OCD and Sexual Orientation Anxiety: A Personal Journey - Psychiatry

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Obsessive-Compulsive Disorder (OCD) and concerns about sexual orientation?


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 pornography to test if I would feel aroused.
The next morning, I felt even more scared.
My emotions deteriorated significantly; I used to laugh at funny things, but now I can't feel happy at all.
Whenever I see someone of the same sex on the street, I feel a twinge of fear.
I also researched and found that I do not match the characteristics of homosexuals at all, but I do fit the profile of obsessive-compulsive behavior.
However, even knowing this, I still feel afraid when I see someone of the same sex, and I keep questioning why I noticed them, leading to a cycle of fear.

DEREK, 10~19 year old female. Ask Date: 2023/05/03

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.

Reply Date: 2023/05/03

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Understanding Obsessive-Compulsive Disorder (OCD) and Sexual Orientation Anxiety: A Personal Journey
Hello, thank you for sharing your experience. It sounds like you are going through a challenging time grappling with feelings of anxiety related to your sexual orientation, which may be compounded by obsessive-compulsive tendencies. It's important to recognize that what you are experiencing is not uncommon, and many individuals face similar struggles when it comes to understanding their sexual identity and managing anxiety.

From what you've described, it seems that your initial attraction to a male colleague triggered a cascade of thoughts and feelings that led you to question your sexual orientation. This is a common experience for many people, especially when they encounter feelings or attractions that are unexpected. However, the key point here is that questioning your sexual orientation does not inherently mean that you are homosexual. Sexual orientation is complex and can be fluid; it is not uncommon for individuals to have thoughts or feelings that may not align with their established identity.

Your decision to watch homosexual pornography as a means of "testing" your sexual orientation is also indicative of the anxiety you are feeling. This behavior can often stem from a desire for certainty in a situation that feels confusing and overwhelming. However, it is crucial to understand that engaging in such behaviors may not provide the clarity you seek and can sometimes exacerbate feelings of anxiety and distress.

The feelings of fear and anxiety you experience when encountering same-sex individuals are also significant. This reaction can be a manifestation of obsessive-compulsive disorder (OCD), where intrusive thoughts lead to compulsive behaviors or avoidance strategies. In your case, the fear of being attracted to the same sex may be causing you to engage in a cycle of questioning and avoidance, which can further heighten your anxiety. It is essential to recognize that these thoughts do not define your identity; they are simply thoughts that can be managed with appropriate strategies.

Cognitive-behavioral therapy (CBT) is one of the most effective treatments for OCD and anxiety-related issues. CBT focuses on identifying and challenging irrational thoughts and beliefs, helping individuals develop healthier coping mechanisms. Exposure and response prevention (ERP), a specific type of CBT, can be particularly beneficial for those dealing with OCD. This approach involves gradually exposing yourself to the thoughts or situations that cause anxiety while refraining from engaging in compulsive behaviors. Over time, this can help reduce the power that these thoughts hold over you.

Additionally, it may be helpful to speak with a mental health professional who specializes in LGBTQ+ issues. They can provide a safe space for you to explore your feelings and help you navigate the complexities of your sexual orientation and the anxiety you are experiencing. Remember, it is okay to seek help, and doing so can be a significant step towards understanding yourself better and alleviating your distress.

In conclusion, your journey of self-discovery is valid, and it is essential to approach it with compassion and patience. The feelings of anxiety and confusion you are experiencing are not uncommon, and with the right support and strategies, you can learn to manage them effectively. Embrace the process of self-exploration, and remember that your worth is not defined by your sexual orientation or the thoughts that may arise. You are not alone in this journey, and there are resources and professionals available to support you along the way.

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