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.

So my OCD has been bad lately. I’ve been ruminating and obsessing over my sexuality again. And it just keeps getting worse. I hate it so much. I try to sit with the discomfort but then my ocd does the backdoor spike. And the groinal response is what keeps me looped. It SUCKS. I am not attracted to men, but my OCD is trying SO hard to convince me that I am. There have been days where I’m just so mentally exhausted that I “accept” what my ocd tells me and I just walk around a hollow, lethargic shell. But then I rethink it and I feel better. It feels like I can only find my TRUE self when I tire my nervous system out enough that it literally breaks down and has me suicidal and hopeless. And then accepting my OCD’s “truth” (that I’m attracted to men) feels like a burden and a chore. I woke up today from an OCD dream, tried to go back to sleep, and my stomach kept cramping bc I was so anxious and ruminating over my intrusive thoughts. I’m starting to doubt it being OCD anymore. My brain is too tired to fight and cry about it anymore.

Finally slept well today! Which is nice. Regardless, I feel like it has destroyed who I am. Its been over a year and a half, and I keep overthinking and questioning my identity and I can’t let it go to the point where I feel that my future is certain, even though I’ve liked myself the entire time and had a pretty stable idea of who I was. My mind has gathered enough proof. I love being a woman, and I don’t want a different body. I wasn’t born in the wrong body. I am obsessing over my voice, which needs no changes, and my chest. After speaking to a friend of a friend, I’m afraid I’ll want a sex change when I finally have a partner. I’m terrified. I don’t know if anyone can relate. I don’t know how to get over this and my first ERP session is in about a week. How do I even go about this? I feel like a monster to my own family.

I don't usually post on here because it could end up becoming a compulsion or could be seen as reassurance seeking but I think I just need a place to vent and to also get some encouragement and peer support. I am really struggling with my intrusive thoughts and feelings today. All of it feels extremely real and convincing. Right now, I feel thoroughly convinced that I have already identified as either a lesbian or bisexual. I have been diagnosed with OCD by both a psychiatrist and a psychologist years ago and I still feel convinced that it isn't OCD. I keep feeling as if I am just using OCD as a cover-up / as an excuse to deny my “actual” sexual orientation / to hide the “fact that I'm actually lesbian / bisexual”. I have been practicing ERP whenever my schedule allows but it's tough... ERP typically works for me but on days like today, it doesn't seem to be working and that makes me doubt if I have OCD or not. At the same time, I am also convinced that ERP isn't working and I am secretly in denial / struggle with comphet / have internalised homophobia (which makes it worse because my family is homophobic and most of my intrusive thoughts have been targeting that / using that as evidence). Feeling really scared and hopeless... 😞