When it comes to our mental health, there are many misconceptions and stigmas surrounding certain conditions. One such disorder is HOCD or Homosexual Obsessive Compulsive Disorder. While it is commonly associated with men, as with all mental health conditions, women can also experience this disorder. In this article, I hope to debunk some of the myths surrounding female HOCD and provide a better understanding of this often misunderstood type of OCD.
What is HOCD?
HOCD is a type of Obsessive Compulsive Disorder (OCD) that involves persistent and intrusive thoughts about your sexual orientation. These thoughts can be extremely distressing, and as is normal for OCD, lead to compulsive behaviours such as checking, reassurance seeking, and avoidance. It is important to note that HOCD is not a sexual orientation but rather a form of OCD.
I will not explain HOCD in depth in this article, but I recommend reading MoodSmith’s guide to HOCD for a complete overview of the condition.
Over the years, countless women have emailed asking if they can have HOCD, as they have the symptoms but are understandably confused by the name of the condition, i.e. homosexual OCD. I decided to write this article to help other women who are confused by OCD, and in doing so, I hope to answer any questions you may have.
Female HOCD sufferers: can women have HOCD?
Myth #1: HOCD Only Affects Men
While HOCD is more commonly associated with men, women can also experience this disorder. Who is affected by HOCD across diverse populations.
Unfortunately, OCD does not discriminate, and women can have all forms of OCD just like men, which means women can have obsessive thoughts in relation to their sexual orientation. As OCDLA notes, all sexual orientation OCD is still OCD. However, due to the stigma surrounding female sexuality, many women may not seek help for their HOCD, leading to a lower reported prevalence.
Myth #2: Females with HOCD are Just Confused About Their Sexuality
One of the most harmful myths surrounding female HOCD is that women who experience it are just confused about their sexuality. This is not the case. HOCD is a form of OCD, and the intrusive thoughts and doubts about one’s sexual orientation are not a reflection of their true desires. These thoughts are distressing and unwanted, causing significant anxiety and distress for the individual.
Myth #3: Women with HOCD are Just Going Through a Phase
HOCD is not a phase or a passing thought. It is a legitimate disorder that can significantly impact an individual’s daily life. The intrusive thoughts and doubts can be all-consuming, making it difficult for individuals to focus on anything else. Seeking treatment and support is crucial for managing HOCD and improving overall well-being.
How Does HOCD Affect Women?
HOCD can affect women in various ways, including their relationships, self-esteem, and overall mental health. This is the same for men. I personally think, with all the information available online, mental health conditions can end up disseminated into smaller and smaller subcategories, but it is imperative to keep in mind that we are talking about one condition, namely OCD, and this affects men and women equally.
Impact on Relationships
HOCD can significantly impact an individual’s relationships, particularly romantic ones. Steps for overcoming HOCD to improve relationships. The constant doubts and fears about one’s sexual orientation can cause strain and conflict in a relationship. It can also lead to avoidance of intimacy and sexual activity, causing further strain on the relationship.
Impact on Self-Esteem
HOCD can also hurt an individual’s self-esteem. The constant questioning of one’s sexual orientation can lead to feelings of shame, guilt, and self-doubt. This can also lead to avoidance of social situations and isolation, further impacting self-esteem and overall well-being.
Impact on Mental Health
HOCD can also have a significant impact on an individual’s mental health. The constant intrusive thoughts and doubts can cause extreme anxiety and distress, leading to symptoms of depression, panic attacks, and even suicidal thoughts. It is crucial for individuals with HOCD to seek treatment and support to manage their symptoms and improve their mental health.

How is HOCD Treated?
HOCD is typically treated using a combination of therapy and medication. Cognitive Behavioral Therapy (CBT) is the most common form of therapy used to treat HOCD. It involves identifying and challenging negative thoughts and behaviours and learning coping strategies to manage symptoms. Normally used in conjunction with Exposure and Response Prevention; read more on how ERP treats HOCD.
Medication, such as selective serotonin reuptake inhibitors (SSRIs), may also be prescribed to help manage symptoms of anxiety and depression. Working with a mental health professional to determine the best treatment plan for each individual is essential.
Coping Strategies for Women with HOCD
In addition to seeking professional help, there are also coping strategies that women with HOCD can use to manage their symptoms and improve their well-being.
Practice Self-Care
Self-care is crucial for managing any mental health disorder, including HOCD. This can include activities such as exercise, meditation, and spending time with loved ones. Taking care of oneself can help reduce stress and improve overall well-being.
Educate Yourself
Educating yourself about HOCD can help you better understand your symptoms and how to manage them. It can also help you recognize when intrusive thoughts and doubts are a result of your disorder and not a reflection of your true desires.
Reach Out for Support
HOCD can be a challenging disorder to manage on your own. It is essential to reach out for support from loved ones, a therapist, or a support group. Having a strong support system can make a significant difference in managing symptoms and improving overall well-being.
Therapy for HOCD
If you are a woman with HOCD, therapy typically involves Cognitive Behavioral Therapy (CBT) as the primary form of treatment. CBT helps individuals identify and challenge negative thought patterns and behaviours associated with HOCD, providing them with coping strategies to manage their symptoms effectively. Additionally, exposure and response prevention (ERP) therapy may be utilized to help individuals confront their fears and reduce the anxiety associated with intrusive thoughts about their sexual orientation. Collaborating with a mental health professional to tailor a treatment plan to individual needs is essential for effectively addressing HOCD symptoms and improving overall well-being.
Conclusion
HOCD is a legitimate disorder that can significantly impact the lives of women. It is important to debunk the myths surrounding this disorder and provide a better understanding of its effects. Seeking treatment and support is crucial for managing HOCD and improving overall well-being. With the right tools and coping strategies, women with HOCD can learn to manage their symptoms and live fulfilling lives.

