows Ergonomic Vertical Wireless Mouse for $29.00 at Officeworks.
• When selecting your vertical mouse, if you can, try before you buy!

For further information search the web. Look at the following sites for starters:


How’s business? Fantastic and running smoothly, or could it be better? How about patients? Got enough or want more? How about work-life balance? Whatever the question, if there is something about your practice that you would like to improve, then it is time to innovate.

When a business is new and enthusiasm high, creativity flows and it is easier to see new business opportunities. As the business settles with regular patient numbers and work-flow becomes comfortable and routine, there is often less creativity and urgency to continually innovate and grow. Like a plant that you need to fertilise, prune and water so that it grows and remains healthy, you also need to look at ways to innovate and grow your business to keep it profitable.

Innovation is about looking at ways to improve what and how you do something and implementing it. It is about addressing an area of the business that requires improving, coming up with one or several possible ideas and then turning the best idea into a solution that adds overall value to your patients.

By focusing on how you can improve your business and enhancing the way you run your practice, you ultimately impact your patients’ experience with you. It’s the little things that you do in business that have a flow-on affect and make a difference to patients. The greater their experience, the better the relationship and willingness of the patient to remain loyal to your practice and refer people to you.

Being skilled at massage is only one (albeit important) part of customer service, as all aspects of your business impact your patients’ experience; everything from the way your potential patients find you, the Customer Relationship Management (CRM) software you use, to the physical layout of your clinic.

Innovation is not about making changes for the sake of change. It has to add value to the business in some way; efficiency, financially, environmentally etc. Also, it is not only about making positive changes that improve your current business operations; it is also about creating and implementing new ideas and a vision for your business’ future.

At all times remember that what you want or need to improve and change in your practice will affect your patients either directly or indirectly. For example; being exhausted from working to many hours will impact your physical, mental and emotional ability to optimally deal with patients, which may require you to cancel patients due to illness; possibly giving an unsatisfactory treatment and potentially losing business. An innovative idea could be to sub-contract work out to another therapist to ease your workload. Although this is not a new idea, as it is new to the way you currently do business, it is innovative.

Whether or not you implement the proposed idea will be based on various factors that you need to consider. Is the innovation realistic? Does it match your business model? Can you afford this innovation? How will it impact your patients? And so on.

The point is, innovative thinking enables you to look at all possible solutions and ideas. Not the innovative idea you can work with? No problem; be creative and come up with an innovative solution you can work with; that will benefit both you and your patients.

Remember, the key to innovation is being creative and doing something new or different to the way you currently do it, so that it adds value to your business. Innovation is not necessarily about inventing something new; E.g. an App for your business.
New consultation Hours

Commencing Monday 10th September, clinic hours will be as follows:

Monday 2pm – 7pm
Tuesday Closed
Wednesday 2pm – 7pm
Thursday 9am – 7pm
Friday 9am – 1pm
Saturday 9am – 12pm

As usual, contacting me via mobile phone is preferred to email. If I am unable to answer your call, please leave a text or phone message.

Thank you
It is with enthusiasm that I announce my involvement with Villa Maria Catholic Homes (VMCH) as a Myotherapist. This is a newly developed position that will enable VMCH to offer in–home massage services. Although the concept is not new, I am looking forward to putting my thirty years of experience in health and business to developing and expanding the current massage services offered by VMCH Wantirna.

Australia's population is ageing as a result of sustained low fertility and increasing life expectancy. This has resulted in proportionally fewer children (under 15 years of age) and a proportionally larger increase in people aged 65 and over. Massage therapy for older persons is a growing industry and therefore an essential part of health care in terms of the quality and life expectancy of the Australian population.

In 2016, there were 3.7 million (15%) Australians aged 65, with the number and proportion of older Australians expected to grow. By 2056, it is projected there will be 8.7 million older Australians (22% of the population) and by 2096, 12.8 million people (25%) will be aged 65 years and over.

Benefits of Massage for Older Patients include:

• Massage helps to soften muscles and tissues by increasing blood flow to the areas and ultimately reducing overall muscle tension.

• Improved circulation and blood flow through the muscles and joints, enhancing mobility and reducing pain from stiffened muscles and joints.

• Muscles and ligaments tighten with age and inactivity. Massage therapy loosens tight muscles and joints, improving range of motion which enables the person to maintain and active lifestyle.

• The increase of blood flow to the limbs makes the muscles and joints more supple and relaxed which enhances proprioception and body awareness, aiding in balance, gait and reducing the occurrence of falls.

• Massage therapy releases endorphins, hormones and stimulates neurotransmitters that are beneficial for the functioning of the nervous system

• It helps improve sleep through its relaxation benefits

• It improves the immune system by stimulating the Lymphatic system and assists the removal of toxins in the body.

• It helps relieve arthritic pain caused by Osteoarthritis and other conditions by increasing blood flow to the joints and warming affected areas.

• Massage produces feelings of caring and comfort, especially if the older patient is alone and/or unwell.
It is with great pleasure that I announce 2018 as my 30th year working in Health and Fitness.

When you do something you love, it does not feel like work, and that has certainly been true for me. My career commenced in 1988 working casually as an Exercise to Music Instructor, Personal Trainer and Strength and Conditioning coach. At the same time I was the head instructor of a karate club with five training venues.

Based on my interest in Eastern philosophy and health, during the 1990s I qualified as a Reflexologist, Reiki Master, and Relaxation and Oriental Massage Therapist. In between working at a gym, treating clients and studying, I ran a personal training business (Spectrum Fitness). As my passion for allied health increased, it slowly overtook my career in the fitness industry.

My passion for health and fitness has enabled me to work in various fields, from palliative patients to elite athletes, as well as travelling overseas. In 2000 my natural therapies business (Spectrum Health and Wellbeing) was taking up more time, so I stopped martial arts training and teaching after 20 years and began lecturing in massage, and for a short while fitness.

For fifteen years I juggled a career working as a lecturer, fitness instructor, running my own business and continually studying, attaining qualifications in Psychotherapy, Myotherapy and Marketing.

As the demands of my allied health business and lecturing commitments increased, at the end of 2015, after 27 years, I decided it was time to move on from the fitness/ gym scene. A year later, at the end of 2016, I retired from lecturing to spend more time on my business, as well as reinstate a better work-life balance. In 2017 I spent the year focusing on the clinic, though I did manage to complete a diploma of Business.

It is now 2018 and my 30th year looking after the health of others. I still have a passion for health and fitness, and I am pleased that the accumulated knowledge I have gathered over the years has enabled me to assist thousands of people live a healthier and happier life. Plans are now in place to pursue the next chapter in my health and fitness journey that will carry me through the next decade of my career.

I look forward to many years ahead assisting and educating people about health.

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About Spectrum Health & Wellbeing

Spectrum Health & Wellbeing Myotherapy, Reflexology and Reiki is located in Rowville, near Knox, Boronia, Bayswater, Ferntree Gully and Scoresby. We provide specialised integrative solutions for children, teens and adults using Myotherapy, Reflexology and Reiki.

CEO and Principal Therapist Derek Miglietti, has been working in Health and Fitness since 1988 as a therapist, instructor, lecturer (16 years) and consultant. As a specialist Integrative Therapist Derek has worked in nursing homes, with children, the AFL, elite athletes, state-sporting teams and in the corporate sector.