What is it about?

• Some people are very scared of needles, and this can stop them from getting important jabs (like vaccines). • This fear can be a challenge for people with a learning disability and autism, but there isn’t much research about the best ways to help them. • This article is about a 35-year-old man with a learning disability, autism, and anxiety who was very scared of needles but wanted to get the COVID-19 jab. • Therapy helped him feel braver and more confident and included support from people he trusts and who care about him. • Better tools and support are needed to make jabs less scary from the start, and to help people feel more confident, safe and in control.

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Why is it important?

The paper is important because it shows a practical way to help Autistic people with learning disabilities overcome needle fear so they can access healthcare and feel more confident.

Perspectives

Needle phobia can prevent people from accessing important healthcare, such as blood tests or vaccinations. Procedures involving injections can be especially challenging for autistic people and people with learning disabilities, who may experience higher levels of anxiety or distress in medical settings. In this case, cognitive behavioural therapy (CBT) was adapted to suit the individual’s needs. This highlights how psychological therapies can be flexible and adjusted to make them more accessible for people with additional needs. It also shows that psychological approaches cannot always be applied in exactly the same way for everyone. As healthcare professionals, it is important to be willing to adapt our methods and approaches depending on the person we are supporting. Qualities such as patience, understanding, and building trust are essential when helping someone face a fear like this. Although the process can take time, the outcomes can have a meaningful impact on a person’s confidence, independence, and ability to access healthcare. Reflecting on this, it reinforces the importance of making psychological support accessible for people with autism and learning disabilities. In my own clinical practice, I will continue to consider how small adjustments in communication, pacing, and support strategies can help ensure that each client feels understood and able to access the care they need.

Emma Izon
University of Oxford

Read the Original

This page is a summary of: “I’m not a wimp, I’m brave”, Advances in Mental Health and Intellectual Disabilities, February 2026, Emerald,
DOI: 10.1108/amhid-10-2025-0048.
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