B25 Fear of AIDS/HIV (ICD-10:Z71.1)

Introduction

Fear of AIDS/HIV, also known as HIV phobia or AIDS phobia, is a psychological condition characterized by excessive, irrational, and persistent fear of contracting HIV or developing AIDS^[1]. This condition represents a specific type of health anxiety that goes beyond rational concern about a serious illness, manifesting as overwhelming anxiety and obsessive behaviors despite evidence to the contrary^[2]. HIV phobia can significantly impact an individual’s daily functioning, relationships, and overall quality of life, often leading to social withdrawal, repeated medical testing, and avoidance behaviors^[3]. Understanding and appropriately managing this condition is crucial for healthcare professionals, as it affects not only individuals at low or no risk for HIV but also contributes to broader societal stigma surrounding HIV/AIDS^[4].

Codes

• ICPC-2 Code: B25 Fear of AIDS/HIV
• ICD-10 Code: Z71.1 Person with feared complaint in whom no diagnosis is made^[5]

Symptoms

HIV phobia manifests through a complex interplay of emotional, physical, and behavioral symptoms that significantly impact daily functioning^[6]:

Psychological and Emotional Symptoms

• Excessive and persistent fear: Irrational and overwhelming fear of contracting HIV, despite low or no actual risk^[1]
• Obsessive thoughts: Constant preoccupation with HIV infection, analyzing every potential exposure or bodily sensation^[7]
• Catastrophic thinking: Tendency to assume the worst-case scenario regarding HIV transmission risks^[8]
• Mood disturbances: Depression, irritability, and mood swings related to HIV fears^[6]
• Feeling of impending doom: Persistent belief that HIV infection is inevitable or has already occurred^[9]

Physical Symptoms

• Anxiety-related physical symptoms: Rapid heartbeat, sweating, trembling, shortness of breath, dizziness, and chest pain^[10]
• Psychosomatic symptoms: Insomnia, headaches, fatigue, and gastrointestinal distress that patients may misinterpret as signs of HIV infection^[6]
• Hypervigilance to bodily sensations: Constant monitoring of physical symptoms and misinterpreting normal bodily functions as signs of HIV^[11]

Behavioral Manifestations

• Compulsive testing behavior: Repeated HIV testing despite multiple negative results, often seeking testing from multiple providers^[12]
• Avoidance behaviors: Avoiding situations perceived as risky, including medical procedures, dental visits, or intimate relationships^[13]
• Reassurance seeking: Repeatedly contacting healthcare providers, researching HIV online, or seeking validation from others about HIV risk^[14]
• Social isolation: Withdrawal from friends, family, and romantic relationships due to fear of transmission or embarrassment^[15]
• Ritual behaviors: Excessive hand washing, avoiding public restrooms, or other compulsive behaviors aimed at preventing HIV transmission^[16]

Impact on Functioning

• Occupational impairment: Difficulty concentrating at work, missing work for medical appointments, or avoiding certain job responsibilities^[17]
• Relationship difficulties: Avoiding intimate relationships or causing strain in existing relationships due to HIV fears^[18]
• Financial burden: Excessive healthcare utilization and repeated testing leading to significant medical expenses^[19]

Causes

The development of HIV phobia is multifactorial, involving psychological, social, cultural, and individual risk factors^[20]:

Psychological Vulnerabilities

• Underlying anxiety disorders: Pre-existing generalized anxiety disorder, panic disorder, or obsessive-compulsive disorder increases susceptibility^[21]
• Health anxiety predisposition: Tendency toward hypochondriasis or illness anxiety disorder^[22]
• Catastrophic thinking patterns: Cognitive tendency to assume worst-case outcomes and overestimate risks^[23]
• Low tolerance for uncertainty: Difficulty accepting ambiguous situations or medical uncertainty^[24]

Traumatic or Triggering Events

• Perceived high-risk exposure: Engaging in behaviors the individual considers risky, even if objectively low-risk^[25]
• False-positive test results: Initial positive HIV tests later confirmed as false positives can trigger lasting anxiety^[26]
• Witnessing HIV/AIDS impact: Knowing someone who died from AIDS complications or witnessing the historical impact of the AIDS epidemic^[27]
• Medical scares: Needle stick injuries, blood exposure incidents, or other medical situations perceived as risky^[28]

