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Can anxiety prevent arousal?

Discussion in 'Sexual Orientation' started by detroitlouisred, May 31, 2023.

  1. Rayland

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    I can see how distressing this is for you and good job going for the evaluation. You're taking a big step towards figuring things out.

    It all does get confusing, especially if you're trying to figure yourself out and then there are all those other factors causing more confusion and stress.

    When I discovered myself and my sexuality, then it all made me incredibly overwhelmed. I had so many questions. What label fits me? Do I like women? Why didn't I notice before or did I? What signs there were? Why can't I find peace and stop questioning? Is it OCD? Is it, because I'm not really trans and fooling myself and am just lesbian? These all went through my mind. I do this day feel like I'm not allowed to use bisexual label for myself. Polysexual label is okay to use, when you feel like you don't with within other labels and this is what brought me peace.

    Everyone has their own type they get attracted to. I think your partner has this something you love about her, otherwise why would you two even be together and it's clear you love her and isn't that what matters the most? I think love goes beyond gender or arousal. Sometimes it's enough being together with who you love.

    I hope you soon get to the bottom of everything and that you can live peacefully, withouth constantly thinking about it.
     
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  2. detroitlouisred

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    @Rayland I apologize for the delay in my response.

    I do really like and have enjoyed the “relationship” I’ve had with the trans woman I’ve been seeing. It’s not love. I’d like to think that it could be but anymore she and the relationship seem to give me as much anxiety as everything else. I’m beginning to seriously consider ending it. I don’t necessarily want to but with everything going on it just feels like the right thing to do. I’ve opened up to her about what I’m going through, she doesn’t have a minute-to-minute update with everything but she gets the gist, and we’re taking things as they come.

    The last few days have been weird for me. My anxiety has subsided overall, expect in the mornings and in certain situations. However, it is not as bad as it’s been.

    Anymore I think I do recognize on some level that I am gay. It’s not totally clear and straightforward. I don’t know how to explain it. When I try to in my mind it just sounds like a whole lot of denial. However, I still am not experiencing arousal and I can’t explain that either. It’s almost as if nothing else seems to be the “right fit” but that. On some level it feels like I have to accept this thing I don’t understand and isn’t fully form. In a way it feels like I’m forcing it but in other ways I guess it doesn’t. If it’s not the OCD, I think I have tremendous internalized homophobia. At this point that seems to make the most sense.

    I have my evaluation later today as well as therapy so I’ll let y’all know what comes to pass.
     
  3. Rayland

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    No worries about late responses. I've been really busy with uni, so haven't been very active either. The main thing for you is to figure things out, so you can be happy and healthy and be in control. That means therapy and hopefully eliminating or confirming the OCD, with the help of the specialist in order to heal and workin on lessening that anxiety, so you can be more at peace with yourself. It's okay to take things step by step, while working on yourself.


    Good luck to you with the evaluation and therapy. I hope it goes very well.
     
  4. detroitlouisred

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    So I had my evaluation today. Well, at least part one. There'll be a part two next week. The doc told me she could not give me a formal diagnosis quite yet but she did say that I definitely had some obsessive and compulsive tendencies. That said, she also stated that even if I did have OCD it obviously wouldn't necessarily mean that I'm not gay, which ultimately is sound advice.

    Additionally, my therapist is going to have her boss, who is a sex therapist, contact me in order to discuss my current situation. Not sure what that'll lead to or look like but I'm open to seeing what she has to say.

    I have to keep reminding myself that this is a marathon, not a race. That's the only way I'm going to come to an understanding in a comfortable fashion. Unfortunately for me, that's easier said than done.
     
  5. Blade118

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    Hi,

    I am so confused by this response and hope it doesn’t confuse me more.

    But if he has hocd doesn’t that mean he is not gay or bisexual.

    he said he does have sexual attraction towards men so does that mean he doesn’t have hocd.

    it’s just my therapist have told me hocd means some isn’t gay or bisexual
     
  6. Rayland

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    Hi, it's all OCD.

    Sorry for confusing you.

    The meaning of it is that there are people who are gay and they have sexual obsessions, but it DON'T mean YOU are gay.

    NOT everyone who have sexual obsessions are actually gay and this includes you.

    YOU have OCD and seeing a specialist is at utmost importance, if you wish to get it under control.

    You have all the symptoms of OCD, which is why everyone says it. Talk to the OCD specialist.
     
  7. CyberSteve88

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    @detroitlouisred did you have the second part of your evaluation? How are you keeping?
     
  8. wua

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    You don't knows and you shouldn't be so sure of that. You said the truth that people with ocd can be gay or straight. Gay guy can have obsession about sexual orientation too and check it all the time. OCD doesn't mean that someone isn't gay.
     
