Expert Help for Obsessive-Compulsive Disorder

Louisville OCD Clinic
912 Lily Creek Rd.
Suite 201
Louisville, KY 40243
Office: (502) 403-7818

Monnica Williams, Ph.D.
Clinical Director


Offering expert treatment for all types of OCD, including sexual obsesions. Our OCD treatment program is typically 20 sessions. We offer twice-weekly sessions and intensive programs. Intensive program can be in person or combined with Skype. State of the art medication management is also an option. Low cost options. [More.]

Sexual Thoughts in OCD

Sexuality Concerns in Obsessive-Compulsive Disorder (OCD)

Many people with obsessive-compulsive disorder (OCD) have sexual obsessions, or unwanted sexual thoughts. This may include sexual orientation fears, which is sometimes referred to as sexual orientation OCD (SO-OCD) or HOCD. Theses are not the same as fantasies or being homophobic.

Sexual thoughts in OCD may include the following:

  • the obsessive fear of being or becoming LGBTQ
  • intrusive, unwanted mental images of upsetting sexual behaviors
  • the fear that one may become a pedophile
  • the fear of becoming sexually aggressive

If you have unwanted sexual thoughts, please contact us to participate in a study so that we can learn more about this issue.

The Worst Kind of OCD

Although people with OCD may obsess over any number of concerns, one of the most upsetting types of OCD involves worries about causing sexual harm to a child, sometimes called pedophile OCD or POCD. Although this type of OCD typically receives little attention from the media, the Power to Change recently aired the story of a man whose POCD was so severe he contemplated suicide before he was treated by Dr. Monnica Williams. Hear his story online and learn about OCD treatments from Dr. L. Kevin Chapman. Read his story or watch it now.

OCD Therapy Going Nowhere?

Although any medical doctor can take your blood pressure, only a few can do heart surgery. Likewise, any therapist can help someone who is feeling a bit blue, but only a few can effectively treat OCD. OCD treatment is a type of therapy that requires a specialized protocol called Exposure and Ritual Prevention (ERP or EX/RP). Learn about the Top Mistakes Made by OCD Therapists.

Top Seven Myths About OCD

One stereotype is that people with OCD are neat and tidy to a fault. Actually, nothing could be further from the truth. Although many people with OCD wash because they are concerned about dirt and germs, being tidy is actually not a typical symptom of the disorder. Almost two-thirds of people with OCD are also hoarders... Learn more about the Top Myths about OCD.

Take The OCD Self Test

The OCI-R is a short, reliable, scientific test of common obsessive-compulsive symptoms. This measure was developed by OCD experts. Take our OCD Self Test.

Top 7 Myths About OCD

1. Neat and Tidy

Myth: People with OCD are neat and tidy.

Fact: The stereotype about OCD is that people with the disorder are just very neat and organized individuals, who are tidy to a fault. This is not OCD, and in actuality, nothing could be further from the truth. Although many people with OCD wash because they are concerned about dirt and germs, being tidy is actually not a typical symptom of the disorder. In fact, up to two-thirds of people with OCD are also hoarders, which means that they accumulate so many unneeded items that the junk gets in the way of living space.

2. Just Obsessions

Myth: Many people with OCD are "pure-O," which means they have no compulsions.

Fact: Nearly everyone with OCD has both obsessions and compulsions. Some people have mostly mental compulsions, such as mental counting or mental list-making or silent prayers. Some have covert means of checking, such as examining vital signs for any hints of illness. These types of compulsions can give the illusion of someone with only obsessions.

3. Brain Scan Needed

Myth: OCD can be diagnosed with a brain scan.

Fact: PET scans have been used in research to illustrate the differences in brain activity between people with and without OCD. However, this is not a reliable method of making a diagnosis of OCD. The disorder is diagnosed with an interview by mental health professional with experience in OCD.

4. Gay OCD

Myth: There's no such thing as HOCD (homosexual OCD) or gay OCD.

Fact: People with OCD may obsess about any number of problems, including sexual matters. Sexual orientation is an important part a person's identity, and thus is vulnerable as a target for the OCD. It is sometimes called HOCD or SO-OCD, and has been described in the scientific research literature.

5. Troubled Childhood

Myth: OCD behavior is caused by a troubled childhood.

Fact: OCD is caused by a combination of factors, including genetics and experience.

6. Mental Conflicts

Myth: OCD is the expression of subconscious conflicts.

Fact: It was believed by early psychologists that problems like OCD were caused by difficulty toilet training. Even today, many dynamically-trained therapists will attempt to interpret the meaning of OCD obsessions, but this is not useful.

7. Religion & Compulsion

Myth: Religion makes people compulsive.

Fact: Although many religions involve rituals, these are not symptoms of OCD nor are they able to cause OCD. People from orthodox religious groups are no more likely to have OCD than non-religious people. The form the OCD takes is related to important life issues so religious individuals may have OCD symptoms related to their faith, but by no means did the religion cause the OCD.