Information and Educational Factors

• Misinformation about transmission: Outdated or inaccurate beliefs about how HIV is transmitted^[29]
• Lack of current HIV knowledge: Unfamiliarity with modern HIV treatments and outcomes^[30]
• Media influence: Sensationalized or fear-based media portrayals of HIV/AIDS^[31]
• Internet research: Excessive online research leading to misinterpretation of symptoms or risks^[32]

Cultural and Social Factors

• HIV/AIDS stigma: Societal stigma and discrimination associated with HIV infection^[33]
• Cultural taboos: Cultural or religious beliefs that stigmatize HIV/AIDS or associated behaviors^[34]
• Marginalized identity concerns: Additional fears related to sexual orientation, drug use, or other stigmatized identities^[35]
• Historical context: Living through or learning about the early AIDS epidemic when treatment options were limited^[36]

Personality and Individual Factors

• Perfectionism and control: Need for certainty and difficulty accepting any level of risk^[37]
• High trait anxiety: Generally anxious temperament or neuroticism^[38]
• Intolerance of physical sensations: Heightened awareness and fear of bodily symptoms^[39]

Diagnostic Steps

Medical History

Comprehensive assessment should include^[40]:

Symptom Evaluation

• Fear characteristics: Onset, duration, intensity, and specific triggers of HIV-related fears
• Functional impact: How fears affect work, relationships, and daily activities
• Temporal patterns: Relationship between fears and specific events or life stressors
• Associated symptoms: Presence of depression, other anxiety disorders, or obsessive-compulsive behaviors

Risk Assessment

• Actual HIV risk factors: Objective assessment of genuine risk behaviors or exposures
• Perceived vs. actual risk: Understanding the discrepancy between patient’s perception and medical reality
• Previous testing history: Pattern of HIV testing, results, and patient response to negative results
• Sexual and substance use history: Factual assessment of behaviors that could impact HIV risk

Psychiatric History

• Mental health conditions: Previous or current anxiety disorders, depression, OCD, or other psychiatric diagnoses^[41]
• Treatment history: Previous psychotherapy, psychiatric medications, or hospitalizations
• Family psychiatric history: Genetic predisposition to anxiety or mood disorders
• Trauma history: Past traumatic experiences that may contribute to current fears

Psychosocial Factors

• Social support: Family and friend relationships, social isolation patterns
• Cultural background: Beliefs and attitudes about HIV/AIDS within patient’s community
• Educational background: Level of health literacy and understanding of medical information
• Occupational factors: Work-related stressors or exposures that may contribute to fears

Physical Examination

While HIV phobia is primarily psychological, physical examination serves important functions^[42]:

General Assessment

• Vital signs: Blood pressure, heart rate, respiratory rate (may be elevated due to anxiety)
• Overall appearance: Signs of distress, anxiety, or depression
• Weight and nutritional status: Impact of anxiety on eating and self-care

Anxiety-Related Physical Signs

• Cardiovascular: Tachycardia, palpitations, elevated blood pressure
• Respiratory: Hyperventilation, shortness of breath
• Neurological: Tremor, restlessness, muscle tension
• Dermatological: Excessive sweating, skin picking, or other anxiety-related skin changes

Exclusion of Medical Conditions

• Rule out medical causes: Thyroid dysfunction, substance use, or other medical conditions that could cause anxiety symptoms
• Assessment for HIV risk: Objective evaluation for signs of acute HIV infection if genuine risk factors exist

Laboratory Tests

HIV Testing Considerations

• Therapeutic HIV testing: May be indicated to provide definitive reassurance, but must be used judiciously^[43]
• Fourth-generation tests: Most sensitive and specific tests available, reducing false positives and window period concerns^[44]
• Counseling before and after testing: Pre- and post-test counseling essential to address fears and provide education^[45]
• Avoiding excessive testing: Recognition that repeated testing can reinforce phobic behaviors^[46]

