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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.

Sexual obsessions can also affect gay men, lesbians, or bisexual individuals with OCD, who may become fearful about the possibility of becoming straight (“Straight OCD”).

The common element that unites these seemingly opposite sexual obsessions is the fear of being attracted to something unwanted, taboo, or “unacceptable” based on one’s particular worldview.

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The occurrence of this unwanted thought then causes them to question their sexual identity and reanalyze previous experiences, in light of the possibility that they might possibly be gay.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.