When difficult child had her physical in December we were told that she needs a tetanus booster. difficult child had a meltdown and the pediatrician doctor said that she could wait, but that she will need it before school starts or shortly thereafter. A couple of weeks ago she came downstairs late at night (something about both my kids and them not wanting to talk til sometime after 1am...sigh) sobbing over having to get this shot. Apparently a friend of hers was supposed to get a couple of boosters the day before and it reminded difficult child that her day is near. This particular event lasted for well over an hour. And she wasn't even getting the shot anytime soon. She is absolutely phobic. It doesn't help that in the past we haven't had a doctor/nurses that were particularly sympathetic and it's just made it worse. difficult child also has zero pain tolerance. And I do mean zero. The tetanus booster causes a pretty sore arm for a day or two (I got mine in February of this year and felt like I had been punched hard in the arm for a couple of days - and I have a decent pain tolerance). So...any ideas on what to do? She becomes so frantic I've actually thought about asking the pediatrician doctor for some kind of sedation...an anti-anxiety or something. There is absolutely no talking to her when she is in this state as she is in full blown panic. I told difficult child that we could ice her arm before to numb it a bit. Is that a bad idea? by the way, this doctor is very empathic and I really like her, but it's pretty obvious that she doesn't have a whole lot of experience with kids that can go from zero to meltdown in 5 seconds flat.