What you're experiencing is a classic form of OCD with a contamination and health anxiety theme, specifically centered around rabies phobia. You've already taken 30 to 35 anti-rabies vaccine (ARV) doses over the past 12 years, including a full course in 2023 and 2 boosters in May 2024. From a purely immunological standpoint, you are highly protected. The body retains memory of the rabies antigen for years, especially in someone repeatedly vaccinated. So even in the very unlikely event of exposure, your immune system is well-equipped to neutralize the virus.
Next Steps
The rational, medically safe path now is to not take any more rabies vaccine doses for this recent situation. Eating near dogs or imagining a droplet on a disposable plate is not a realistic rabies exposure. This is your OCD talkingânot a true infectious risk. You are doing the right thing by shifting your focus to psychiatric treatment. See a psychiatrist who understands OCD and begin Cognitive Behavioral Therapy (CBT)âspecifically Exposure and Response Prevention (ERP), which is gold standard for health anxiety OCD. Medications like SSRIs (e.g., fluoxetine, sertraline) are also highly effective and can help quiet the obsessive thoughts long enough for therapy to work.
Health Tips
You can ask your doctor about getting a rabies antibody titre test (RFFIT). If your levels are above 0.5 IU/mL, you're protected. Knowing this in numbers might ease your intrusive fear. Also, set a clear boundaryâif youâve taken a full course and a booster within the past 3 years, no further vaccine is needed unless a verified Category 3 bite occurs. Practice grounding techniques, maintain a journal to track OCD spikes, and limit rabies-related Googling. Rebuild your daily life around things that matter more than reassurance-seeking. Youâre not weakâthis is a treatable neurochemical loop, not your fault. Youâve already taken the hardest step by choosing to break it. Stay on that path.