It’s completely normal to question your identity from time to time. Sexual identity is a normal part of our lives. Many individuals struggle to find their sexual interests. Furthermore, individuals with sexual orientation OCD remain stuck between obsessive and compulsive thoughts.
This article provides detailed insights into sexual orientation OCD, and how it impacts identity, its diagnosis, treatments, and what strategies can help to cope with Sexual Orientation OCD.
Understanding sexual orientation OCD
Sexual orientation OCD is a subtype of OCD that causes feelings of obsessions and leads to doubts about one’s sexual orientation. In SO-OCD, individuals have recurring and unwanted thoughts of the same sex, which causes confusion over their own personality. To overcome these intrusive thoughts, individuals with SO-OCD have to perform repetitive behaviors. SO-OCD can occur in any gender, whether you are male or female. This condition is so strong that no matter how hard you try to control yourself, it will lead you to doubt your own identity. However, in this state of mind, individuals have confusion over their self-perception. These excessive doubts affect them in their general life functioning; in simple terms, they are unable to carry on any relationship.
What are the symptoms of SO-OCD?
In SO-OCD, the main issue is self-doubt and questioning yourself repeatedly. Here are some thoughts that will explain:
- Am I straight? If I am straight, why am I having intrusive thoughts of the same gender?
- People think I am straight, but if they get to know me, I am attracted to the physical appearance of the same sex.
- I don’t want to feel the way I am feeling, but I like these repetitive thoughts, which don’t describe me correctly.
- People struggling with SO-OCD often do certain things that they don’t like, but do it to overcome their obsession.
- They are also very cautious in public because they are scared to be themselves.
- People with SO-OCD avoid social gatherings, the reason being that they can’t interact with the gender they like because of the fear of being judged.
- They often seek confirmation from others about their gender orientation.
- They avoid listening to music produced by LGBTQ people and avoid talking about issues related to gender identity.
How does SO-OCD impact your identity?
The main impact of SO-OCD is that they can’t be their true self because of strong doubts about their sexual orientation. Individuals with SO-OCD have a strong fear of being called gay or homosexual, so they avoid talking or meeting the same gender in public gatherings. Although if they are not attracted towards the same gender, their thoughts make them confused even after practicing normality in their behavior.
What are the common misconceptions associated with SO-OCD?
There are several misconceptions about sexual orientation OCD.
Some common myths include the following:
Myth | Reality |
Sexual orientation OCD is just a phase. | It’s a mental health condition that requires treatment. |
SO-OCD is about controlling your true desires. | Many people with SO-OCD are comfortable with their gender and do not desire to change it. |
SO-OCD cannot be treated. | It is highly treatable. |
Sexual attraction and sexual orientation are the same. | Both are triggered by anxiety, but they are different. |
People with SO-OCD choose to be fearful. | They can’t control their obsessive and compulsive thought, which cause fear and anxiety. |
You are the orientation you fear. | Fear is unrelated to your sexual identity. |
Accepting intrusive thoughts means you are agreeing with your thoughts. | Acceptance of sexual orientation OCD means you are acknowledging that these are unwanted thoughts that you have to tolerate. |
How can sexual orientation OCD be triggered?
Sexual orientation OCD can be triggered by the following factors.
- Exposure to situations.
- Thoughts and images related to sexuality.
- Internal questioning about oneself.
- Having a fear of uncertainty.
- It can also be triggered by other OCD subtypes.
What are the challenges of living with sexual orientation OCD?
Living with sexual orientation OCD causes intense distress and anxiety due to intrusive thoughts and repetitive behaviors. The following are some of the challenges that individuals with sexual orientation OCD have to face:
Internal conflict
They always remain in conflict with themselves between fear and confusion regarding their true sexual orientation.
Increased Self-Doubts
They always remain in fear of being misperceived as a different gender, which may further lead them towards an internal struggle between the feared self and true self.
Fear of Vulnerability
Individuals struggling with sexual orientation OCD have a fear of vulnerability. They don’t want to show their true self to others. So they try to build a wall around them to hide their feelings and emotions.
