Lately my OCD hasn't been satisfied with just HOCD, now its trying to make me feel and think that I'm Trans and I'm terrified I don't know what to do, I do MMA and I find it very hard to let my hair grow long because I really like Pixie cuts and now my OCD is trying to say "Hey, these things aren't very feminine, are you sure you're a girl?" And its giving me a lot of anxiety, any tips on how to deal with this?

Ugh, I’m so sorry. I deal with HOCD but I dealt with TOCD or GOCD also. It was debilitating. Mine came along with a bunch of urges, and the best I can say is the same advice we have for all themes. Sit with the anxiety and the uncertainty no matter how real and uncomfortable it feels. Anything else, trying to prove or disprove it will only feed the OCD and make it worse. Accepting the presence of the thoughts is not the same as accepting the content of the thoughts

It will feel like this for a while, but remember that you're still the same person that you were before :) if you're in therapy, be sure to tell them that you're suffering with a new subtype trying to squeeze itself in. I think a lot of us who have suffered with HOCD also have bouts of trans OCD. It is just another illusion to make you question it. Keep practicing ERP and sit with the uncertainty!

Its the same process! ERP, sitting with the anxiety, and doing your best to accept uncertainty.