Additional Laboratory Studies

• Thyroid function tests: Rule out hyperthyroidism as cause of anxiety symptoms^[47]
• Basic metabolic panel: Exclude medical causes of anxiety or panic symptoms
• Toxicology screening: If substance use is suspected as contributing factor

Psychological Assessment

Structured Clinical Interviews

• DSM-5-TR criteria: Assessment for specific phobia, generalized anxiety disorder, or obsessive-compulsive disorder^[48]
• Anxiety severity scales: Standardized measures like GAD-7 or Beck Anxiety Inventory^[49]
• Health anxiety measures: Specific instruments for health-related anxiety assessment^[50]

Cognitive Assessment

• Thought patterns: Identification of cognitive distortions, catastrophic thinking, and obsessive thoughts
• Behavioral analysis: Understanding avoidance patterns, reassurance-seeking, and compulsive behaviors
• Coping mechanisms: Assessment of current coping strategies and their effectiveness

Differential Diagnosis

Important conditions to consider^[51]:

Anxiety Disorders

• Specific phobia: Meets DSM-5-TR criteria for specific phobia with HIV/AIDS as the feared object^[52]
• Generalized anxiety disorder: Broader pattern of excessive worry extending beyond HIV concerns
• Panic disorder: If HIV fears are associated with panic attacks
• Obsessive-compulsive disorder: When HIV fears are accompanied by compulsive behaviors or rituals^[53]

Other Mental Health Conditions

• Illness anxiety disorder: Previously known as hypochondriasis, with HIV as the focus of health concerns
• Major depressive disorder: Depression that may include health-related worries
• Post-traumatic stress disorder: If HIV fears result from traumatic exposure or medical procedures

Medical Conditions

• Hyperthyroidism: Can cause anxiety symptoms that may be misinterpreted
• Substance-induced anxiety: Anxiety related to drug or alcohol use or withdrawal

Possible Interventions

Traditional Medical Interventions

Psychopharmacological Treatment

Selective Serotonin Reuptake Inhibitors (SSRIs) SSRIs are considered first-line pharmacological treatment for anxiety disorders, including specific phobias^[54]:

• Sertraline: Starting dose 25-50 mg daily, target dose 50-200 mg daily^[55]
• Fluoxetine: Starting dose 10-20 mg daily, target dose 20-60 mg daily^[56]
• Escitalopram: Starting dose 5-10 mg daily, target dose 10-20 mg daily^[57]
• Cost: Generic versions $3-50 per month^[58]
• Efficacy: Studies show significant improvement in anxiety symptoms within 4-8 weeks^[59]
• Side effects: Nausea, headache, insomnia, sexual dysfunction
• Contraindications: Concurrent use of MAO inhibitors, known hypersensitivity
• Monitoring: Regular assessment for suicidal ideation, especially in young adults

Benzodiazepines (Short-term Use Only) Should be used cautiously and for brief periods due to dependency risks^[60]:

• Lorazepam: 0.5-2 mg as needed, maximum 6 mg daily^[61]
• Alprazolam: 0.25-0.5 mg as needed, maximum 4 mg daily^[62]
• Indications: Acute anxiety episodes, bridge therapy while starting SSRIs
• Cost: Generic versions $4-50 per month^[63]
• Risks: Physical dependence, withdrawal symptoms, cognitive impairment
• Contraindications: Respiratory depression, concurrent opioid use, severe liver disease

Beta-Blockers Useful for managing physical symptoms of anxiety^[64]:

• Propranolol: 10-40 mg as needed for situational anxiety^[65]
• Indications: Performance anxiety, physical symptoms of anxiety
• Cost: Generic versions $4-30 per month^[66]
• Contraindications: Severe bradycardia, heart block, uncompensated heart failure, asthma

Psychological Therapies

Cognitive Behavioral Therapy (CBT) CBT is the gold standard psychological treatment for HIV phobia and specific phobias^[67]:

Core CBT Techniques:

• Cognitive restructuring: Identifying and challenging irrational thoughts about HIV transmission^[68]
• Behavioral experiments: Testing feared predictions in safe, controlled ways
• Psychoeducation: Providing accurate information about HIV transmission, prevention, and treatment^[69]
• Relapse prevention: Developing long-term coping strategies

