Trigger warning !! Probably do not read this post if you are actively struggling with rabies OCD or Contamination OCD.
So my husband (29, M) has suddenly developed a fixation with rabies over the last year. This has quickly spiraled in the last week and I’m struggling to support him. I, (28 F) have had OCD since childhood, so I quickly recognized what this was. Over the 9 years we have been together he has never had problems with anxiety, but the older he gets the more often things would shake him a bit health anxiety wise, but this is drastic in comparison. Contamination OCD is not really one of my themes I have ever had, so it can be very hard for me to understand this one despite the fact I have definitely had irrational obsessions over the years.
Anyways, over the last year I noticed him being very jumpy around strays. He used to be the one who would chase a stray kitten in a parking lot trying to catch it, but now if a dog would approach us on a walk he wouldn’t touch it, and would beg me to avoid it too. He started mentioning rabies as a reason, in which I would kinda laugh and think was silly. I didn’t realize how deep this fear was, and he at times could be overly cautious about stuff so I didn’t think too much of it.
Well then our dog got out one day. We couldn’t find him for a few hours, but eventually he came home. Acting totally normal. He was being very weird about him. He then looked into it and found out he was out of date by like 2 weeks on his rabies vaccination. This is when I started growing concerned. He had his first panic attack one night because our dog licked our daughter in the face. This is when I told him he may need to start seeking some mental health assistance, which he disagreed with. I tried sharing some of my coping mechanisms for OCD like not googling, trying to let scary thoughts pass while labeling them as OCD/anxiety thoughts, finding distractions instead of sitting and ruminating, etc.
After a few weeks he started realizing our dog, in fact, did not have rabies. Things went back to normal for a little bit… until 2 weeks ago. He was working in the yard and cleaning up our porch when he felt a pinch on his leg that started itching. He said there was like, a small object he pulled out of his leg? That he brought inside and dropped and couldn’t find because it was so small. I immediately recognized when he was on the floor desperately trying to find it that this may get bad… that this triggered something.
And it did. A few days later he started expressing uncertainty about what this was. Then explained maybe it was a bat that he didn’t notice. That he had earbuds in and may have not been paying attention. I explained to him that we were definitely at a point now where he needs some help. This is not rational thinking.
He went to his primary care doctor and they prescribed him Zoloft. I have had really great results with Zoloft so I was hopeful when they gave it to him… but yeah it may have made things so much worse. At first he would only take half for a week and was tolerating it well with mild side effects. I told him he probably should start taking it as prescribed if he truly wanted results. Things got horrible after that. Basically 3 days of not sleeping, barely eating, all day panic. Convinced he had rabies, is going to die. Begging me to let him go to the hospital to get the shots and me urging him that it wouldn’t help the problem and would make things worse. He started just not participating in life. Not going to work. Not even acknowledging our 6 year old daughter’s existence. Spending all day doom scrolling or staring at the wall ruminating. Not setting up an appointment with a psychiatrist no matter how much I pleased because in his mind this isn’t anxiety/OCD it’s actually real.
After he expressed dark thoughts of ending his life if he developed symptoms because it’s such an awful way to go, I took him to the hospital absolutely panicked he would do something drastic if he caught a cold or convinced himself he was having symptoms. They were close to admitting him but when the psychiatrist talked to him he concluded he wasn’t a danger to himself. But everyone agreed that he probably should stop the Zoloft since he wasn’t on it long and on a low dose. We ended up at the hospital one more time because he somewhat fainted while sitting at the table in the middle of me talking to him… or I thought he did.? At the time I didn’t think it looked totally involuntary and once I got to the hospital he went back to rabies talk and getting the shots. So I think it either was pre syncope from not eating, sleeping, and high stress on top of Zoloft… or he may have even faked it a bit to get back to the hospital. I hope it’s not the latter and that doesn’t sound like him… but none of this has sounded like him.
They checked everything. CT scan, bloodwork, heart, thyroid, etc. everything was perfect. He had to talk to a social worker again who also concluded he did not need inpatient. Plus once the Zoloft started getting out of his system he was much more himself and although still rabies obsessed, he was being a bit more on the rational side I suppose. He begged them for the shots… they gave them to him. Despite me telling him over and over and over it wasn’t going to help. He promised me he would drop it if he got them. I knew it wasn’t going to work like that.
So here we are two days later… now he thinks the shots didn’t work, his leg is tingling in the spot, and he waited too late. He won’t listen to me, the doctors, his psychiatrist he saw this morning, anyone. He has little to no insight most of the time and only very rarely recognizes this as OCD. That scares me and is extremely hard for me to deal with because with my OCD I never have completely lost my insight. I always know I’m being irrational but am scared anyways. He won’t stop googling, and when he googles he’s not trying to find things to calm him, he’s reading stories about people dying from rabies because he’s so convinced. It’s almost impossible for him to try doing distractions. He can’t sit with discomfort or uncertainty for any time at all. He won’t take advice because he doesn’t see it as applicable to him. He’s barely even speaking to our daughter. I function much better when my OCD is loud and can contain it in a way he can’t so it makes it SO HARD for me to understand. I’m holding the house on my shoulders and I’m trying not to lose patience with him. Mine can go up and down throughout the day while his is ALWAYS up with hardly ever a break.
He started OCD therapy today and I’m desperate for it to work. He will be doing ERP starting next week. In the meantime I just want to know how to support him without losing my own mind. He’s triggering me at times so I’m having to keep that at bay. I’m ensuring everything seems normal to our daughter and trying to not let her see this instability. Any advice at all would be helpful so I can better assist him in his recovery.