Overcoming Guilt and Anxiety Surrounding Sexuality: A Guide for Young Adults - Psychiatry

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Guilt about sexuality!!


Hello Dr.
Chen,
I am 28 years old and have always been more introverted.
I remember an incident in middle school when a girl I got along well with accidentally touched my hand, and I quickly pulled my hand back, saying, "It's inappropriate for boys and girls to be too close." It wasn't that I disliked her; I just felt it was wrong to casually touch a girl's hand.
I don't know where this belief came from, but I still hold it today.

During high school, some classmates brought adult magazines to school, and I started to be exposed to sexual matters.
I have always been shy, especially around girls.
Due to the internet and both physiological and psychological factors, I have turned to pornographic websites to satisfy my sexual needs.
However, I often feel a strong sense of guilt afterward, yet I find myself returning to those sites repeatedly.

I currently do not have a girlfriend, and when I encounter a girl I like, I tend to withdraw.
I don't understand why this happens.
At work, my colleagues often make sexual innuendos, which makes me feel guilty.
When I go shopping and see attractive women, I don't dare to look them in the eye and even avoid them.
I feel very conflicted about this.
Additionally, I still have no sexual experience.

Is this behavior abnormal? What should I do? Is it unusual not to have a physiological reaction when I see a girl I like?

Xiao Douzi, 20~29 year old female. Ask Date: 2005/05/10

Dr. Chen Mingzhe reply Psychiatry


Dear Little Bean: Freud, known as the "father of the theory of psychotherapy in psychiatry," proposed the "theory of drives," which includes four fundamental drives: the drive for survival, the drive for death, the sexual drive, and the aggressive drive.
These drives are innate, akin to reflexive responses, as they are abilities or motivations present from birth.
As social animals, humans must undergo a learning process of social and moral norms to naturally express behaviors related to sexuality (not just sexual intercourse!).
Little Bean, your knowledge of sexuality and your experiences in interacting with the opposite sex are somewhat limited and insufficient.
It is essential for you to engage in actual social activities, rather than virtual interactions (which are merely hypothetical situations and create an illusion of relationships; online emotions develop only on communication platforms and are difficult to achieve at a deeper emotional level).
Therefore, Little Bean, stepping out of the virtual realm, you still have a journey of emotional growth in real life to understand what "true love" is.
For now, let's not discuss your physiological responses, as your sexual maturity appears to be around the age of 10, and whether or not you have responses may not be very significant.
One day, when you learn how to seek, cherish, and nurture love, your sexual IQ will elevate, and your life will progress to a new level.

Reply Date: 2005/05/10

More Info


Overcoming guilt and anxiety surrounding sexuality is a complex issue that many young adults face, and it’s important to approach it with understanding and compassion. Your experiences and feelings are valid, and it’s not uncommon for individuals to struggle with guilt and anxiety related to their sexual feelings and behaviors, especially when societal norms and personal beliefs come into play.

Firstly, it’s essential to recognize that curiosity about sexuality is a natural part of human development. During adolescence and early adulthood, individuals often explore their sexuality, which can include a range of behaviors and feelings. However, cultural and personal beliefs can create a conflict between natural sexual curiosity and the guilt that arises from it. In your case, the belief that “男女授授不親” (men and women should not be too close) seems to have been ingrained in you from a young age, leading to feelings of guilt when you engage in any behavior that contradicts this belief.

The cycle of seeking out sexual content online and then feeling guilty afterward is a common experience. This behavior can be attributed to several factors, including the accessibility of such content and the natural human desire for sexual exploration. However, the guilt that follows can create a negative feedback loop, leading to anxiety and avoidance of real-life interactions with potential partners. It’s important to understand that while consuming adult content can be a way to explore sexuality, it can also lead to unrealistic expectations and feelings of shame, especially if it conflicts with your personal values.

Your feelings of anxiety when interacting with women or when faced with sexual innuendos from colleagues are also understandable. Social anxiety, particularly in sexual contexts, can stem from a fear of judgment or a lack of experience. It’s crucial to remember that many people share similar feelings, and it’s okay to take your time in navigating these interactions. Building confidence in social situations often requires practice and exposure, so consider gradually engaging in social activities where you can interact with others in a low-pressure environment.

Here are some strategies to help you overcome guilt and anxiety surrounding your sexuality:
1. Self-Reflection: Take time to reflect on your beliefs about sexuality. Are they based on personal values, cultural norms, or societal expectations? Understanding the origins of your beliefs can help you assess whether they align with your current feelings and experiences.

2. Education: Educate yourself about sexuality, relationships, and consent. Understanding the complexities of human sexuality can help demystify your feelings and reduce guilt. Resources such as books, workshops, or counseling can provide valuable insights.

3. Therapy: Consider seeking therapy or counseling. A mental health professional can help you explore your feelings, address underlying issues, and develop coping strategies for anxiety and guilt. Cognitive-behavioral therapy (CBT) can be particularly effective in changing negative thought patterns.

4. Gradual Exposure: Gradually expose yourself to social situations that make you anxious. Start small, such as engaging in conversations with friends or acquaintances, and gradually work your way up to more challenging interactions.

5. Practice Self-Compassion: Be kind to yourself. Recognize that everyone has their own journey regarding sexuality and relationships. Allow yourself to feel your emotions without judgment and understand that it’s okay to be where you are right now.

6. Mindfulness and Relaxation Techniques: Practice mindfulness, meditation, or relaxation techniques to help manage anxiety. These practices can help you stay grounded and reduce feelings of guilt when they arise.

7. Build Connections: Focus on building friendships and connections with others. Engaging in social activities can help you feel more comfortable around women and reduce anxiety over time.

In conclusion, your feelings of guilt and anxiety surrounding sexuality are not uncommon, and it’s important to approach them with understanding and patience. By exploring your beliefs, seeking support, and gradually exposing yourself to social situations, you can work towards overcoming these challenges. Remember, it’s a journey, and it’s okay to take your time.

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