The study of geometric hypergraphs gave rise to the notion of $ABAB$-free hypergraphs. A hypergraph $\mathcal{H}$ is called $ABAB$-free if there is an ordering of its vertices such that there are no hyperedges $A,B$ and vertices $v_1,v_2,v_3,v_4$ in this order satisfying $v_1,v_3\in A\setminus B$ and $v_2,v_4\in B\setminus A$. In this paper, we prove that it is NP-complete to decide if a hypergraph is $ABAB$-free. We show a number of analogous results for hypergraphs with similar forbidden patterns, such as $ABABA$-free hypergraphs. As an application, we show that deciding whether a hypergraph is realizable as the incidence hypergraph of points and pseudodisks is also NP-complete.