ISSN: 2375-3838
International Journal of Clinical Medicine Research  
Manuscript Information
Needle Phobia in Cancer Patients: An Ignored Subject, a Nightmare for Cancer Patients
International Journal of Clinical Medicine Research
Vol.6 , No. 4, Publication Date: Aug. 16, 2019, Page: 28-30
361 Views Since August 15, 2019, 143 Downloads Since Aug. 15, 2019

Anis Rashid, Department of Psychiatry, The University of Texas MD Anderson Cancer Center, Houston, USA.


Smita Saraykar, Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, USA.


Needle phobia, the extreme fear of needles and needle procedures is often caused by a painful conditioning experience and maintained by avoidant behavior. Patients with needle phobia simply avoid health care due to fear of needles. Recently recognized as a medical-psychological condition, needle phobia presents a challenge in the treatment of cancer patients, who must undergo regular blood draws and other needle procedures. A detailed history of needle phobia should be taken at face value and patients with a history of vasovagal needle phobia should undergo needle procedures in a medical setting equipped to handle syncopal episodes. Strategies to reduce pain and anxiety during needle procedures are available but underused. Herein, we present the case of a 40 year old cancer patient with extreme needle phobia and describe the subtypes, pathophysiology and management of this condition.


Needle Phobia, Immunization, Noncompliance, Syncope, Vasovagal Episode, Anxiety, Cancer


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