20 years later

So my ocd theme changed to sexual orientation ocd last December after I heard a popular video "hi, I'm Gibby" and I went like the Gibby sounds like "gay", then I started saying the phrase and over days, I started getting intrusive thoughts "I'm gay" .(I have had other ocd themes: (magical thinking ocd, symmetry ocd, health concern ocd, religious and spirituality ocd and harm ocd ever since I was 12, they just come and go)....I struggle with other conditions(ASD and bipolar disorder). I have never struggled with sexuality or questioned it because I have only liked males right from when I was in grade 1🥲...I still like them. SO-OCD is very frustrating because deep down I know I'm straight and there's no evidence I'm not but the intrusive thoughts and compulsions to get relief (the cycle) won't stop. I'm on fluoxetine(Prozac) and it did help my symptoms but lately I realised I'm more consumed with compulsions and idk but I think it's reducing the effects of the drugs?.. I see an attractive female and my mind goes like you found her attractive you must be gay or I want to go out and do sumn"what if you discover you like them or are gay" ...idk it's frustrating, very and I'm tired. I don't even get turned on by same sex or any😭that what even makes it more confusing.+ It's almost like I'm now hypervigilant when Watching videos or Instagram reels...it making me forget that finding someone physically attractive≠sexual attraction...idk if anyone gets me...(Rn my ocd themes are SO-OCD and religious and spirituality ocd) SO-OCD is frustrating, I'm tireddd...how can I never have struggled with sexuality for almost a decade and half but I'm having it now(it's started two months ago)...who has had/have this theme??

I am a man from the Netherlands and I am in my early 40s. When I was 36 years old I became diagnosed with ADHD. At that period of my life I already have had treatment for borderline personality disorder. I might have an impulsive nature due to my ADHD, though unlike many people with BPD I don't act impulsively but I am hindered in my life by indecision and perfectionism. It wouldn't surprise me if I turn out to have OCD. Thanks to a blog from NOCD in which transgender OCD was described it became more clear to me my doubts and anxiety of possibly being a transgender + a coward because of remaining in denial for that, is more likely the cause of OCD. I noticed as well I made progress during the years, because of course it didn't take my doubts away, however I was able to believe dealing with uncertainty probably contributes more to my well-being than finding the answer of my doubts. This specific type of OCD keeps coming back, because it is a fact that I as a homosexual man am very insecure about my masculinity. I had experienced an unsafe childhood with emotional neglect from a mother with autism and also emotional abuse from a father with definitely traits of a narcissistic personality disorder. As an only child who also turns out to have ADHD I felt chronically lonely and grew up with the belief I was a complete failure: not only my actions were wrong, but also my thoughts and emotions. At school I was an outcast. I felt unsafe everywhere. I often escaped into daydreaming and fantasies, because for me it was the only way to bare the reality. As a child I was introvert, anxious and feminine. That's why I developed a feminine alter ego of myself in which I could escape in my fantasies. However I didn't develop an identity align with my biological sexe. When I hit puberty I became worried about it. I was convinced I eventually have to come out of the closet as a transvestite or transgender. I really didn't want that; I wanted to have a stable self-identity align with my biological sexe instead of regularly pretending to be a woman, because I am not a woman. However as you all know very well the suffering is about not having control over yourself. When I was 17 I decided to look for a psychologist, because I definitely didn't want to waste precious years of my life. I assumed a psychologist can help me, because I definitely am not the only homosexual man struggling with his masculinity and sexual orientation. I felt so much ashamed of myself I repeatedly held myself back explaining my problems, though I forced myself to speak up my mind; after all he can't help me if he doesn't know what it's all about. I was very disappointed he replied with "What are you complaining about? Count yourself lucky you live in the Netherlands where you can be yourself." He was bringing up my perfectionism: in my perception he did so because he refused to admit he couldn't help me, so by bringing up something else he still was able to profit about my suffering. Looking back to it now I can understand why he responded like that. Still I think it's disrespectful, because I feel treated in such a way like a disobedient dog that has to learn to obey. I have had a lot of therapists and they regularly responded similarly. What I find striking is that my perfectionism and worrying is one of the first things they notice, but it doesn't occur to them that I may have OCD. I have now signed up for another treatment and at the intake I indicated that I suspect OCD in myself and am open to following exposure therapy, but so far they just don't seem to take it seriously. Over the years, my fears have become less strong. By that I mean that it no longer leads to panic attacks and street fear. The more confident I feel, the more comfortable I feel with my masculinity. But when I feel less good about myself, I get doubts again and especially shame and guilt. It makes me hesitate going to the gym (in the past the gym was too much confrontational) and I cannot at myself in the mirror. I am quite sure my so-called borderline personality disorder at least partly refers to complex PTSD. Actually I don't care anymore which name is assigned to my problems. I just want to be helped. I understand bringing up fears like "Am I transgender or not?" doesn't help me. However it doesn't help me either if they refuse to respond to me. Then I feel like it's some kind of test to observe if I am able to figure it out on my own, and if not then I cannot get better.

