HOCD: Navigating Anxiety About Sexual Orientation - Psychiatry

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Worried about becoming homosexual?


Hello Doctor, I am currently a senior in high school.
About a month ago, I experienced feelings of attraction towards the same sex, whereas I have previously identified as heterosexual and even had a girlfriend.
Initially, I was worried for a few days but then forgot about it.
However, I have recently started to feel anxious again and have been trying to prove to myself that I am heterosexual.
I want to demonstrate that I am only attracted to females and not to males, so I have been consciously focusing on females while watching videos, trying to reinforce the idea that I am only attracted to the opposite sex.
Recently, I have started to lose interest in the opposite sex, which has increased my anxiety and my desire to prove that I am not gay.
Although I used to respect the LGBTQ+ community, I am now worried that I might become part of it.
I recently came across a condition called Homosexual Obsessive-Compulsive Disorder (HOCD) online, and after reviewing the symptoms, I found that many of them resonate with my experience.
However, I did not find any mention of losing interest in the opposite sex, which has made me even more anxious.
I hope you can provide me with some guidance or inform me about any conditions I might be experiencing, as well as how I can alleviate my anxiety.
Thank you.

Niming, 10~19 year old female. Ask Date: 2023/02/09

Dr. Lin Mianzhang reply Psychiatry


Hello, classmate: It seems that you are still more interested in the opposite sex and not in the same sex? If that is the case, but you still find yourself constantly worrying about becoming homosexual, it is indeed possible that this could be a symptom of obsessive-compulsive disorder (OCD).
I recommend that you seek help from a mental health professional who can conduct a comprehensive evaluation to determine the underlying causes of your situation and provide you with the best advice.
Wishing you peace and health.

Reply Date: 2023/02/09

More Info


Understanding HOCD, or Homosexual Obsessive-Compulsive Disorder, can be quite challenging, especially for someone in your situation. It's important to recognize that what you are experiencing is not uncommon among adolescents and young adults who are navigating their sexual orientation. The feelings of anxiety and confusion you describe are often exacerbated by societal pressures and personal expectations regarding sexuality.

HOCD is characterized by intrusive thoughts about one's sexual orientation, leading to significant anxiety and compulsive behaviors aimed at proving or disproving these thoughts. In your case, it seems that the initial thought of possibly being attracted to the same sex has spiraled into a cycle of anxiety, where you feel compelled to seek reassurance about your heterosexuality. This can manifest in behaviors such as focusing on female characters in videos or trying to convince yourself that you are only attracted to women.

It's essential to understand that sexual orientation can be fluid, and it's normal for individuals to question their attractions at different points in their lives. The anxiety you are experiencing may be a result of trying to fit into a specific identity rather than allowing yourself the space to explore your feelings without judgment. The pressure to label yourself can lead to increased stress and a sense of loss regarding your previous interests.

To alleviate your anxiety, consider the following strategies:
1. Acceptance of Uncertainty: Allow yourself to sit with the uncertainty of your feelings without the need to label them immediately. It's okay to not have all the answers right now.

2. Mindfulness and Relaxation Techniques: Engage in mindfulness practices, such as meditation or deep-breathing exercises, to help ground yourself when anxiety arises. These techniques can help you manage intrusive thoughts and reduce overall anxiety.

3. Limit Reassurance-Seeking Behaviors: While it may feel comforting to seek proof of your heterosexuality, this behavior can reinforce anxiety. Try to limit the amount of time you spend researching or seeking reassurance about your sexual orientation.

4. Talk to Someone: Consider speaking with a trusted friend, family member, or mental health professional about your feelings. Sometimes, just verbalizing your thoughts can provide relief and clarity.

5. Educate Yourself: Learning more about sexual orientation and the experiences of others can help normalize your feelings. Understanding that many people go through similar questioning can provide comfort.

6. Professional Help: If your anxiety becomes overwhelming or interferes with your daily life, it may be beneficial to seek help from a mental health professional. They can provide support and strategies tailored to your specific situation.

Remember, exploring your sexual orientation is a personal journey, and it's okay to take your time. The most important thing is to be kind to yourself during this process. You are not alone in your feelings, and with time and support, you can navigate this period of uncertainty more comfortably.

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