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.

Idk if this post is even worth it but it seemed like a normal day for me, called off work due to the weather so I get to just stay home and play games all day. Easy day besides dealing with the constant and unbearable battle with my intrusive thoughts/feelings. Took a shower and I just had constant thoughts, (heart palpitations are pretty constant) ended up breaking down and bawling my eyes out. I was diagnosed with HOCD and ROCD about 2 months ago and since it's just gotten worse. It feels as real as it can get and after talking to my girlfriend about the anxiety attack, it feels even more real. I have no desire or enjoyment from what comes from my brain, and at this point I'm on my knees begging the big man upstairs for my old life back, how do I go from being obsessed with women (sexually and emotionally) to pretty much doing a 180 overnight (with the obvious anxiety and worry behind it. No real desire obviously). I'm just at a loss, I've done a little ERP and it seemed to help with the brain fog but besides that, everything that it does to someone, I have. And again there's the doubt I even have OCD and I'm in straight denial. It just sucks.

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.

For a while I've been struggling more with the contamination side of OCD, but before that, for a long time, it was POCD and things like thinking I'm a bad person. It was debilitating. And I moved on from it somehow, just left it behind. Until today, when even a small thing hit me with it again. It's not as bad as it might have been a year or two ago, but it just took me back to the awful pain of thinking I'm a creep. Even now, I'm convincing myself that it's real and not OCD. And it hurts so much that I can't tell. I know the pain each subtype brings isn't even comparable, but POCD and thoughts relating to it are by far the worst thing I've experienced. I honestly think I would rather wash my hands raw than go through POCD to the extent I used to. I would do anything to live with neither. Sorry this was just a bit of a vent, but I think it's important to talk about this kind of thing to people who understand. Whatever subtype you're going through, I'm sending you strength and comfort to get through it 💜💜.