TOCD exposures

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.

it feels like therapy isn't working at all, like I've been super reluctant to participate or try and get better. I was doing really well at first but I've been in a slump with it lately, and the idea of doing exposures again makes me really scared. Like, I know if have to do them to get better but I'm so afraid that I'll pick something, watch it, and think the child character is attractive and start fantasizing about them. Like what if the only thing keeping me from doing that is because I've been avoiding them? Also is it normal for pocd to convince you that you prefer one gender more strongly than the other? Bc for some reason it feels more real with boys than it does girls (I'm mostly straight) and like.. idk I'm just not feeling good.

Struggling with TOCD has probably been the hardest theme I’ve had to deal with so far For reference. I’m a gay male 20yr old Before this theme I was so open with my gender expression, love drag and used to do it for a time. A lot of my friends are trans women and my whole life is queer When this theme hit. It’s like I completely lost who I was. Questioning everything I enjoyed, not participating in anything because it triggered me so heavily. I went through a whole gender journey awhile back and the trans path never spoke to me when I looked into it. I love my physique and my face but now when I look into the mirror i feel like a shell of who I was. I can’t find any sort of pure enjoyment without the accompanying “what if” or “you’re this” intrusive thought I still enjoy how I look. I’ve not looked in the mirror and felt like anything is missing from me or needs to be taken away I just feel like a spectator in my life while this disease tells me I’m not who I know myself to be I affirm myself every day I know who I am and it may change in the future but that’s not important. It’s highly unlikely it will but it may! Giving into the uncertainty has been so hard but it’s worth it! My ocd has really picked up since getting into my first serious relationship I care about my boyfriend with my whole heart but over the course of our relationship my themes have included Health Relationship Irreality Harm I just want to be who I was again before this current theme it feels unbearable to live like this BUT! I’m seeking appropriate treatment and not giving into a majority of compulsions I just wanted to write this to see if anyone can relate and if they do. Know that you will overcome this! I know I will and you will too