My cisgender OCD (telling me I’m not trans) is back for the first time since I did my full course of gender-OCD-focused ERP. It hurts. It makes it harder to have a healthy relationship with my body, a healthy sense of self, respect for all I’ve done to get as far as I’ve gotten as a transgender woman. I can really feel the difference the ERP made in the severity of symptoms and in how I handle them, and yet here I am again, dealing with obsessive and intrusive thoughts that I’m really a man. I wish more people understood just how painful this is.

Moment of honesty here: I’ve been resisting compulsions pretty consistently the last day or so and I feel absolutely terrible. I’ve been doing ERP and I feel absolutely terrible. Plus my OCD is telling me that, since the things that the things I’m told will help me aren’t yet, I must actually be trans. Though it’s a slightly different kind of terrible. Of course this makes sense. With ERP you’re triggering yourself on purpose, and by refusing compulsions you’re cutting yourself off from the thing that would give you (very short term) relief. I just have to sit with the doubt, the uncertainty, the fear, the possibility, and try to accept it. The near constant anxiety, of always having that vague feeling of being on the verge of tears, or like I’ve been crying even though I haven’t. Of course I feel terrible. But it’s also hard not to be discouraged. Especially when I hear people say they felt some manner of relief from the start of therapy. I’m told that this will eventually subside, that I’ll feel normal again, but that feels like a very long way off, if it ever even comes.

I feel like I’ve lost my identity and I don’t even know who I am anymore. My OCD is saying I’m not a woman but I hate that. And I fear that it isn’t OCD, and that I just genuinely am trans or gender fluid or something. I just can’t accept that no matter how hard I try. All I want is to feel like myself again. Pronouns are a trigger for me and they’re literally EVERYWHERE. It’s just so difficult. In a way, I miss having harm OCD or existential OCD or even health OCD because atleast I was still me. But it isn’t fair to say that because as I was going through them, they were awful. The grass is always greener I guess. I’m just feeling a little bit hopeless and alone, because I don’t think ‘gender questioning’ is a very common theme.

I’m having a really, really hard day. I usually stick to being positive and giving advice on here, but I need to share right now. For reference, I have trans ocd. I decided to sign up and commit to this series of yoga classes not realizing that going to them was going to trigger me repeatedly, way beyond my current limits. There’s so much work on emotions and connecting to the body. And somehow my entire class ended up being women. I’ve been in a state of panic for two days now that I can’t seem to get out of. I’m convinced all of my OCD fears are more true than ever and I can’t seem to come up with anything, even a compulsion, to convince me otherwise. Ive been trying to sit in the uncertainty but the panic just. won’t. stop. I didn’t sleep last night. I’ve barely eaten in 2 days. This is basically flooding. What’s most upsetting is that I’ve been in therapy and was doing better. These set backs make it harder and harder to keep trying because they re-traumatize and sensitize me to all of my triggers. I’m committed to two months of these classes and paid for them. I want to push through. I want to be capable of this. I want to overcome each fear, but my body keeps responding with utter panic and terror. I don’t know how I can continue if my body just won’t let me. I’ve experienced many lows with OCD. I’m trying to keep perspective that none of them lasted forever and this can’t either. But I’m struggling to function at the moment. And all I want to do is give in to what my OCD is telling me: “you can’t connect to your body because you are trans and in denial. You want a flat chest and a penis and a beard. You don’t want breasts. You need to accept it. You need to transition and be the man you really are. You need to stop trying to be a woman because it’s fake. You need to surrender. You need to stop being such a baby. Deep down you know it’s true. Give in already. For anyone also experiencing trans ocd: my thoughts are with you. I know the pain of this is real and can destroy your life. I hope this gets easier. I wish I had a safe space to climb into and forget about everything for awhile. But you can’t escape your mind.