HOCD / Gay OCD: Common Subtypes
The OCD Center of Los Angeles discusses treatment of HOCD, also known as Gay OCD or Sexual Orientation OCD, using Cognitive Behavioral Therapy (CBT) and Mindfulness. Part three of a five-part series.

When we initially published part one and part two of this series on Gay OCD (also known as HOCD), it was intended solely to reflect this rather common form of the disorder as we saw it presented in many of our clients. We had not anticipated such a significant online response, with so many additional questions and angles on the subject.
Sexual obsessions in general are under-reported because of shameful feelings associated with them. And yet there is probably a somewhat higher prevalence of sexual obsessions in OCD than any other obsession for this same reason – the thoughts are unwanted! This seems so very evident in Sexual Orientation OCD because the feared consequence appears so tangible. In other common OCD obsessions, such as Harm OCD, the idea that someone might be in denial of violent impulses is plenty terrifying. However, there is an understanding that being violent is unacceptable in and of itself. With Sexual Orientation OCD, the sufferer generally does not see anything wrong with being gay per se, as long as it is not themselves being gay. This causes a lot of confusion and a lot of resistance to seeking treatment. (more…)