I think recent days have kind of clicked something in my mind about it being...POSSIBLE to feel safe in a medical environment, on a basic level.
I'm mad because no one ever talked or explained to me about safety and how that feels or considered "feeling safe" to be a goal, and as a result all I could imagine "getting better" to be like was somehow dissociating or ignoring my fear more.
I feel that the most productive way forward on Medical Fear is getting more chill with needles in the context of like blood draws and IVs and stuff
this is because an IV is used to sedate/knock unconscious, and if I could be knocked unconscious without intense apprehension of that process itself, it would be immensely reassuring that some medical exams/procedures would at least theoretically be possible for me due to the option of being sedated/unconscious
I used to be very fearful of needles in vaccines, I am not anymore due to engineering several experiences to be as "safe-feeling" as possible. First was choosing to go to the pharmacy at the grocery store instead of the doctors' office because being in a doctor's office was so stressful in itself, whereas the grocery store was a familiar place with positive things in it (ice cream). Also, people at the pharmacy are very nice and polite and professional.
I also brought my best friend with me the first time, I think I was 21 then. I don't think the reason it helped was having him there, but rather that I was capable of taking an action to make the experience better, instead of the previous idea of the "badness" of the experience being fundamentally unchangeable and something I have to "just get through."
I think I would still have a strong negative reaction if I was to see the needle before the vaccine, but I always say specifically that I don't want to see it at all and "I am going to cover my eyes now." Most of the things that help seem to be related to the ability to take action of my own volition and to have agency over the interaction.
I can contrast this with an experience 3 years earlier (when I was 18) which I tried to make a positive experience but it was not effective. I think I initially came away with the impression that I had created a positive experience for myself, because it was more positive than before, but it did not reduce my fear at all. This was when I got vaccines as part of a doctor's appointment.
I mainly remember that the vaccines were extremely fucking painful, so painful it was difficult to tolerate the pain, and I'm certain this was because my muscles were incredibly tense. Subsequent experiences (with several different types of vaccines; I got my Covid, HPV vaccines and started getting yearly flu vaccines, plus tetanus booster) have not been like that at all: when there is pain at all it is like being pinched for a brief second or slightly poked with a very sharp pencil.
But after the experience when I was 18 there was new apprehension added to my fear because it had hurt so badly. I had already been in a doctor's office for over an hour, in the waiting room in a horrible state of dread and then getting vitals taken and all of that, which had given the tension time to build up in my body, which had made my muscles tense and made the vaccines physically very painful.
I didn't experience much reduction of my fear after this, whereas I did experience reduction of fear when I tried making a "safe" experience at the pharmacy.
I don't know how to apply this learning to the IV/blood draw type of needles. I know my fear comes from specific traumatic experiences I can remember, on top of the generalized fear of medical professionals having access to my body.
But now that "feeling safe" is something I can comprehend or imagine as possible, it doesn't feel completely unsolvable.
I know when I was 17 or 18 or so I discussed the possibility of doing exposure therapy for my "needle phobia" (that's what I thought it was; the other aspects of my medical fear I had forced out of my consciousness because I couldn't cope with it) but even just talking about it made me so uncomfortable that I never went through with it.
I think I feel more apprehension at the prospect of talking to a therapist about needles than I do about looking at pictures of needles or something like that...actually the thing I would be apprehensive about might be having a therapist there at all.
The concept of exposure therapy in the sense of "creating positive experiences to counteract the negative ones" appeals to me, but I can't get the revulsion out of my head for the Idea Of Exposure Therapy, since the way it was always presented to me was "progressively increase the level of scariness of the thing while using coping skills to reduce your anxiety," which in hindsight probably freaked me out for the reason that none of the coping skills I had been taught ever worked (especially not breathing exercises, fuck breathing exercises), and I had no idea that they weren't working because I couldn't imagine feeling less terrified, only being functional vs. not functional.