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Maybe try changing your perspective. If you view the needles as horrible and painful then you're going to notice the pain more because you're anticipating it and already view it as negative so when you feel the unpleasant sensation it's reinforcing your thoughts and creating a vicious cycle. If you instead try to focus on thinking about the good that will come of the needle, the helpful test results if it's a blood test, or the improved health if it is medicine, then the pain might seem like less of a problem and more of a means to achieving a solution. Yes, it's uncomfortable but it's only for a moment and it's supposed to be helping you.
You say it like it's a choice. Can other people really 'change their perspective' at will like that? I know I can't. Is that an executive function?
Incidentally, looking or not makes no difference to how much it hurts for me. I have noticed occasionally that wounds can hurt more if I look at them, but only with very minor levels of pain, and a needle is more painful than that. Even if I don't look, I can feel
exactly where the needle is, and it feels line a line of fire going inside me. And when they remove the needle, the pain lingers for awhile as if the needle were still there.