Licensed clinical psychologist and public health educator. Author of 2 books. Proven speaker, trainer and educator.
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Simple Ways To Reduce Fear and Anxiety
This easy to read book is your guide, resource and companion if you suffer from needle/injection fear or phobia. One in three of us suffer from a fear of needles/vaccines. One in ten suffer so bad that they avoid getting shots/vaccines. Equip yourself with the knowledge and tools to conquer you fear of needles by reading this book.
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This book is a trusted companion and resource to help people conquer their fears and phobia of needles and injections.
You may be among the 30% of the population who suffers from a fear of needles and injections, or among the 6% of the population who suffer from a phobia of needles and injections. Or you probably might know someone who does. If you happen to be a healthcare provider whose job is to administer injections and draw blood, then this book is designed for you as well.
If you are someone who believes that self-help books serve as a source of authoritative information, inspiration, support, and helpful tips, then this book has been written for you. If you are seeing a counselor/therapist, but want to accelerate, reinforce, or complement the existing work, then this book is also meant for you.
By using this book as a portable toolkit and a companion to support you, you will find that this book offers you the following three benefits.
It helps you understand how fears and phobias work and how needle/injection fears and phobias develop over time.
It helps you practice evidence-based solutions to overcome needle/injection fears and phobias.
It helps you apply easy-to-use tools at just the right time during your vaccination journey.
My journey with needle/injection fears and phobias began as a 10-year-old child feeling completely out of control, having to endure excruciating needles before having several teeth extracted.
Over the year as a licensed clinical psychologist and public health educator, I have helped many clients/patients confront their fear of needles. I realized a couple of years ago that proven strategies to reduce fear, melt away anxiety and dissolve phobias must be developed for those who do not have access to a behavioral health provider.
The prevalence of needle/injection fears among adults ranges from 14-30%. One in three (3%) adults suffer from needle/injection phobia. Nearly one in five (16%) adults avoided the influenza vaccination because of fears or phobias. Approximately 255 million individuals in the US are 18 years and older. Thus, it is fair to assume that 25.5 million adults in the US might be suffering from needle/injection phobia, with many more suffering from needle/injection fears.
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INTRODUCTION
This book is meant to serve as a trusted companion and resource to help you conquer your fear or phobia of needles and injections. You may be among the 30% of the world’s population who have a fear of needles and injections. Or you may be among the 3% worldwide who have a phobia of needles and injections, with one of the highest lifetime prevalence rates at 6% in the United States (Wardenaar et al., 2017). Or you might know someone who does. If you happen to be a healthcare provider whose job is to administer injections and draw blood, then this book is designed for you as well. By reading this book yourself as a healthcare provider, you will better be able to understand the fear and anxiety that many people experience regarding injections and how you can help.
My journey with needle/injection fears and phobias began as when I was a 10-year-old child feeling completely out of control, having to endure needle pricks before having several teeth extracted. Later, as a teenager, I was jumped upon and stabbed by a neighboring “crew,” and I was again subjected to needle pricks prior to the surgical procedures. Perhaps due to these experiences, for many years I avoided my annual dental appointments, often rescheduling them three to four times out of fear of being jabbed with a needle by the dentist. The good news is that I can now tolerate getting vaccines, needles, and shots. Along the way, I learned a number of strategies, even before I became a psychologist, which I will share with you in this book.
As fate would have it, years later, as an academic researcher with a doctorate in health psychology and a master’s degree in public health, I was part of a team that was responsible for the design and delivery of interventions for kids who resisted preventive and routine dental care because of their fear of dental needles and injections. Later in my clinical practice, I continued to work with patients who avoided dental procedures, routine vaccinations, and other medical procedures because they would “rather die than get a needle.”
A colleague of mine from Tulane School of Public Health & Tropical Medicine, where we both worked for a number of years, reached out to me to inquire about developing easily accessible resources for individuals and healthcare professionals to address one of the reasons why individuals are hesitant to get vaccinated. I sat back and reflected on what was already on my very full plate but felt an “internal calling” to move forward to help the many people in need of guidance about how to overcome their fear of these sometimes lifesaving procedures. Now, I find myself in a position to help others in the face of a deadly pandemic.
