Woman in face mask and white lab coat. Doctor or nurse with syringe isolated. Medical person for health insurance.

On the list of what frightens people the most, ranking right up there with spiders, snakes and heights are needles. In fact, the extreme fear of medical procedures involving needles is a valid phobia with an ominous name: trypanophobia. Charyn Caruso, a phlebotomist for Grove City Medical Center, has worked with her share of patients who have suffered from the condition throughout her 20-year career.

“It’s a very real fear that can be debilitating for the patient, but it can also present a risk to the healthcare provider who is performing the procedure,” Caruso says.

Children and adults alike can be trypanophobia, and the tendencies they may exhibit when facing a procedure involving a needle run the gamut. Some patients tremble and cry, while those on the extreme opposite end of the anxiety spectrum may vomit or even pass out.

The situation can turn especially dicey when a patient jerks away or strikes the hand of the doctor, nurse or phlebotomist who is handling a sharp needle.

“When a patient lashes out physically, it becomes unsafe for the healthcare provider, because they can end up with an unintentional needle stick,” Caruso explains.

An estimated 25 percent of adults are afraid of needles, and about 7 percent of them avoid immunizations because of their fear. Caruso recalls one patient, a strapping policeman who put off having his bloodwork for eight months while he worked up the courage to face his fears.

Caruso employs a variety of strategies to help anxious patients get through their blood draw as comfortably as possible.

“I always talk to the patient calmly, distracting their attention from the needle while validating their fear,” she says.

Fellow phlebotomist Tracey Schultz says she tells her fearful patients that she is very afraid of having dental procedures.

“I think it helps them to know their fears aren’t irrational and they're not alone in having them,” Schultz says.

With some patients, Caruso finds it helpful for staff to trade places.

“Once in a while, and for no apparent reason, a patient simply doesn’t respond to one phlebotomist, but is fine with another,” she says. “As healthcare providers, we learn not to take that sort of thing personally.”

Anxious patients typically scrutinize every element of their procedure and ask for a detailed description as it’s happening, but others prefer to look away. Some go through a ritual that often includes an object that provides them with security, along the lines of a lucky charm.

“Whatever it takes, within reason, for them to get through the procedure safely and comfortably is fine with us,” Caruso says.

Although most children have a fear of needles, it typically decreases as they get older. According to studies by the American Medical Association, the fear is more common in females than males.