Dr. Below is my case I am 29 years old frm Mumbai working in an MNC I have been very active sexually in my life. Last year on 1st October 2015 I had a brief unprotected sex with a CSW I got scared and I started googling as a result I tested myself many times from Metropolis for HIV 4th Generation Duo test after the below following weeks 7,12,23,25,28,31,36,40. All came negative my worry and question is 1) I was confident after my seven weeks only but I had google so much online dat I got obese and went on testing myself. How do I get rid of this obsession? 2) Many forums say different things which confuses me please help me with % reliability of 4th generation tests 4 Weeks, 6 weeks, 9 weeks, 12 Weeks. 3) I am suffering from OCD or psychological problem? 4) My last test was after 40 weeks of risky exposure with CSW and after six weeks of unprotected sex with my Fiancee (I am sude she is -ve) am I 100% HIV negative? What should I do get off this thought I am fed up with these thoughts feel lke killing myself Please help with your insights?

Ms. Juhi ParasharPsychologist4yrs exp

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Hi lybrate-user, you sure are not Hiv positive, yes you have developed obsessive thoughts and you can get rid of this through cognitive behavioral therapy for which you will have to consult a psychologist. On screening if there is a need you will be directed for medication too. To begin with practice mindfulness breathing - The primary goal of mindful breathing is simply a calm, nonjudging awareness, allowing thoughts and feelings to come and go without getting caught up in them. Sit comfortably, with your eyes closed and your spine reasonably straight. Bring your attention to your breathing. Imagine that you have a balloon in your tummy. Every time you breathe in, the balloon inflates. Each time you breathe out, the balloon deflates. Notice the sensations in your abdomen as the balloon inflates and deflates. Your abdomen rising with the in-breath, and falling with the out-breath. Thoughts will come into your mind, and that’s okay, because that’s just what the human mind does. Simply notice those thoughts, then bring your attention back to your breathing. Likewise, you can notice sounds, physical feelings, and emotions, and again, just bring your attention back to your breathing. You don’t have to follow those thoughts or feelings, don’t judge yourself for having them, or analyse them in any way. It’s okay for the thoughts to be there. Just notice those thoughts, and let them drift on by, bringing your attention back to your breathing. Whenever you notice that your attention has drifted off and is becoming caught up in thoughts or feelings, simply note that the attention has drifted, and then gently bring the attention back to your breathing. It's okay and natural for thoughts to enter into your awareness, and for your attention to follow them. No matter how many times this happens, just keep bringing your attention back to your breathing. Do it wheneve you get these negative thoughts. You can consult with me for psychotherapy CBT. All the best. RELAX. 

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