There are many things that can be done to reduce anxiety about receiving needles.  For some parents, this means coming up with a coping plan i.e. using distraction techniques, giving the child a sense of control by offering options (i.e., where the injection goes, look away, using numbing cream). If you find that you need support with this, you can talk to your rheumatologist or nurse about additional supports that might be helpful (e.g., child psychologists with expertise in this area).  They can help your child learn coping strategies, come up with a gradual exposure plan, and work with you on some parenting support strategies that can be helpful.

You can also check out these guides:

• No More Needle Fear: The Nurses Guide to Reducing Anxiety in Children & Teens
• How to Help Your Child Cope With Needles