Abstract
We present a case report of a patient with a severe phobia of medical equipment, who was diagnosed with Hodgkin’s lymphoma and felt unable to tolerate the bone marrow aspiration and trephine biopsy (BMAT) recommended to complete staging. She was referred to the clinical psychologist who worked with her on strategies for coping. Ultimately, despite her anxiety, she tolerated the procedure extremely well, using a combination of psychological techniques and conscious sedation with no complications. We review the literature on pharmacological approaches to managing pain and distress in adults undergoing BMAT and the benefits and disadvantages of these. We discuss the evidence that psychological interventions have a significant impact on psychological morbidity in patients with malignant diagnoses and reflect on the scarcity of psychological literature on managing pain and anxiety in adults undergoing painful procedures. We conclude that in cases such as these, where patient anxiety about BMAT is high, a combination of
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