Treatment Protocol:

• Duration: Typically 12-16 sessions over 3-4 months^[70]
• Format: Individual therapy preferred, though group therapy can be effective
• Homework assignments: Between-session exercises to practice new coping skills
• Cost: $100-200 per session; often covered by insurance^[71]

Exposure and Response Prevention (ERP) Specifically effective for HIV phobia with compulsive behaviors^[72]:

Exposure Hierarchy:

• Lower-level exposures: Reading HIV-related articles, watching educational videos
• Moderate exposures: Visiting HIV testing sites, discussing HIV with healthcare providers
• Higher-level exposures: Gradual exposure to situations previously avoided
• Response prevention: Resisting compulsions like excessive handwashing or reassurance-seeking

Acceptance and Commitment Therapy (ACT) Emerging evidence supports ACT for health anxiety^[73]:

• Psychological flexibility: Learning to accept uncertainty about health
• Values-based action: Focusing on meaningful activities despite anxiety
• Mindfulness techniques: Present-moment awareness to reduce rumination
• Defusion strategies: Changing relationship with anxious thoughts

Specialized Treatment Approaches

Mindfulness-Based Stress Reduction (MBSR) Evidence-based program for anxiety management^[74]:

• Structure: 8-week program with weekly 2.5-hour sessions^[75]
• Components: Mindfulness meditation, body awareness, gentle yoga
• Benefits: Reduced anxiety, improved emotional regulation, stress management
• Cost: $200-600 for complete program^[76]

Group Therapy Particularly effective for HIV phobia due to normalization and peer support^[77]:

• Format: 6-12 people with similar fears, led by trained therapist
• Benefits: Reduced isolation, shared coping strategies, normalized experience
• Components: Psychoeducation, CBT techniques, peer support
• Cost: $50-100 per session^[78]

Alternative and Complementary Interventions

Evidence-Based Complementary Approaches

Mindfulness and Meditation Strong evidence for anxiety reduction^[79]:

• Mindfulness meditation: 10-20 minutes daily practice^[80]
• Breathing techniques: Diaphragmatic breathing, 4-7-8 breathing technique
• Body scan meditation: Progressive awareness of physical sensations
• Apps and resources: Headspace, Calm, Insight Timer (free to $70 annually)
• Benefits: Reduced anxiety, improved emotional regulation, better sleep

Yoga and Tai Chi Mind-body practices with anxiety-reducing benefits^[81]:

• Yoga: Combination of physical postures, breathing, and meditation
• Tai Chi: Gentle, flowing movements with meditative focus
• Frequency: 2-3 sessions per week for optimal benefits
• Cost: $15-25 per class, online options available
• Benefits: Physical relaxation, stress reduction, improved mood

Supportive Interventions

Support Groups Valuable for individuals with HIV phobia^[82]:

• Peer support: Connection with others experiencing similar fears
• Format: In-person or online groups, facilitated or peer-led
• Benefits: Reduced isolation, shared coping strategies, normalized experience
• Cost: Often free through community organizations or hospitals

Stress Management Techniques

• Progressive muscle relaxation: Systematic tensing and relaxing of muscle groups^[83]
• Guided imagery: Visualization techniques for relaxation and anxiety reduction
• Journaling: Written exploration of thoughts and feelings
• Cost: Minimal cost for self-guided approaches

Important Considerations for Alternative Approaches

• Integration with conventional treatment: Complementary approaches should supplement, not replace, evidence-based treatments
• Quality and training: Ensure practitioners are properly trained and certified
• Evidence base: Prioritize interventions with research support
• Patient preferences: Consider individual preferences and cultural factors

Lifestyle Interventions

Education and Information

Accurate HIV Education Comprehensive education is crucial for addressing HIV phobia^[84]:

• Current transmission information: Up-to-date facts about HIV transmission routes and prevention^[85]
• Treatment advances: Information about modern HIV treatments and outcomes, including U=U (Undetectable = Untransmittable)^[86]
• Risk assessment: Realistic evaluation of actual vs. perceived risks
• Prevention methods: Comprehensive information about PrEP, safer sex practices, and harm reduction^[87]

