Health Anxiety Question: How Do You Move Forward After an Uncertain Event? (Possible bat exposure and fear of rabies)
A week ago I was walking my dog at dusk and passed under a street lamp while looking down at my phone. I suddenly felt a "whoosh" right near my forehead. I couldn't tell whether something physically touched me or whether I just felt air movement.
I looked up and saw a bat. My assumption is that it was feeding on insects around the lamp post and flew close because there were bugs nearby.
I immediately questioned whether I felt it physically touch me (such as brushing its wings against my forehead as it flew past), or if I just felt the sensation of it close by. Over the following days I started reading more and went down the internet rabbit hole.
Now my brain keeps replaying the event.
The facts are:
- I definitely saw a bat.
- It definitely flew very close to my head.
- I felt something (whether air movement or actual contact, I don't know).
- I never saw a bite.
- I never found a scratch.
- I don't remember any pain.
- I have no way to go back and determine with certainty whether contact occurred.
To make things more complicated, I called my local health department. Their guidance was essentially that if I think there may have been contact with a bat, I should consider rabies post-exposure treatment. She told me they can leave microscopic bats and scratches that people don't feel. However, I also saw in other websites about rabies that scratches still need saliva -- so there is a lot of contradictory info.
Being that I have OCD, I genuinely cannot tell whether "I think there may have been contact" is a rational assessment or an OCD-driven attempt to eliminate uncertainty.
Part of me says, "You don't know if it touched you. You don't even know if what you felt was anything other than air."
Another part of me says, "But what if it did touch you? What if you missed a tiny scratch? What if you're dismissing a real risk?"
What makes this especially difficult is that either choice can become part of the OCD cycle.
If I don't get vaccinated, my brain says I'm taking an unacceptable risk.
If I do get vaccinated, I worry that I'm reinforcing compulsive behavior and teaching myself that I need medical intervention anytime I encounter uncertainty. I can already feel the goalposts wanting to move to things like: "What if I waited too long?" or "What if the vaccine doesn't work?" or "What if I got it unnecessarily and caused some other problem?"
So my question isn't really about bats or rabies.
It's about decision-making when there is a genuinely uncertain situation that carries some level of real-world risk.
How do you decide what is a reasonable action versus an OCD-driven action when certainty is impossible? Once you've made a decision, how do you stop revisiting it over and over and move on?