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Transsexual [Obsessive Compulsive Disorder] - TOCD is a form of [obsessive compulsive disorder] that deals with one's gender identity. It's based around the fear that one might become or somehow is transsexual, with this notion going against all rationality and actuality of that person's gender identity as a cisgender. This is not at all the same as closeted transpeople who may be afraid of social repercussions. It is not a fear of rejection by friends, peers or family, but rather is a fear of the being trans itself. For those unsure about what this feels like, imagine getting the impulse to jump off a cliff. You're standing at the edge, and your body and mind scream out "no!!!" but the impulse almost convinces yourself that you want to do it. You have control over yourself, and you may hastily step back from the edge of the cliff, but might for a few minutes be scared and confused as to why you even had the impulse. This "impulse fear" is what drives the confusion in all obsessive compulsive behaviors, and is quite apparent in TOCD as well. The disorder comes with the thought of the impulse being persistent and intrusive, and not being easily dismissed by the obsessive mind. Instead of just being there, it serves to try to convince the person that maybe he did want to jump [off the cliff], and maybe that is some actual reality for him. This does not fit with who the person is, and it causes confusion and mental disaster. Porn addicts are the most likely to develop TOCD.
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