HOCD or Sexual Orientation OCD

Sexual Orientation OCD HOCD Gay Obsessive Compulsive Disorder

in Episode 12, I go over HOCD. I discuss what it is and what we can do about it using CBT, ERP, and acceptance tools. As a bonus, I put together an imaginal exposure in the form of a guided imagery exercise. The Episode goes over some sensitive topics, so listener discretion is advised.

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Click here to read more about HOCD


  1. I almost didn’t listen to this because this isn’t my category of OCD, but I’m glad I did. Your description of OCD at the beginning was spot on and the tips relate to all types. Thanks for the helpful information and your compassionate approach. Know that you are making a difference for your listeners.

    • Hi Heather, Thank you so much for the comment, and it comes as just the right the time. Knowing that people are listening and taking away meaningful information means a great deal to me.

  2. I need help handling the “Back door spike” because it’s causing me a great deal of anxiety and I don’t know how to calm it down

    • Hi Laura,
      Thanks for listening! The “back door spike,” while common and expected in the treatment process, catches lots of people off guard and feels like a setback. I hear your frustration! Remember that it’s just another thought that can be thrown into the “likely OCD thought” pile and treated accordingly like all other OCD thoughts. The trap is treating it like it belongs in its own category like it’s unique and deserves special consideration. If you listen to the Dog Metaphor from FearCast Episode 1, you can imagine the backdoor spike is yet another dog, but still just a dog. Good question, and perhaps a good topic for a future show. (Note to self, add it to the list)

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