Receiving blood can be scary for children and teenagers—not just because of needles, but because of hospital environments, illness and uncertainty. Emotional support is as important as medical care.

Common feelings in children and teens

Children and adolescents may feel:

·       Fear of needles, pain, or hospitals.

·       Anger or frustration about being “different” from classmates.

·       Sadness or worry about their future.

·       Embarrassment about scars, central lines, or frequent absences from school.

Some may act out, become quiet and withdrawn, or appear “too brave,” hiding true feelings.

How parents and caregivers can help

1.      Listen and validate

o   Let them talk about their fears and frustrations without immediately correcting or dismissing them.

o   Say things like, “It makes sense that you feel scared,” or “Anyone in your place would feel the same.”

2.     Give honest but hopeful information

o   Avoid false promises (“You’ll never need this again”) if a condition is long‑term.

o   Explain what doctors are doing and why, using words they can understand.

o   Emphasise what can be done: good treatment, support, school, friendships.

3.     Involve them in decisions when appropriate

o   For older children/teens, ask for their preferences: which arm to use, what time of day, whether they want to watch or look away.

o   Giving small choices helps them feel more in control.

4.     Create positive rituals

o   Have a small “ritual” after each transfusion: a favourite meal, a family game, a call to a relative, or a sticker chart to mark their courage.

o   Celebrate milestones (e.g., “10th transfusion done – you are very strong”).

When to seek extra psychological support

Consider talking to a psychologist, counsellor, or social worker if you notice:

·       Persistent sadness, loss of interest in favourite activities.

·       Sleep problems, nightmares, or severe anxiety about hospital visits.

·       Self‑harm talk, hopelessness, or statements like “I wish I wasn’t here.”

Many hospitals have mental health professionals or child life services who understand the emotional impact of chronic illness and transfusion.