@gingerw thanks for your suggestions. I just tend to have painful issues, like developing hematomas. I also get some kind of poke about twice a month. Half the time it goes okay. The other half, I have a lot of pain. I have gotten a full hematology work up (nothing that points to a reason why) and use strategies like applying numbing cream. However I am just really tired of the pain and it stokes my anxiety. I do have a therapist and I have been able to work through a lot of things. I may have to really intentionally try to tackle this one.