  9. Rayland

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    I know for sure that this person has OCD and is not gay. He is diagnosed. Stop giving him ideas. He has hard enough time. You've been warned.
     
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  10. wua

    wua
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    I understand that a straight person can have an obsessive fear of getting an erection from gay porn. But... It's too often assumed that a person with OCD is straight. Very often gay people are very afraid of being gay and compulsively check it out. Therapists and others with OCD and internalized homophobia convince these people that they are heterosexual and misconstrue that the problem is only OCD when there are two problems: OCD and non-acceptance of sexual orientation.
     
  11. Rayland

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    Unlike sexual orientation OCD, identifying as LGBT is not an illness.

    Feeling attracted to people of the same gender, in and of itself, isn't unhealthy and doesn't have to cause distress. For an LGBT person, unhappiness about their identity usually comes from discrimination or internalized shame because they've learned to see being gay as inferior to being straight. With time and (in some cases) counseling, many gay people live happy and fulfilling lives dating people who are their same gender.

    The only person who can say whether a person has OCD or is LGBT is a mental health professional. A person with OCD is fixated on whether or not they are LGBT, whereas gay people are attracted to and genuinely want a relationship with someone of the same gender. Because OCD can be so pervasive and entrenched in doubts, however, the best person to ask is again a mental health professional.

    Us stating that they can be gay is just getting them be fixated more on this and it's not healthy and causes harm. They won't believe this anyway. ONLY OCD SPECIALIST AND PROPER THERAPY CAN HELP, not you or us can state they are gay or not and this person isn't, even therapist have told him this.
     
  12. Chip

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    No offense, but unless you are a clinician with experience with OCD in general, and OCD that specifically shows up with sexual orientation in particular, then I, slightly less respectfully than last time, ask that you shut the fuck up. This is an extremely nuanced area, and from your posts, you don't seem to have the faintest clue what the differential diagnostic criteria are.

    So if you would like to demonstrate to us your clincal credentials and experience working with clients with OCD with a focus on sexual orientation, please open an Ask the Staff post, and provide us with information on your credentials.

    And if you don't, kindly stop posting bullshit. The EC members that have OCD struggle enough without you confusing them further.
     
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  13. Chip

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    Please cite your sources, from credible, peer-reviewed articles, not somebody's opinion blog.

    Oh, what's that? You don't have any peer-reviewed sources?

    Then I'll thank you to kindly stop posting bullshit you pulled out of your ass.
     
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  14. detroitlouisred

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    I did. As stated, the doctor I have been working with noted that I have obsessive and compulsive tendencies. Additionally, she does recognize that there are people whose OCD focuses on their sexual orientation. However, since I am dating a trans woman and sexuality is a spectrum as well as specific to the individual, she's suggested that we shouldn't focus so much on an answer of gay or straight. Essentially, she wants to work through the anxiety and stress this is causing me, perhaps figure out the why if possible (it could simply be OCD), but ultimately embrace the uncertainty which could potentially help me come to my own conclusion and acceptance without the anxiety and stress. We are now meeting twice weekly and will start the ERP this week.

    Beyond that, I don't know, I suppose I am ok. I feel stagnant most of the time. If not that, then I feel the anxiety. I recognize that it is better than it once was, but I am still going through it.
     
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  15. detroitlouisred

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    My OCD therapist has basically come to the conclusion that although I am obsessing over this situation and distressed by it, I very clearly am questioning my sexuality on some level. I have to say I don’t disagree. I think for me I now understand I fit somewhere within queer sexuality but I’m just not exactly sure where that is or what that means for me. Some of the thoughts and feelings I’ve been experiencing seemed as though they fit the OCD hypothesis but they also fit the description of internalized homophobia.


    I think what’s problematic for me is that I have associated any non-heterosexual fantasies with trans women and, to be perfectly honest, these “fantasies” were exclusively connected to porn for many, many years. On some level, I never really thought them be real. However, ever since my questioning began, I can’t help but think that these fantasies, along with my porn preferences, were simply just a safe way to engage with homosexuality. Anymore, it’s starting to feel as though this is what I “thought” I was attracted to, just like I thought I was attracted to cisgender women. During certain periods of my life, both of these attractions felt very real but now, I’m not so sure. There’s still the lack of arousal when it comes to men but I think maybe I maybe clinging way too tightly to this fact.


    I will be continuing therapy but I think my focus needs to shift from OCD to accepting myself as not being straight so I can comfortably and safely explore my sexuality.
     
