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    Needle Phobia (Yun Zhen) : Chris Shih, M.D

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    Chris Shih
    Needle Phobia, also known as trypanophobia, is an officially recognized phobia of blood, injections, and injuries. It is estimated that at least 10% of American adults suffer from trypanophobia. Needle phobia can be caused by a previous bad medical experience or a family history, as approximately 80% of patients report strong needle fear in a first degree relative. Needle phobia can be classified into four types: vasovagal, associative, resistive, and hyperalgesic. Treatment options include behavioral therapy, nitrous oxide, alternative methods to needles like jet injectors, pain relief techniques, and medical management depending on the type of phobia.

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    Needle Phobia (Yun Zhen) : Chris Shih, M.D

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    Chris Shih
    55 views10 pages
    Needle Phobia, also known as trypanophobia, is an officially recognized phobia of blood, injections, and injuries. It is estimated that at least 10% of American adults suffer from trypanophobia. Needle phobia can be caused by a previous bad medical experience or a family history, as approximately 80% of patients report strong needle fear in a first degree relative. Needle phobia can be classified into four types: vasovagal, associative, resistive, and hyperalgesic. Treatment options include behavioral therapy, nitrous oxide, alternative methods to needles like jet injectors, pain relief techniques, and medical management depending on the type of phobia.

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    Needle Phobia

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    Needle Phobia, also known as trypanophobia, is an officially recognized phobia of blood, injections, and injuries. It is estimated that at least 10% of American adults suffer from trypanophobia. Needle phobia can be caused by a previous bad medical experience or a family history, as approximately 80% of patients report strong needle fear in a first degree relative. Needle phobia can be classified into four types: vasovagal, associative, resistive, and hyperalgesic. Treatment options include behavioral therapy, nitrous oxide, alternative methods to needles like jet injectors, pain relief techniques, and medical management depending on the type of phobia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    55 views10 pages

    Needle Phobia (Yun Zhen) : Chris Shih, M.D

    Uploaded by

    Chris Shih
    Needle Phobia, also known as trypanophobia, is an officially recognized phobia of blood, injections, and injuries. It is estimated that at least 10% of American adults suffer from trypanophobia. Needle phobia can be caused by a previous bad medical experience or a family history, as approximately 80% of patients report strong needle fear in a first degree relative. Needle phobia can be classified into four types: vasovagal, associative, resistive, and hyperalgesic. Treatment options include behavioral therapy, nitrous oxide, alternative methods to needles like jet injectors, pain relief techniques, and medical management depending on the type of phobia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    Needle Phobia (Yun Zhen)

    Chris Shih, M.D.

    Needle Phobia
    Officially recognized in 1994 in the DSMIV as a specific phobia of blood/injection/injury type. A.k.a. Trypanophobia Phobic level responses to injections cause sufferers to avoid inoculation, blood tests, and in the more severe cases, all medical care.

    Needle Phobia
    It is estimated that at least 10% of American adults are trypanophobic, and it is likely that the actual number is larger Family medical history: Approximately 80% of patients with needle phobia report strong needle fear in a first degree relative, ie, parent, child, or sibling.

    Needle Phobia
    Babies, kids, elderly, experienced adults: Nearly impossible for needle phobia High prevalent population: Adolescents, young people

    Can be classified to 4 types: vasovagal, associative, resistive, hyperalgesic

    Types of Needle Phobia


    Vasovagal:
    ~ 50% A vasovagal reflex reaction secondary to emotional or physical stress; the action of injection triggers it BP decrease, HR decrease mildly Pale face, blurred vision, diaphoresis (cold sweating), dizziness, fainting Vasovagal syncope (most severe), might be lifethreatening (actually rare, but pay attention) Tx. BP/HR monitor; Lying down, water intake (except loss consciousness), enhance sympathetic tone (like compare grapping power or wrist wrestle, etc.); most recover within 15 min, not recover or deteriorate, sent to hospital for inotropic/chronotropic agents

    Types of Needle Phobia


    Associative: ~ 30%,
    Primarily psychological in nature Might have previous bad experience from themselves or others BP/HR no change, suggest drink a cup of warm water, reassurance, emotional support, encourage; no risk, safe
    p.s. Gardasil vaccination: First dose OK, second dose dizziness, usually associative type, safe

    Types of Needle Phobia


    Resistive: ~ 20%, not only needles but also
    being controlled or restrained (with forced physical or emotional restraint) BP increase, HR mildly increase or no change Take a rest, try to make their mind easy, 10 min recover Safe, no risk, may use anti-anxiety agent Hyperalgesic: Less than 10%, an inherited hypersensitivity to pain Pain control, local anasthesia, etc.

    Treatment
    Prophylactic:
    Behavioral therapy: Exposure therapy Laughing Gas (Nitrous oxide): Sedation and anti-anxiety Method change (avoid needle/pin): Jet injectors Pain relief: Ethyl Chloride Spray, Iontophoresis, EMLA, Inhalational General Anesthesia

    Treatment
    Management:
    General pathway: Lying down, water intake (volume restore for vasodilatation due to vasovagal reaction), BP/HR monitor Based on the types:
    Pain relief Sedation Volume replacement Inotropic/chronotropic agents

    Thank you for your listening!

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