The OCD Center of Los Angeles discusses common challenges seen in the treatment of HOCD, also known as Gay OCD or Sexual Orientation OCD.  Part four of a four-part series.

Gay OCD / HOCD / Sexual Orientation OCD and CBT

HOCD, also known as Gay OCD or Sexual Orientation OCD,
is best treated with Cognitive Behavioral Therapy (CBT)

In our previous article on HOCD, we looked at some of the potential sub-types that appear in this condition.  While they are all treated with various Cognitive Behavioral Therapy (CBT) strategies, crippling fear can lead people toward beliefs that impede therapy.  Here are some thoughts about treatment issues we commonly hear from HOCD clients.

My Big Gay Secret Self

Many HOCD sufferers, regardless of sub-type, become preoccupied with the idea that other people might think that they somehow “appear” gay.  As a result, some men with HOCD may over-attend to the way they dress, opting for baggy, neutral choices rather than fitting, stylish choices that they might associate with homosexuality.  They may pay special attention to the way they speak or even the way they hold a drink, trying to eradicate any possibility that a person may mistake them for being gay.  Women with HOCD may over-attend to the length of their hair, or whether their clothes are “feminine” enough.  Both men and women with HOCD are likely to obsess about their body type and whether there is something inherently “gay” about it. Read More »

    

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 four part series.

HOCD / Gay OCD

HOCD has many subtypes.

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. Read More »

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