Needle Fears and Phobias: A Public Health Challenge
The COVID-19 pandemic has led to extraordinary challenges, both individually and collectively. These are volatile, uncertain, complex, and ambiguous times. The rapid and unpredictable changes and losses that have occurred in merely a year reflect a volatility that we have never encountered. On a global scale, we face the uncertainty and complexity of how to administer a vaccine to 70 to 85% of the world’s population—7.8 billion people. One potential barrier is the fact that in ambiguous situations, humans are inclined to favor inaction over action (Wroe et al., 2005). For those with vaccination fears or phobias, uncertainty and even dread make their inaction all the more likely (Wroe et al., 2005).
The good news is that vaccines to combat SARS-CoV-2 (the coronavirus) are being administered, and more vaccines are nearing approval by governments. COVID-19 vaccinations are potential lifesaving tools that could help us protect ourselves and those we love. The goal of achieving herd immunity (which occurs when most of a population is immune to an infectious disease, providing indirect protection to those who are not immune to the disease) seems to be within reach. The bad news is that vaccine hesitancy and needle fears and phobias may delay the establishment of herd immunity—let alone the protection of individuals and those who encounter them and their aerosol droplets. Fortunately, however, needle/injection fears and phobias are treatable.
The World Health Organization (WHO) ranks vaccine hesitancy as one of the top health threats globally. The fear of needles and injections is a major reason why people do not get vaccinated. A recent scientific study published in the American Journal of Infection Control shows that fear of needles is a real perceived barrier for people who are deciding whether to get the COVID-19 vaccination (Guidry et al., 2020). Although this is not the only perceived barrier identified by scientists, this is the focus of this book.
How Can This Book Help?
Getting vaccinated is not a single event. It involves planning the visit, anticipating the visit, going to the visit, waiting to be seen, sitting in the room where the vaccination will take place, waiting for the vaccinator, observing the vaccination being prepared, getting the vaccination, waiting for 15 to 30 minutes after getting the vaccination at the site, and then going home, to work, or to some other destination. And you have thoughts, feelings, and behaviors throughout all of these steps—leading up to the decision to get a shot, leading up to the actual shot, during the injection, and after the vaccine has been administered. And any of these thoughts, feelings, and behaviors may contribute to your avoidance of getting vaccinated.
Despite your fear or phobia of needles and injections, you most likely feel compelled to get vaccinated against COVID-19, or you wouldn’t be reading this book. Conquer Needle Phobia offers you practical tools to equip you to get vaccinated and help you throughout your vaccination journey. By reading it, you will learn quick tools that you can use in moments before the shot, during the shot, and after the shot. These quick tools will dampen your fear before you feel as if it is spiraling out of control. Most importantly, these tools are evidence-based, meaning that they have been shown to work by scientists.
The tools offered to you in this book are meant to be tailored to your individual needs. Based upon what you are trying to accomplish, you pick the tool that will be most helpful. For example, if you believe that looking at a needle before it is injected will make you even more fearful, then you can select several distraction techniques presented in this book. In short, the book is designed for you to select the right tools at the right time for the right situation.
Conquering your needle/injection fear or phobia begins by putting yourself in the driver’s seat rather than simply remaining a passenger and being driven by your fear or phobia. The journey you will take begins with anticipating getting vaccinated and ends with feeling relieved that you got vaccinated. Each turn along this journey demands specific tools and resources that make up your portable toolkit to conquer your needle/injection fear or phobia.
One important note: although “a specific phobia of blood/injection/injury type” is included in the American Psychiatric Association’s (2013) Diagnostic and Statistical Manual of Mental Disorders, better known as the DSM-5, and medical professionals use the term “tryanophobia” to label this type of fear, the goal of this book is not to diagnose and not to pathologize. Nevertheless, there are limits to self-help, and it is important for you to feel confident and competent to get the help that you deserve, which may include professional treatment from a licensed healthcare provider. If you do pursue professional help, this book can be an additional resource and source of support.
Do Self-Help Books Work?
You may ask, “Do self-help books work?” Fair question. There is scientific evidence that self-help books do work. In particular, research has shown that self-help books are effective for helping people with anxiety disorders, including social phobia and panic disorder (Lewis et al., 2018). Although no research has been done regarding needle/injection fears and phobias, these fall under the category of anxiety disorders. Additionally, some people with needle/injection fears experience panic attacks at some point in their vaccination journey, and therefore a self-help book can be a useful component for addressing this symptom.