  16. Chip

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    I would be curious to know on what basis she has come to that conclusion. In particular, I would like to know what her differential diagnosis methodology was to determine that this is, or might be, a genuine issue of questioning sexual orientation rather than OCD. If you are inclined to answer, I'd be interested in her response.
     
  17. detroitlouisred

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    I don’t know her diagnosis methodology per se and perhaps the way I wrote this post is a little misleading/confusing. She had never really diagnosed OCD to begin with but did identify obsessive and compulsive tendencies. We had done some ERP therapy but so far it has not done much by way easing my “symptoms.”

    Perhaps I shouldn’t have said that she believes that “I’m very clearly questioning my sexuality,” but she has noted that I’ve never been diagnosed or knowingly experienced OCD like symptoms before and don’t have any other themes. That paired with certain attractions and sexual fantasies, which I had always associated with trans women, she does not want to pathologize my thoughts if they are legitimate feelings/questions.

    That said, she hasn’t terminated the therapy. Ultimately, she’s going on what I’d like to do.
     
  18. Chip

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    Any competent therapist is going to focus on what the client wants to focus on, so in that regard, she's doing what her ethical code requires her to do.

    At the same time, a therapist with a specialty in OCD, who is working with a client who clearly displays obsessive-compulsive traits AND an obsessive interest in sexual orientation without significant evidence toat objectively supports the idea that the person has same-sex attraction ought to be encouraging the client to explore how the obsessive traits may be fueling the belief. Without doing that, the therapist may inadvertently make the obsessive tendencies worse.

    Now... I am not specialist in treating OCD, but I do have the benefit of interacting with dozens of people with sexual orientation-focused OCD symptoms, and I can tell you that not a single one of them has ever resolved their obsessive tendencies by further exploration of their sexual questioning. This is because the obsessive-compulsive tendencies literally hijack reason centers in the brain.

    The example I give is, there is a vacant lot that used to have a house on it, and anyone who walks by the lot says "Yup, that's a vacant lot." But the individual with OCD thinks he sees a house on the lot. And no amount of factual evidence will convince him otherwise. He finds the tiniest bit of evidence... "See, I see a little bit of a concrete foundation over there..." and uses that to convince himself that the house is there. 100 people can gather in front of the lot and tell the person there's no house on it, but the person with OCD absolutely can't see that, no matter how much evidence he sees to the contrary.. because in his brain, there MUST be a house there.

    The analogy isn't perfect, but it gives an idea. And the problem is, just as the house appears absolutely real to the person in the example, your situatio appears absolutely real to you, and you find tiny, insignificant pieces of information, and extrapolate them to mean something they don't.

    Treating OCD cognitively is a specialty. I don't know a lot about it. But it does not seem, to me, like continuing to play into the delusion (because that is, essentially, what it is) is doing you a service.
     
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  19. detroitlouisred

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    I appreciate your response @Chip and in a lot of ways that makes sense. My situation has been pretty defeating to be honest. It’s almost as if nothing feels quite right or I can come to a couple different conclusions about who I am and what my sexuality is, but even within that there are certain gaps or flaws within each of these conclusions.

    I know OCD is like a “doubting disease” so to speak and by extension what I’m about to say could be symptomatic of that, but it’s really hard to believe that the thoughts and feelings I’m having aren’t real. A part of me wants so badly to believe they’re not, but again, they seem to be so real. That paired with some of my sexual interests just makes me feel like I’m in denial. Anymore, that seems to be a more plausible explanation than OCD in my mind.

    I guess I just don’t know where the line is anymore. These days I have certain thoughts about men, feeling attracted to them basically, that I don’t have about anyone else, even the trans woman I’ve been seeing. I know I’ve got the lack of arousal thing going on but anymore with everything going on in my head it’s hard to tell what it is that is actually getting me aroused when I do get aroused. For instance, when I’m with the trans woman I’m seeing I’m like a 13 year old boy, just hugging, holding hands or a kiss will get me aroused. However, during these times it’s like my mind produces images of men so I question myself.

    I enjoy being with her both in general and sexually, but my mind keeps telling my I’m gay, producing these thoughts and feelings about men, so at a certain point it’s kind of hard not to think I’m just lying to myself.
     
  20. Chip

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    And this is, unfortunately, exactly what OCD does. The person who has OCD around light switches, door locks, or cracks on sidewalks CANNOT simply not avoid engaging in the compulsive behavior, in the same way theobsessive cannot stop thinking sbut thins and swearing there is evidence that isn'tthere.

    One route might be to try medication for 6 months. I'd wager that your whole perspective will change if you get on the right medication. Thst's how it ususlly works... the person emails a couple months later and says "I have no idea why I was thinking that way. I totally get how ridiculous it sounds now."
     
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