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I'm struggling with intrusive thoughts and memories that are causing me distress about my past sexual behaviors and fantasies. When I was younger, I engaged in sexual play with other children and had fantasies involving fictional characters. I've been experiencing what I think might be POCD (Pedophile OCD) for several months, and recently more memories have resurfaced that are making me question my identity and worry about my attractions. I'm exhausted from analyzing my thoughts and feelings, and I'm scared about what this means about who I am. I can't feel normal attraction anymore because I'm constantly worried about inappropriate attractions. I feel like a psychopath for hardly caring about any of my values I used to and continuously thinking about all of this instead. How can I understand what's happening to me and find a way forward?

Answer written by a PhD Prepared Mental Health Nurse

Thank you for reaching out to us. What you're experiencing sounds incredibly overwhelming and exhausting, and it's understandable that you're feeling confused and distressed. The intrusive thoughts and constant self-analysis you're describing could be consistent with POCD (Pedophile Obsessive-Compulsive Disorder), which is a form of OCD where someone experiences unwanted, distressing thoughts about potential harm to children, leading to excessive checking, analyzing, and mental rituals. However, only a qualified mental health professional can properly assess and determine what you're experiencing, as many conditions can present with similar symptoms.

It's important to understand that childhood sexual behaviors between peers of similar ages are actually quite common and are typically part of normal sexual development and curiosity, not indicative of future problematic behavior. Children and adolescents naturally explore sexuality through play, fantasy, and interaction with peers, and this exploration doesn't predict adult sexual interests or behaviors. The guilt and shame you're carrying about these childhood experiences may be disproportionate to what actually occurred.

Your description of hypersexuality following early trauma is also very common. Many trauma survivors develop patterns of sexual preoccupation or compulsive sexual thoughts as a way of processing their experiences. This doesn't make you dangerous or predatory - it makes you someone whose developing sexuality was impacted by trauma, which is something that can be addressed and healed with proper support.

The exhaustion you're feeling from constantly monitoring your thoughts and attractions is a common response to persistent anxiety and intrusive thinking patterns. When we become hypervigilant about our thoughts, we often create exactly the kind of mental prison you're describing, where normal attractions become impossible to experience because everything gets filtered through the lens of anxiety and self-doubt. This hypervigilance can actually make intrusive thoughts stronger and more frequent.

If what you're experiencing is POCD, it specifically involves intrusive thoughts that go against someone's true values and desires. The very fact that these thoughts distress you so much is actually evidence that they don't represent your authentic self. People with genuine pedophilic attractions typically don't experience this level of distress about their attractions - they may feel conflicted about acting on them, but the attractions themselves don't cause the kind of ego-dystonic horror that you're describing.

You mentioned feeling like a "psychopath" for not feeling as much guilt as you think you should, but emotional numbing and exhaustion are natural responses to prolonged anxiety and intrusive thoughts. Your brain is protecting itself from overwhelm. This doesn't make you callous or dangerous - it makes you human.

It's crucial that you reach out to a qualified mental health provider as soon as possible. A therapist or psychiatrist who specializes in adolescent mental health, trauma, and anxiety disorders can provide professional assessment, validation of your experiences, and evidence-based treatment options. They can help you process trauma, manage difficult thoughts, develop healthy coping strategies, and ensure you receive the most effective care for your specific situation. The International OCD Foundation (iocdf.org) has a therapist directory that is a great place to get started. Professional support will complement your own insights and provide you with additional tools and perspectives that can be crucial for healing and ensuring everyone's safety, including your own.

Your willingness to seek help demonstrates your commitment to healing and to being the person you want to be. Thank you so much for reaching out to us. 

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