HOCD or Homosexual Obsessive Compulsive Disorder is defined as the questioning of one’s sexuality by a person who already suffers from Obsessive Compulsive Disorder (OCD). What this means is that someone with OCD who is happy in their straight, heterosexual orientation becomes fixated on the question of whether or not they are actually gay. Over time, these thoughts and worries about the possibility of being gay begin to consume their lives.
People with OCD experience their obsessions in different ways from each other, but the underlying premise is that they are dealing with disturbing unwanted or intrusive thoughts. An example would be that a person who suffers from OCD is physically healthy but begins to worry about whether they actually have cancer or another serious illness. In the case of HOCD, straight people with the disorder spend countless hours wondering if they could really be gay or if they could suddenly become gay (conversely, homosexuals with Straight OCD, constantly worry if they are, or could become, straight). People with HOCD expend a great deal of energy and countless hours trying to “know”, without a doubt, that they are straight and not gay.
The Differences Between Being Homosexual and Having HOCD
So, if you are questioning your sexuality, how do you know the difference between having HOCD and actually being gay?
Typical HOCD symptoms include:
- Currently suffering from OCD (Obsessive Compulsive Disorder)
- Recurring unwanted or intrusive thoughts about your own sexuality
- Constantly reassuring yourself that you are straight
- Avoiding people of your same gender due to anxiety or unwanted fears that you might be gay
- Worrying that you might be sending out “signals” that will make others think you are gay
- Homosexual thoughts are repulsive to you, rather than arousing
- Feeling no attraction to your same sex
- Repeating an action because you worry that you might have done something in a way that makes others think you are gay (example: a man repeatedly gets up and sits down on a chair because he worries that he takes a seat in a way that looks too feminine). Repeating the action relieves the anxiety, but you need to continue repeating the action to continue anxiety relief.
Typical Homosexual characteristics include:
- Homosexual thoughts are enjoyable and/or arousing to the person, even if they hide their sexual orientation from others or are ashamed of it
- Having had past sexual experiences with those of their same gender
- Preferring to date or have sexual encounters with people of their same gender instead of with those of the opposite sex
- Often, people who are gay report having felt differently than their same-sex peers at an early age. Additionally, researchers have found they preferred to engage in activities associated with the opposite sex from early childhood onward
HOCD is treated in much the same way as Obsessive Compulsive Disorder (OCD). In general, cognitive behavioral therapy and mindfulness-based therapy is used to help the person reduce their response to their thoughts and help them deal with their obsessions. Additionally, these behavior therapies may or may not be combined with medications such as SSRIs (Prozac, Zoloft, etc). By changing one’s behavior and responses towards one’s intrusive thoughts, it is possible to neutralize and eliminate the fixation.
For more information about HOCD or to explore treatment options, please contact Dr. Andrew Rosen and The Center for Treatment of Anxiety Disorders in Delray Beach, Florida at 561-496-1094 or email Dr. Rosen and The Center today.