I really do understand how confused and frustrated you are. To be honest I find it frustrating too. These other practices are saying something about HOCD that is misleading and confusing. Let me try to put things a different way. It's the same thing as I've said before, but maybe I can say it a different way that will make more sense to you. I'll go in the direction of the cancer analogy you used... Imagine if someone came into an anxiety clinic because they were having chest pains. A lot of times, those chest pains would just be anxiety. But not all the time. Sometimes, they would indicate a real medical issue. By the same token, a lot of the times when someone comes in with HOCD, it's just anxiety, but other times there is a real feeling of attraction there. Just like with chest pain, you would have to help the person stop ruminating and feel less anxious, so they can see if they still have chest pain even when they aren't anxious. When other practices say that HOCD means someone isn't gay, it's like saying that anyone with chest pain is just anxious. A lot of the time it's true, but it's incorrect and misleading to say that it is always just anxiety. Someone with HOCD is constantly trying to figure out if the feelings they have are attraction or anxiety, like someone with chest pain trying to figure out if their chest pains are caused by their anxiety. They feel the desperate need to figure it out, but ruminating about it just makes them more confused. Does that analogy help you to understand? In terms of your asking for a link to a case of HOCD that was real, I don't have a specific link to send you unfortunately. I just know from my own and others' clinical experience, not from published articles. If I had something to send you I would. I'm sure if you google hard enough you'll find something, but it seems to be buried underneath all the articles from these other practices telling people they aren't gay. And by the way, it's important that here are articles telling people with HOCD that they might not be gay. Just like it's important that someone can google chest pain and find out it night be anxiety. It's just not okay to say that chest pain is always anxiety, and it's not okay to say that HOCD is always straight. I am so confused just found this article online from an OCD therapist responding to someone. I thought OCD therapist believe this means it’s not true from everything I have read

Here are some things that make me feel alone and isolated in my journey with sexual orientation OCD: 1. This feels like a complete identity crisis. I think that is what makes it so hard. It seems to go against everything I believe myself to be and who I always have identified as. 2. My compulsions, thoughts, triggers, and everything else that comes along with this disease feels and seems like I’m the only one that struggles with those things. My thoughts and images in my head often seems so real that it can only be me in denial. 3. Because this sub type of OCD is so sexual in nature, it has made my sex life with my husband, a really hard situation. Because I always get afraid and sex that I will think of these thoughts, I subconsciously then think of those thoughts, and if I have any type of feeling associated with those thoughts, it feels like proof that those thoughts are real and that makes it even harder. 4. Because a lot of the pleasure that comes with sex is on hot for me while I’m figuring out in this journey with OCD, my mind has convinced me that it is because I will only feel those things if I were with someone at the same sex (I am a straight female. I have a fear of being homosexual.). Well, all those things have made it really hard for me to function daily, I am doing a lot better at finding ways to combat those. I wanted to offer some of the things that I find that help me move past these thoughts and while it’s not always a perfect fix, it’s really helped. 1. I tried to remind myself daily that while love is a feeling it’s also choice. I have to remind myself to get up every single day and choose my husband not because I always feel like choosing him because that is who I choose. That is who I want. That is who I want to grow a relationship with to have a child with Thus why I always don’t feel that love, I always choose it. And while this can be really hard because just society as a whole has made us have these unrealistic ideas about what love is and made us think that love is just this huge with butterflies and sparks, it’s not always that. 2. I try to remind myself that these are just thoughts. And thoughts are not who I am. I don’t have to become the thoughts. I’m not a bad person for thinking of thoughts, and I don’t have to believe the thoughts. 3. When I get, like I often do, groinal responses to the things that I am thinking or seeing in my mind I just remind myself that those are responses to the anxiety I have. I’m not thinking those because I want to think those, but it’s in a response too The fear that I will think those and that I will get that response and then in turn I get the response. 4. I tried to remind myself that this isn’t a fear of coming out like if I was gay, this is a fear associated with a thought that I would be because that’s not who I am. If I really was gay, I would like the thought I would like the pleasure and I would be afraid of coming out. But in this situation, I don’t want any of the thoughts not because I’m afraid of coming out of this because it’s not who I am. If that makes sense.

I’ve recovered from HOCD before and got my attraction and my usual actual identity back. I was recovered from end 2022- start 2025 until I got triggered UGHHH😭 My HOCD is REALLY trying to convince me and it’s SO annoying cause I genuinely don’t want these thoughts. I know I naturally like men and always have done so. I can’t wait for my first therapy session in two days Omg! I need your advice, not necessarily reassurance, but more advice? My HOCD is throwing random “proof” I did/ saw as a child in my face, which back then had no meaning in my life and I continued to live a perfectly heterosexual life. I’ve educated myself about arousal non concordance / child’s play, but it still doesn’t remove the HOCD. I’ve read therapists great explanations on how it’s not a sexuality issue, BUT ITS AN OCD BRAIN ISSUE. So basically I’ve been straight and i will die as straight. But my ocd is still continuing with the intrusive thoughts/flashbacks. I’ve had some moments where I haven’t done as many compulsions and had less anxiety but still had those damn thoughts and I DO NOT want those damn thoughts. I have so much proof and factual/logical explanations but HOCD is still continuing to thrive. I absolutely hate this and I feel so alone. I wish there was a reset button cause I don’t want these thoughts to happen. I want a man and I stand by that. How do y’all deal with these situations? Cause sitting with the thoughts is clearly not helping.

Hey everyone, I’m reaching out because I’ve been going through one of the hardest mental spirals of my life, and I’m hoping someone can relate or shed light on what’s happening to me. About 4 months ago, I accidentally came across a trans porn scene. It didn’t do much at the time, but later it triggered this overwhelming intrusive thought: “What if I’m gay?” Since then, it’s been absolute hell. I’ve always been into women—emotionally, sexually, everything. I’ve been in a long-term relationship with a girl I love deeply. But after that moment, my brain started spiraling into nonstop analysis. I began checking how I felt around men, whether I felt attraction, whether I was in denial, whether I was lying to myself. Literally everything became a test. I got stuck in this loop: • A thought pops in → panic • Try to solve it → brief relief • Another thought → worse panic • Repeat. At times, it got so bad I couldn’t feel anything at all—toward my girlfriend, toward women, toward myself. I started doubting everything. Some days, I feel emotionally flat, like I’ve lost my personality. Other days, I wake up with a full-body jolt of “truth” like “I’m definitely gay”—only for it to fade into numbness again. I’ve also noticed that I get short bursts of peace when I stop reacting, but then the fear comes back louder, like “See? Now you’re accepting it. That means it’s true.” Therapy hasn’t helped much so far—it felt more like general counseling. They told me to sit with the thoughts, but didn’t clarify if this was OCD, identity questioning, or trauma. That just made it worse because now I’m back to thinking “What if I’m just rejecting my truth?” I’m exhausted. I’ve lost connection to everything I used to love. • I want to love my girl again the way I used to • I want to feel desire without overthinking • I want to trust myself again I’m not looking for reassurance—I just want to know if anyone else has gone through something like this, and if this sounds like HOCD or identity OCD. Thanks for reading.