Question
Dear Doctor
A week ago I've done the 4th Generation CMIA test and the Aptima RNA NAT test. The result of both are negative.
The time I get test is 95 days after possible exposure. (3 Months plus 5 days)
Many sources including the consellor told me that it is conclusive regardless of any exposure.
However, after that day till now is around 1 week. Im still worry and cant get it out of my head. I try to move on, doing the relax activities such a travelling, sport or reading but everytime it come back to my mind.
Do you have any advice or how to eliminate this feeling or phobia. Or do I need to see psychiatrist?
Thanks
Answer
Thanks for writing. First of all the facts: the results of your tests are conclusive.
Now, for your anxiety. In my experience, for someone who is worried about their HIV status there are never enough tests or negative results to satisfy them. I have had clients who repeatedly refused to believe the tests, thinking there must have been a series of errors.
Of course I don't know you but, in most such cases, this is NOT about the HIV test. When we have underlying anxiety something like an HIV test becomes the easy focus, but I suspect you have worries about other, perhaps deeper issues. Sometimes people feel guilty or shameful about the sexual experience, or putting themselves at risk; others can be more obsessive in their thinking and focus on their fear. I don't know what such issues might be in your case but I can make some suggestions on how you can handle your anxiety.
First you need to manage your worry. Techniques like focused breathing, relaxation, and meditation are useful. Try to identify when a "worry thought" is starting and cut it off - distracting yourself can be very helpful for this. The longer that thought goes on, the more power it gets and could really hijack your sense of security and well-being.
I would suggest speaking with a counselor about this. They could recommend other techniques to help you manage your anxiety, and could also explore any other issues that might be underlying this worry/phobia. There are very effective therapeutic techniques such as cognitive behavioral therapy that are effective for anxiety.
You might also benefit from a psychiatrist. Certain medications are useful for anxiety in the short term, although they can be highly addictive and I don't recommend them unless you are experiencing acute panic. Other medications such as SSRI antidepressants might help obsessive thinking.
Speak with your healthcare provider. Unless your anxiety symptoms require medical intervention I would start with a counselor. I think talking with someone about these issues and getting tools would have the most immediate helpful effect.
Wishing you all the best,
David