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The COVID-19 pandemic and subsequent increased awareness of systemic racism have left me, a white psychologist, at a loss for words. I wanted to write a post for other anti-racist allies who are also struggling to voice and act in increasingly anti-racist ways both personally and professionally.

In the early 2000s, patients started reporting a new worry to their OCD therapists: what if I’m gay? This thought was often prefaced by patients declaring that they weren’t homophobic, but the fear was still there. The theme was dubbed homosexual OCD or HOCD.

People who identify as sexual (i.e., lesbian, gay, bisexual, queer) or gender (i.e., transgender, genderqueer, non-binary) minorities have similar symptoms of anxiety and depression as heterosexual and cisgender (non-transgender) individuals.