Tag Archives: needles

Medical Microfiction: Trypanophobia

Cringe-Worthy

In dark alleys and back rooms, in bars and clubs, the kids have invented a new thrill. They’re lining up for miles to experience the rush.

The ritual goes like this. There’s a man with a needle. The silvery point hovers in the air, just over a bulging blue vein. The audience stands at attention, hushed. The needle touches skin. It digs in. The onlookers feel it: a rush of chills, a tingling, bells in the ears and clouded eyes. Knees buckle, breath releases, and they’re out cold.

They’re not looking for a chemical high. They’re seeking their own terror.

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Fear of needles
Fear of needles (Photo credit: david anderson : da-photography)

In the past, I’ve written about using what your body already produces to save lives. There’s always a demand for blood and bone marrow donations, which save lives in a way so straightforward that I feel no embarrassment in using the cliche. Such activities are easy, international, and cost you nothing.

I talk about this stuff a lot because I hope by getting the word out, a few more people might consider giving it a shot. Recently, a friend pointed out a problem with my advocacy: some people refrain from donating blood or joining the marrow registry because they suffer from a paralyzing phobia that renders it impossible.

Trypanophobia, or the fear of needles, is quite widespread in the populace. In the United States, roughly 1 in 10 people suffers from this phobia. Unlike many other phobias, the most common type of trypanophobia induces a physical response that can lead to wooziness and fainting. To put it another way, if you’re afraid of spiders and you see one in your shower, you’ll startle and try to squish it or run away. If you’re afraid of needles, your vasovagal syncope will kick in and you may pass out if you see or even think about needles.

മലയാളം: വെള്ളിലത്തോഴി എന്ന ശലഭം
This was going to be a close-up of a needle, but I decided to be nice. (Photo credit: Wikipedia)

What on earth is “vasovagal syncope”? If you’ve ever jumped out of bed after a hard sleep and found yourself feeling a little dizzy, then you’ve experienced it yourself. Your heart rate fails to provide enough blood to your brain, so you feel weird and woozy until your heart catches up.

People with trypanophobia can experience this reflex just from thinking about needles. So what’s a needle-phobic person to do? Fortunately, there are some ways to deal with it. Doctors can numb the area with different anesthetics before they use the needle. They can also make use of some of the new needle-less drug injection methods, which are very cool indeed. A third option is behavioral therapy, which aims to desensitize you to the stimulus through gradual exposure. Trypanophobics can also take anti-anxiety medications which help prevent the sudden drop in blood pressure.

All this talk of phobias makes me think of horror movies, and how we watch them even though they scare us. Or because they scare us. Thus, today’s story: where teenage trypanophobics deliberately seek out vasovagal syncope just for kicks. It’s no dumber than huffing aerosol from a plastic bag, and probably a good deal safer!

Are you afraid of needles? What tips or tricks do you use to deal with it?