Sources of Reliable Information:

• CDC HIV prevention resources^[88]
• AIDS.gov educational materials^[89]
• Local health department resources^[90]
• Peer-reviewed medical literature^[91]

Lifestyle Modifications

Sleep Hygiene Quality sleep is essential for managing anxiety^[92]:

• Consistent sleep schedule: Regular bedtime and wake time
• Sleep environment: Cool, dark, quiet bedroom
• Pre-sleep routine: Relaxing activities before bed, avoiding screens
• Duration: 7-9 hours of sleep per night for adults
• Avoiding caffeine: Limiting caffeine intake, especially afternoon/evening

Physical Exercise Regular exercise has proven anxiety-reducing benefits^[93]:

• Aerobic exercise: 150 minutes moderate-intensity or 75 minutes vigorous-intensity per week
• Types: Walking, swimming, cycling, dancing
• Benefits: Reduced anxiety, improved mood, better sleep, stress relief
• Caution: Start gradually, especially for sedentary individuals

Nutrition and Substance Use

• Balanced nutrition: Regular meals with adequate protein, complex carbohydrates, and nutrients
• Limit caffeine: Excessive caffeine can worsen anxiety symptoms^[94]
• Alcohol moderation: Alcohol can worsen anxiety and interfere with medications^[95]
• Avoid self-medication: Using substances to cope with anxiety is counterproductive

Social and Relationship Factors

Building Support Systems

• Family and friends: Open communication about fears and needs for support
• Professional support: Regular contact with healthcare providers and therapists
• Community connections: Involvement in community activities and organizations
• Online support: Reputable online support communities and resources

Communication Skills

• Expressing needs: Learning to communicate anxiety and support needs effectively
• Boundary setting: Establishing healthy limits around HIV-related discussions and research
• Relationship maintenance: Preventing HIV fears from damaging important relationships

Follow-up and Patient Education

Monitoring and Follow-up Schedule

Initial Treatment Phase (First 3 Months)

• Frequent contact: Weekly to biweekly appointments during initial treatment^[96]
• Medication monitoring: Close monitoring for side effects and treatment response if medications prescribed
• Therapy progress: Regular assessment of therapeutic progress and treatment adherence
• Crisis management: Clear protocols for managing acute anxiety episodes

Maintenance Phase (After 3 Months)

• Regular check-ins: Monthly to quarterly appointments based on stability^[97]
• Relapse prevention: Ongoing strategies to prevent return of HIV phobia symptoms
• Medication management: Long-term medication monitoring and adjustment as needed
• Functional assessment: Regular evaluation of work, social, and relationship functioning

Long-term Management

• Annual comprehensive assessment: Yearly evaluation of overall mental health and functioning
• Booster sessions: Periodic therapy sessions to reinforce coping skills
• Life transition support: Additional support during stressful life events or transitions

Patient Education Priorities

Understanding HIV Phobia

Nature of the Condition

• Explanation of HIV phobia: Clear description of the condition as a treatable anxiety disorder^[98]
• Distinction from rational concern: Helping patients understand the difference between appropriate health concern and phobic anxiety
• Validation of experience: Acknowledging that the fear feels real and causes genuine distress
• Prognosis: Reassurance that HIV phobia is highly treatable with appropriate intervention

HIV/AIDS Education

Current Medical Facts

• Transmission routes: Accurate information about how HIV is and is not transmitted^[99]
• Testing accuracy: Understanding of modern HIV test accuracy and window periods^[100]
• Treatment advances: Current information about HIV treatment outcomes and quality of life^[101]
• Prevention methods: Comprehensive information about effective prevention strategies^[102]

Managing Anxiety Symptoms

Coping Strategies

• Breathing techniques: Simple breathing exercises for acute anxiety episodes^[103]
• Grounding techniques: Methods to manage panic or overwhelming anxiety
• Thought challenging: Basic cognitive techniques to address irrational thoughts
• Activity pacing: Balancing rest and activity to manage anxiety

Warning Signs and When to Seek Help

• Escalating symptoms: Recognizing when anxiety is worsening and requires intervention
• Functional impairment: Understanding when HIV fears are significantly impacting daily life
• Suicidal thoughts: Clear instructions about when to seek immediate help
• Crisis resources: 24/7 crisis hotlines and emergency procedures

