Anyone here suffering from hiv anxiety or phobia from sexual encounters? Every time I have an intimate relationship, even taking care of myself and partner, there’s the obsession that I got aids, that my life is over, that I’m guilty and that the only way out is an hiv exam that’s 45 days away and I’m gonna suffer and waste my precious time waiting for it and life is going to be “paused” until I get the results, something that as of now even stopped working. I’ve been having this for 20 years but got worse in the pandemic. I’ve done countless therapy and medication, but only Pristiq helped a bit with the depressive symptoms, meditation and ACT, but nothing is working anymore so I’m looking for ERP. This is so debilitating and makes me feel like s... everyday. My life is a mess right now. ( Had sex yesterday and I’m in the middle of a big crisis).

(Sorry for the long post!) So one of the OCD things that most affects me at times, and that I have not really found other people dealing with (in literature or in my work as a therapist working with people with OCD), is one that often relates to potential dating and people I am interested in. Typically, as a gay male, I meet people on chat apps or dating sites, so the first interactions are virtual. What I find often happens is that I sort of build an image of the person, and then if anything goes against that, I start to get anxious and the OCD kicks in. An example may work best. I started talking to a guy that I find incredibly attractive, and who seems to find me attractive as well, and when we became friends on instagram, I saw that he has done some amateur modeling for a friend who does pictures in various states of undress. There are a few in underwear, and a few with no clothes (no genitals are shown), and this started off the thoughts of "oh no, he must just want sex" or "I bet he is super promiscuous if he has pictures like these." This leads to me investigating the other photos on the site, and the guy who does the images to try and figure it out, what kind of work it is, etc. I even found a way to work it into a conversation with the guy, like "wow I don't think I could do that. You're braver than me," and he said he did it because the photographer is a husband of a coworker and expressed interest in doing the pictures, and he loves his body so didn't mind doing it, and they are really good friends now. OCD then gets triggered "he loves his body? That must mean he really IS promiscuous. What if he and the men also have threesomes?" This leads to intrusive thoughts of me having to picture this happening,or him having sex with other people, over and over until it "feels right." I'll recheck his dating profiles in which has said that he is "not into fast sex," and then think about and picture scenarios about how that could just mean he wants to talk to someone once before having sex. The OCD also affects conversations--if he doesn't get back to me quickly on WhatsApp, I scour the texts to see if I messed something up (ocd responsibility--it's always my fault). I texted him yesterday, and he hasn't looked at the messages (he has read receipts on WhatsApp), but I check and see that he has liked a post by someone on instagram or has posted a story, so I think "clearly he sees that I've messaged and is purposely ignoring it, because he hates me and wants nothing to do with me. That's it, I'm never going to hear from him again." We were supposed to hang out last week, but he asked to reschedule because he wasn't feeling well, so my OCD then said "he was at an event the night before, he probably met someone and is still at their house." He did text the next day to ask what my schedule was, and then said "perfect. I work in Lisbon until next Thursday" (I'm currently living in Porto, in Portugal, where he also lives), so he seems to be interested in hanging out, but then I think "he probably saw something that I did online or someone we both know in common somehow told him something and now he's done with me. Or maybe he met someone he's more interested in, and will just ignore me now." This type of experience has happened with several guys I've been interested in, and it has actually led to me pushing too hard and making them uncomfortable as I seek certainty, so I'm trying to be aware of that and not engage in that kind of behavior. I also realize that there are like a billion different OCD things in this post, and I'm writing another post as well related to how moral scrupulosity has been controlling my beliefs about sex, etc., something my new therapist identified after one session. Anyway, I just wanted to see if anyone has experienced anything along these lines, because when it happens it takes over and it is painful and I just want to rip it out of my head. Additionally, I never quite know how to manage exposure to this type of thing--there is the logical one of not checking social media, and not texting or re-reading texts, but it's also hard because I will actually force myself at times to think about him having sex with people, and then that makes me feel overwhelmed with anxiety, but I also can't suppress the thoughts, as that doesn't work, and am thus trying to do more of an ACT/acceptance approach. Unfortunately my therapist is out of town this week, so we can't work on anything surrounding this until next week. Thanks for taking the time to read this, and I apologize that it is so long, but it is just really sucks right now.

This fear keeps coming back and it’s to the point I cry and what to panic. I no longer talk to the man simply because I wanted to move on and find something meaningful to have with someone (relationship wise). I still keep fearing I need to go get my blood checked. Thoughts like “what if I have it and don’t know it and give to someone?” “What if that urine test I took months ago didn’t work” I got tested for stds but it came back negative. They took a urine test but google says you have to have your blood drawn!! I’m so scared. My mind tells me “you have HIV” and then a sense of peace comes and scares me even more!!!

A few days ago, I posted how proud I am of myself, that I managed to go to the doctor to get a vaccination. Now, two days later, I find myself panicking and ruminating. It was a practice where they also test a lot for HIV and other blood diseases and in my mind, the needle/syringe they used for my vaccination was somehow contaminated with blood from another patient. Maybe by accident but sometimes my mind would make up a scenario where they would do it even on purpose. I was so proud of myself, that I managed to go there on Monday and now I am making up scenarios how I caught HIV by going there - I am feeling guilty because I was „careless“. Any tips for the moment? ❤️