Sexual orientation obsessions are distressing thoughts in which you constantly doubt your orientation. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) doesn’t distinguish between different types of OCD, which means that sexual orientation OCD is not considered a separate disorder. If you have sexual orientation OCD, you may or may not also experience other themes. You might experience a few themes that can overlap and change over time. For example, contamination OCD, symmetry OCD, and religious OCD are all themes. Sexual orientation OCD is an OCD theme rather than a subtype. Though it’s often called homosexual OCD (HOCD), people of all orientations can experience sexual orientation OCD. But if you develop obsessions and compulsions around your orientation, you could have sexual orientation obsessive-compulsive disorder (OCD). This isn’t necessarily a cause for concern - in fact, it can be healthy. Many people question their sexual orientation over the course of their lives. Sexual orientation OCD - often called homosexual OCD - refers to obsessions and compulsions around doubting your orientation.
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