(Sorry for the long post!) So one of the OCD things that most affects me at times, and that I have not really found other people dealing with (in literature or in my work as a therapist working with people with OCD), is one that often relates to potential dating and people I am interested in. Typically, as a gay male, I meet people on chat apps or dating sites, so the first interactions are virtual. What I find often happens is that I sort of build an image of the person, and then if anything goes against that, I start to get anxious and the OCD kicks in. An example may work best. I started talking to a guy that I find incredibly attractive, and who seems to find me attractive as well, and when we became friends on instagram, I saw that he has done some amateur modeling for a friend who does pictures in various states of undress. There are a few in underwear, and a few with no clothes (no genitals are shown), and this started off the thoughts of "oh no, he must just want sex" or "I bet he is super promiscuous if he has pictures like these." This leads to me investigating the other photos on the site, and the guy who does the images to try and figure it out, what kind of work it is, etc. I even found a way to work it into a conversation with the guy, like "wow I don't think I could do that. You're braver than me," and he said he did it because the photographer is a husband of a coworker and expressed interest in doing the pictures, and he loves his body so didn't mind doing it, and they are really good friends now. OCD then gets triggered "he loves his body? That must mean he really IS promiscuous. What if he and the men also have threesomes?" This leads to intrusive thoughts of me having to picture this happening,or him having sex with other people, over and over until it "feels right." I'll recheck his dating profiles in which has said that he is "not into fast sex," and then think about and picture scenarios about how that could just mean he wants to talk to someone once before having sex. The OCD also affects conversations--if he doesn't get back to me quickly on WhatsApp, I scour the texts to see if I messed something up (ocd responsibility--it's always my fault). I texted him yesterday, and he hasn't looked at the messages (he has read receipts on WhatsApp), but I check and see that he has liked a post by someone on instagram or has posted a story, so I think "clearly he sees that I've messaged and is purposely ignoring it, because he hates me and wants nothing to do with me. That's it, I'm never going to hear from him again." We were supposed to hang out last week, but he asked to reschedule because he wasn't feeling well, so my OCD then said "he was at an event the night before, he probably met someone and is still at their house." He did text the next day to ask what my schedule was, and then said "perfect. I work in Lisbon until next Thursday" (I'm currently living in Porto, in Portugal, where he also lives), so he seems to be interested in hanging out, but then I think "he probably saw something that I did online or someone we both know in common somehow told him something and now he's done with me. Or maybe he met someone he's more interested in, and will just ignore me now." This type of experience has happened with several guys I've been interested in, and it has actually led to me pushing too hard and making them uncomfortable as I seek certainty, so I'm trying to be aware of that and not engage in that kind of behavior. I also realize that there are like a billion different OCD things in this post, and I'm writing another post as well related to how moral scrupulosity has been controlling my beliefs about sex, etc., something my new therapist identified after one session. Anyway, I just wanted to see if anyone has experienced anything along these lines, because when it happens it takes over and it is painful and I just want to rip it out of my head. Additionally, I never quite know how to manage exposure to this type of thing--there is the logical one of not checking social media, and not texting or re-reading texts, but it's also hard because I will actually force myself at times to think about him having sex with people, and then that makes me feel overwhelmed with anxiety, but I also can't suppress the thoughts, as that doesn't work, and am thus trying to do more of an ACT/acceptance approach. Unfortunately my therapist is out of town this week, so we can't work on anything surrounding this until next week. Thanks for taking the time to read this, and I apologize that it is so long, but it is just really sucks right now.