Am I Gay? Sexual Orientation and OCD Concerns - Psychiatry

Share to:

Am I gay?


Hello, doctor.
I am a 24-year-old male and have been in a long-term relationship with my girlfriend.
I really want to continue with her, but recently I've been feeling uncertain about my sexual orientation.
I came across the term "sexual orientation OCD" online.
When I interact with my girlfriend, I feel relaxed, and during intimate moments, I do experience physiological responses.
However, sometimes I find myself wondering if I would have similar responses to men.
This thought process makes me feel quite distressed.
I often find myself searching for articles related to homosexuality.
On good days, I think to myself that I'm not gay, and any physiological response is within the normal range.

For the past two weeks, I've been preoccupied with thoughts about whether I might be gay.
When I'm out, I can't tell if I'm forcing myself to look at men or if it's just a natural instinct.
I find myself glancing at well-dressed men or those wearing tank tops without realizing it.
I also test myself to see if I'm gay by looking at pictures of attractive men.
When I'm in a good mood, it doesn't bother me, but when I get caught up in the thought of possibly being gay, I feel like I might have some kind of reaction, which makes me feel very anxious and depressed.
I'm afraid that constantly testing myself will lead me to become gay.
Doctor, could you please tell me what might be wrong with me?

Niming, 20~29 year old female. Ask Date: 2020/08/27

Dr. Wang Yazhen reply Psychiatry


Hello: In psychiatric diagnosis, the presence of "physiological responses to a specific gender" is not used to determine whether an individual has "gender dysphoria." Sexual physiological responses can be triggered through various pathways and are not directly linked to same-sex attraction.
The preference for viewing individuals of the same or different gender is not only related to gender but also influenced by one's past developmental experiences, interactions with significant others, and previous experiences.
Therefore, there is no need to worry that consistently looking at men will lead to becoming homosexual.
However, it is also unnecessary to constantly test oneself, as this may lead to increased and unnecessary anxiety.
Thank you!

Reply Date: 2020/08/27

More Info


It's great that you're reaching out to explore your feelings and concerns about your sexual orientation. First, let’s clarify that questioning your sexual orientation is a normal part of self-discovery, especially during young adulthood. Many people experience confusion about their attractions and feelings, and this can be compounded by societal expectations and personal experiences.

From what you've described, it sounds like you are experiencing a form of obsessive-compulsive disorder (OCD) related to your sexual orientation. This is often referred to as "sexual orientation OCD" or "HOCD." Individuals with this condition may find themselves obsessively questioning their sexual orientation, leading to anxiety and distress. They might engage in compulsive behaviors, such as seeking reassurance or testing their feelings through various means, like looking at images of people of the same sex to see if they have a reaction.

It's important to understand that having a physical reaction to someone of the same sex does not automatically define your sexual orientation. Sexual attraction can be fluid, and many people find themselves attracted to different genders at various points in their lives. The key factor is how you feel emotionally and romantically towards someone, not just the physical response your body may have.

Your feelings of comfort and intimacy with your girlfriend are significant. If you feel relaxed and connected with her, that is an important indicator of your emotional attachment. The anxiety you experience when questioning your orientation may stem from societal pressures or internalized beliefs about what it means to be gay or straight. Remember, sexual orientation is not a binary concept; it exists on a spectrum, and many people identify as bisexual, pansexual, or fluid.

Here are a few points to consider as you navigate this journey:
1. Self-Reflection: Take time to reflect on your feelings without judgment. Journaling can be a helpful tool to explore your thoughts and emotions. Write about your experiences with your girlfriend and any feelings you have towards men. This can help clarify your feelings over time.

2. Seek Support: Consider talking to a mental health professional who specializes in LGBTQ+ issues. They can provide a safe space for you to explore your feelings and help you manage the anxiety associated with your thoughts. Therapy can also help you develop coping strategies to deal with the compulsive thoughts and behaviors.