Treatment Compliance and Expectations

Medication Management

• Importance of adherence: Understanding why consistent medication use is crucial^[104]
• Side effect management: Strategies for managing common medication side effects
• Timeline for improvement: Realistic expectations about when to expect symptom improvement
• Communication with providers: When and how to contact healthcare providers about concerns

Therapy Participation

• Active participation: Understanding the importance of engagement in therapy
• Homework assignments: Commitment to between-session practice and exercises
• Progress expectations: Realistic timeline for therapeutic improvement
• Setback management: Understanding that setbacks are normal and manageable

Prevention of Relapse

Identifying Triggers

• Stress recognition: Understanding personal stress triggers that may worsen HIV fears
• Environmental factors: Identifying situations or stimuli that increase anxiety
• Physical symptoms: Recognizing early warning signs of increasing anxiety
• Thought patterns: Awareness of cognitive patterns that precede symptom worsening

Maintenance Strategies

• Continued practice: Ongoing use of coping strategies learned in treatment
• Regular self-assessment: Monitoring anxiety levels and functional status
• Social support: Maintaining connections with supportive family and friends
• Professional relationships: Keeping established relationships with healthcare providers

Long-term Wellness

• Stress management: Ongoing attention to overall stress levels and management
• General health: Maintaining physical health through exercise, nutrition, and sleep
• Mental health awareness: Continued attention to overall mental health and well-being
• Life balance: Maintaining balance between work, relationships, and personal interests

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – B25 Fear of AIDS/HIV (ICD-10:Z71.1)

Mild	Moderate	Severe
Mode setting: 7 (Immunotherapy) Location: 1 (Sacrum) Morning: 15 minutes, Evening: 15 minutes	Mode setting: 7 (Immunotherapy) Location: 1 (Sacrum) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes	Mode setting: 7 (Immunotherapy) Location: 1 (Sacrum) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes
Mode setting: 7 (Immunotherapy) Location: 4 (Heart, Bile & Pancreas) Morning: 15 minutes, Evening: 15 minutes	Mode setting: 7 (Immunotherapy) Location: 4 (Heart, Bile & Pancreas) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes	Mode setting: 7 (Immunotherapy) Location: 4 (Heart, Bile & Pancreas) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes
Mode setting: 7 (Immunotherapy) Location: 7 (Neuro system & ENT) Morning: 15 minutes, Evening: 15 minutes	Mode setting: 7 (Immunotherapy) Location: 7 (Neuro system & ENT) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes	Mode setting: 7 (Immunotherapy) Location: 7 (Neuro system & ENT) Morning: 30 minutes, Lunch: 30 minutes, Evening: 30 minutes
Total Morning: 45 minutes approx. $7.50 USD, Evening: 45 minutes approx. $7.50 USD	Total Morning: 90 minutes approx. $15 USD, Lunch: 90 minutes approx. $15 USD, Evening: 90 minutes approx. $15 USD	Total Morning: 90 minutes approx. $15 USD, Lunch: 90 minutes approx. $15 USD, Evening: 90 minutes approx. $15 USD
Usual treatment for 7-60 days approx. $105 USD – $900 USD	Usual treatment for 6-8 weeks approx. $1,890 USD – $2,520 USD	Usual treatment for 3-6 months approx. $4,050 USD – $8,100 USD

Localized (0) Sacrum (1) Prostate & Uterus (2) Kidney, Liver & Spleen (3) Heart, Bile & Pancreas (4) Lungs (5) Throat, Lymphatic & Thyroid (6) Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Fear of aids/HIV effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Fear of aids/HIV. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It has received clearance from the U.S. FDA and is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

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20. Mental Zon. Causes of HIV Phobia. 2024. Available from: https://mentalzon.com/en/post/1077/hiv-phobia-the-fear-of-hiv-and-aids
21. MSD Manuals. Specific Phobias. 2023. Available from: https://www.msdmanuals.com/professional/psychiatric-disorders/anxiety-and-stressor-related-disorders/specific-phobias
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