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It is to be expected that both child and parent may have some anxiety about the prospect of intentionally ingesting a known allergen. This can be eased with reassurance and a complete discussion of procedures and expectations throughout the process. Open communication is key. However, if anxiety is generalized and uncontrolled at baseline (for patient or guardian), it makes sense to have it addressed before beginning desensitization therapy. This does not necessarily require medication, and often benefits from counseling or cognitive behavioral therapy.