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If you are gay, your gay thoughts will be associated with pleasure rather than with fear (although you might experience anxiety about the social repercussions of “coming out”).

If you have homosexual OCD, what-if questions about sexuality are ultimately unanswerable in the way that OCD demands they be answered.

Their HOCD obsessions often consist of unwanted thoughts, impulses, or images that uncontrollably pop into consciousness.

To reduce the anxiety brought on by their obsessions, individuals with HOCD engage in a variety of rituals that focus on “proving their true sexuality” or reducing their perceived “vulnerability” to becoming gay.

In addition to learning to understand their own sexuality, gay teens must navigate complex situations and pressures that may not be relevant for straight teens.

They worry that if they’re around gay people or same sex individuals that they might lose control and act out sexually.

Some people with HOCD worry that other people will think they’re gay, and they spend excessive time and energy trying to “act straight.” Many people with HOCD experience all of the symptoms above. Like any form of OCD, symptoms of HOCD are maintained by faulty beliefs, rituals, and avoidance behaviors.

Moreover, they continue to experience doubt and uncertainty about their sexuality.

Homosexual OCD typically has elements that parallel checking, contamination, and Pure-O OCD.

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