If you are someone who believes that self-help books serve as a source of authoritative information, inspiration, support, and helpful tips, then this book is for you. Reading self-help books to gain insight and overcome personal challenges is called bibliotherapy (Heath et al., 2005). Bibliotherapy fits within a model of “stepped care,” which begins with self-monitoring and self-management and then moves up the steps of the ladder as needed, ultimately to treatment by a specialist. Bibliotherapy is on the lower rungs of the stepped care ladder. A stepped care approach including bibliotherapy as a resource has been proven to be effective in scientific studies overall and for treating anxiety disorder (Ho et al., 2016).
If you are seeing a counselor or therapist but want to accelerate, reinforce, or complement your existing work, then this book is also meant for you. Beyond behavioral health practitioners, this book is a resource for any professional who performs vaccinations and injections and even those of you who teach these skills in a health professions education or training program.
How to Use This Book
Reading this book will help you
understand how fears and phobias—and in particular needle/injection fears and phobias— work and develop over time,
practice evidence-based solutions to overcome your needle/injection fear or phobia, and
apply specific tools at just the right time during your vaccination journey.
The first two chapters of this book will help you to determine whether you have a fear or phobia of needles and injections and how to know the difference between the two. The remainder of the book is organized into three sections, which address the three phases of getting vaccinated— before the vaccine, during the vaccine, and after the vaccine. The sections are as follows:
Section I: Tools to Use Before Your Appointment. This section discusses strategies to help you in the process of scheduling a vaccination.
Section II: Tools to Use During Your Appointment. This section identifies specific strategies that you can use from the moment you check in to get vaccinated to the moment the healthcare professional withdraws the needle from your arm and places a Band-Aid or gauze on the injection site.
Section III: Tools to Use After Your Appointment. This section addresses tools you can use as soon as the vaccination itself is completed.
Each section features scientifically valid information to increase your knowledge. Knowledge is power. Knowledge melts myths. Knowledge is key—but there is more to changing your behavior than knowledge. This book also offers you concrete, evidence-based strategies to change your thinking, adjust your feelings, and modify your behaviors. Are you ready to begin your journey to conquer your needle/injection fear or phobia to protect you and those around you—not only from the coronavirus but also other from other illnesses like the flu? Flip to Chapter 1 to find out whether you suffer from a needle/injection fear or phobia or are simply a bit uncomfortable about getting vaccinated.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Guidry, J. P. D., Laestadius, L. I., Vraga, E. K., Miller, C. A., Perrin, P. B., Burton, C. W., Ryan, M., Fuemmeler, B. F., & Carlyle, K. E. (2020). Willingness to get the COVID-19 vaccine with and without emergency use authorization. American Journal of Infection Control, 49(2), 137–142.
Heath, M. A., Sheen, D., Leavy, D., Young, E., & Money, K. (2005). Bibliotherapy: A resource to facilitate emotional healing and growth. School Psychology International, 26(5), 563–580. https://doi.org/10.1177/0143034305060792
Ho, F. Y. Y., Yeung, W. F., Ng, T. H. Y., & Chan, C. S. (2016). The efficacy and cost-effectiveness of stepped care prevention and treatment for depressive and/or anxiety disorders: A systematic review and meta-analysis. Scientific Reports, 6(1), 1–10.
Lewis, C., Pearce, J., & Bisson, J. I. (2018). Efficacy, cost-effectiveness, and acceptability of self-help interventions for anxiety disorders: Systematic review. The British Journal of Psychiatry, 200(1), 15–21.
Wardenaar, K. J., Lim, C. C., Al-Hamzawi, A. O., Alonso, J., Andrade, L. H., Benjet, C., Bunting, B., de Girolamo, G., Demyttenaere, K., Florescu, S. E., Gureje, O., Hisateru, T., Hu, C., Huang, Y., Karam, E., Kiejna, A., Lepine, J. P., Navarro-Mateu, F., Oakley Browne, M., . . . De Jonge, P. (2017). The cross-national epidemiology of specific phobia in the World Mental Health Surveys. Psychological Medicine, 47(10), 1744.
l, A. L., Bhan, A., Salkovskis, P., & Bedford, H. (2005). Feeling bad about immunising our children. Vaccine, 23(12), 1428–1433. https://doi.org/10.1016/j.vaccine.2004.10.004
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