3. Educate Yourself: Learning more about sexual orientation and the experiences of others can help normalize your feelings. Reading personal stories or engaging with LGBTQ+ communities can provide insight and reassurance.

4. Practice Mindfulness: Mindfulness techniques can help you stay grounded and reduce anxiety. When you find yourself spiraling into thoughts about your sexual orientation, try to focus on the present moment and your current feelings rather than getting caught up in the "what-ifs."
5. Be Patient: Understanding your sexual orientation is a process that takes time. It's okay to not have all the answers right now. Allow yourself the space to explore your feelings without pressure.

In conclusion, questioning your sexual orientation is a common experience, and it's essential to approach it with compassion for yourself. Your feelings are valid, and seeking help can provide clarity and peace of mind. Remember, your worth is not defined by your sexual orientation, and it's perfectly okay to take your time in understanding who you are.

Similar Q&A

Understanding Sexual Orientation OCD: Navigating Doubts and Feelings

Hello Doctor, here is my recent situation: I find myself repeatedly questioning whether I am homosexual, reflecting on various past experiences. I think about whether I have a tendency towards homosexuality, feeling that I appreciate girls more than boys. I suddenly realize that ...


Dr. Liu Shikai reply Psychiatry
Hello, based on your message, it seems that your repetitive thoughts are related to sexual orientation. According to past medical and sociological research, it is indeed common for some individuals to experience varying degrees of shifts in sexual orientation during and after pub...

[Read More] Understanding Sexual Orientation OCD: Navigating Doubts and Feelings


Understanding OCD and Sexual Orientation Anxiety: A Personal Journey

Hello doctor, in March of this year, I noticed a strange feeling towards a male colleague while going to my part-time job. After that, I started to question whether I might be homosexual, even though I am certain that I am not attracted to the same sex. I even watched homosexual ...


Dr. Wu Enliang reply Psychiatry
If you continue to experience anxiety that affects your daily life, it is recommended to seek treatment at a mental health facility. Dr. Wu Enliang.

[Read More] Understanding OCD and Sexual Orientation Anxiety: A Personal Journey


Understanding OCD: Coping with Intrusive Thoughts About Sexuality

Hello Doctor, this is Derek, who asked you a question a few days ago. I'm quite sure that I do not have an attraction to the same sex, but I am wondering why these thoughts are occurring. My anxiety was at its worst in April, and it has been fluctuating since then. I have re...


Dr. Lin Mianzhang reply Psychiatry
Hello Derek: What you are experiencing is compulsive thinking, which is one of the symptoms of obsessive-compulsive disorder (OCD). OCD is often triggered by factors such as anxiety and stress, and having a predisposition to this condition can also be a contributing factor. If yo...

[Read More] Understanding OCD: Coping with Intrusive Thoughts About Sexuality


Navigating Anxiety and Uncertainty: Understanding Sexual Orientation in Adolescence

Hello, Dr. Lin. I am currently in high school (I attend an all-boys school), and I am experiencing significant academic pressure, which makes me more prone to anxiety. Recently, I have some matters on my mind that I would like to discuss with you, particularly regarding sexual or...


Dr. Lin Mianzhang reply Psychiatry
Hello, A-Ding: Sexual orientation is innate and generally does not change due to external influences. If it could, then past treatments claiming to "correct" homosexuality would have been effective; in fact, homosexuality is not a disorder and does not require treatment...

[Read More] Navigating Anxiety and Uncertainty: Understanding Sexual Orientation in Adolescence


Related FAQ

Sexual Orientation

(Psychiatry)

Homosexuality

(Psychiatry)

Gender

(Psychiatry)

Sexual Fantasies

(Psychiatry)

Voyeurism

(Psychiatry)

Obsessive Thoughts

(Psychiatry)

Sexuality

(Family Medicine)

Homosexual

(Urology)

Autism

(Psychiatry)

Relationships

(Psychiatry)