Trouble Asking for Help
People with SO-OCD have trouble asking for help due to fear of judgment. They don’t ask for help and make themselves isolated, and avoid social gatherings.
How to diagnose sexual orientation OCD?
Sexual orientation OCD can be diagnosed with the help of a professional expert. A healthcare expert will look for the symptoms of sexual orientation OCD and ask some questions regarding your actions and feelings to diagnose it. They will recommend medication and therapies or combinations of both to help you overcome the symptoms of sexual orientation OCD.
How to manage sexual orientation OCD?
People struggling with sexual orientation OCD know deep down about their identity, they are just in trouble believing their feelings because of constant unwanted thoughts. These unwanted thoughts make them perform rituals, which further contribute to OCD. However, some medications and therapies help reduce the symptoms of SO-OCD.
Medications
Medication works best as it helps in managing the brain chemistry; healthcare professionals recommend medication in combination with therapies to help in managing the symptoms of sexual orientation OCD.
Some common medications include:
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
- Citalopram
- Escitalopram
- Risperidone
Psychotherapy
Psychotherapy is an efficient way to provide help in reducing symptoms. Cognitive Behavioral Therapy and Exposure Response Prevention Therapy are evidence-based therapies that can help in reducing the symptoms of subtypes of OCD.
Cognitive Behavioral Therapy
CBT helps in managing the negative thoughts that cause repetitive and intrusive behaviors that urge us to perform compulsions. Healthcare professionals challenge the negative thoughts that relate to sexual orientation. The main purpose of CBT is to teach your brain to manage the negative and difficult thoughts and develop coping mechanisms to manage stress and anxiety.
Exposure Response Prevention Therapy
In ERP therapy, individuals with Sexual Orientation OCD are exposed to the situation that they are avoiding because of fear. Individuals learn to tolerate the fear and distress caused by sexual orientation OCD by facing it. For example, reading and listening to the things that trigger one’s sexual orientation. Moreover, this exposure should be done in ritual prevention.
Acceptance and commitment therapy (ACT)
ACT is very effective and beneficial in helping individuals struggling with sexual orientation OCD. Acceptance and commitment therapy helps in accepting the true self, instead of avoiding it. The main aim of ACT is to engage in valuable actions that help in mental flexibility and encourage you to change your behavior.
What are the coping strategies to overcome SO-OCD?
To effectively manage sexual orientation OCD, here are some strategies that are beneficial:
Mindfulness techniques
Mindfulness techniques such as exercise, meditation, body scans, and deep breathing are very helpful in managing intrusive thoughts. By practicing these techniques, individuals learn how to react to these thoughts to reduce the impact of sexual orientation.
Self-care practices
Self-care practices help in coping with stress and enhance mood. Walking, exercise, swimming, running, and cycling improve your overall well-being and help manage sexual orientation OCD. Taking care of diet, eating healthy, and getting plenty of sleep also enhances your mood and reduces the stress caused by sexual orientation OCD. Moreover, journaling also helps in reducing stress caused by obsessions.
Building a support system
Individuals with sexual orientation OCD often tend to stay alone and avoid social gatherings. To overcome sexual orientation, join a support group or start spending more time with friends and family. It reduces the isolation and provides a sense of belonging and connection. Moreover, it helps them to get along with their treatments, and they feel more valued.
Find support and foster well-being at Renewed Mental Health Group
If you or anyone you know is grappling with sexual orientation OCD or any other mental health condition, Renewed Mental Health Group is here to help! Our team of professional experts provides compassionate care by combining clinical expertise with real-life understanding. Our trained psychiatrists and psychiatric nurse practitioners
specialize in treating mental health issues by providing personalized and group treatments.
We also provide telehealth services so that you can get your treatments with ease from the comfort of your home.
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Bottom line
Sexual orientation OCD is a serious condition that questions individuality and self-perception. It causes extreme stress and doubts, which lead to a cycle of obsession and compulsions. It can be treated with a combination of medication and psychotherapy, such as CBR, REP, and ACT. Some coping strategies also help in reducing the stress caused by sexual orientation OCD, particularly doing mindfulness activities, following a nutritious diet plan, and taking regular sleep can help reduce the stress caused by intrusive thoughts.