Sexual Orientation: Navigating Doubts and Self-Acceptance - Psychiatry

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Hello, doctor: I often question whether I am homosexual because, during middle school, I almost impulsively wanted to kiss a very good friend of mine.
She said she would hit me if I got too close, so I didn't go through with it.
At every stage of my life, there have been people I wanted to kiss, but I am afraid of backlash and what others might think.
I have never been in a heterosexual relationship, but I do find myself sneaking glances at attractive guys.
I have also talked to my mom about this, and she said that in our family, there are no homosexuals, and that I also look at handsome guys! I mentioned that I might be bisexual.
What should I do if one day I can't control myself? Is my sexual orientation normal? I have felt very insecure since childhood because I struggled academically, I don't think I'm very attractive, and my handwriting is poor.
Although I am a nurturing Cancer, I don't feel like I take care of my family at all.
I have always felt that when others are nice to me, it's just to comfort me.

Xiao Xiao, 20~29 year old female. Ask Date: 2003/02/15

Dr. Lin Yanhong reply Psychiatry


Hello: Your question concerns whether you might be homosexual.
Here are the definitions and criteria for homosexuality, which can be summarized into six indicators: 1.
An uncontrollable urge to engage in intimate behaviors with the same sex.
2.
Emotional and sexual attraction is exclusively towards the same sex, with no interest in the opposite sex.
3.
A desire for interaction with the same sex, including texting, writing letters, and conversations, which can be overwhelming.
4.
Frequent feelings of loneliness and heightened depression, with some individuals experiencing guilt and shame.
5.
This is a persistent orientation rather than situational or occasional behavior.
6.
The individual is at least twenty or twenty-five years old.
From the current medical perspective, homosexuality is simply a different sexual orientation; if one can accept and identify with it, it is not pathological.
Homosexual individuals are no different from others.
Your concern may not be about being homosexual, but rather about a lack of self-worth and self-affirmation.
This aspect requires a deeper understanding and self-affirmation training for improvement.
If you are open to it, seeking assistance from a mental health professional could be beneficial.

Reply Date: 2003/02/15

More Info


Navigating the complexities of sexual orientation can be a challenging journey, especially when societal norms and personal feelings collide. Your experience reflects a common struggle many individuals face when trying to understand their sexual identity. It's important to recognize that questioning your sexual orientation is a normal part of self-discovery, and it can happen at any stage of life.

From what you've shared, it seems you have had moments of attraction towards both females and males, which could suggest a potential for bisexuality. However, it's essential to understand that sexual orientation is not always binary; it exists on a spectrum. Many people experience fluidity in their attractions over time, and this is completely normal. The key is to allow yourself the space to explore these feelings without judgment.

Your fear of societal backlash and the pressure to conform to familial expectations can create significant internal conflict. The statement from your mother about homosexuality not being accepted in your family can add to this pressure, making it harder for you to express your true feelings. It's crucial to remember that your sexual orientation is valid, regardless of your family's beliefs. Acceptance often starts from within, and it may take time to reconcile your feelings with external expectations.

The incident in middle school where you felt an impulse to kiss a friend is a pivotal moment in your self-exploration. It's common for young people to have crushes on friends, regardless of gender. The fear of rejection or negative reactions can inhibit you from acting on these feelings, but it’s essential to understand that having these feelings does not define you as a person. It’s a part of your journey in understanding who you are.

Self-acceptance is a critical component of navigating your sexual orientation. This involves recognizing and embracing your feelings without labeling yourself too rigidly. You mentioned feeling self-conscious about your appearance and academic performance, which can further complicate your self-image. Building self-esteem is vital; consider focusing on your strengths and interests outside of your sexual orientation. Engaging in activities that make you feel confident and fulfilled can help shift your focus from self-doubt to self-acceptance.

If you find yourself overwhelmed by these feelings, it may be beneficial to seek support from a mental health professional. Therapy can provide a safe space to explore your thoughts and feelings about your sexual orientation, as well as help you develop coping strategies for dealing with societal pressures. A therapist can also assist you in addressing underlying self-esteem issues, which can be crucial in your journey toward self-acceptance.

In conclusion, your feelings and experiences are valid, and questioning your sexual orientation is a normal part of life. Allow yourself the freedom to explore these feelings without the pressure of immediate labels. Surround yourself with supportive individuals who respect your journey, and consider professional guidance if you feel it would help. Remember, self-acceptance is a process, and it’s okay to take your time in understanding who you are.

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