H-OCD/Sexual perversion OCD involves unwanted and repeated thoughts, feelings, images, and sensations (obsessions) related to homosexuality or sexual perversion, and engagement in behaviors or mental acts in response to these thoughts or obsessions (compulsions).

• Frequent disturbing intrusive thoughts, feeling, ideas or sensations relating to sexuality or gender (obsessions)
• Intrusive thoughts are inconsistent with the individual’s values, beliefs and sense of self Example intrusive thoughts:
  • "I am gay." 
  • "I am a pedophile."
  • "I am transgender."
• Repeated behaviors that one feels compelled to engage in, such as checking, avoiding, reassurance seeking or mental rituals in order to reduce or manage anxiety symptoms (compulsions)
• Obsessions and compulsions cause emotional distress and/or impairment in functioning