Long time lurker, first time poster.
Some background first. I'm a gay male in my mid twenties with diagnosed ADHD and OCD symptoms. When I was in middle school I was realizing I was gay, while also becoming afraid I was coming across as effeminate. I also had a strange habit where I would do things in sets of seven, and for two months believed that meteors were going to hit the Earth and kill all of my family and friends.
In high school, I was in the closet for a while. By junior and senior year I was seriously considering the prospect of being homosexual, and imagining myself being with another man. But, I kept having intrusive thoughts that I had to be a kind of beautiful, buxom blonde to do it. I had no real romantic or sexual outlet to pursue where I lived, and my parents had a bad reaction to my coming out, so continued to fixate on it in private. Due to the intrusive thoughts mentioned above, I started to worry that I was transgender. I'd go in my head in a loop. I also had intrusive thoughts about dying in my sleep and not being able to prevent it.
In college I joined the pride group and was able to be more out of the closet. But the thoughts kept happening. I'd start to be afraid of my own reflection, because my brain would immediately start asking me if I wanted to be a girl over and over.
By sophomore and junior year, I developed a new fixation: worrying I was a pedophile. I'd have terrifying thoughts any time I'd encounter kids, and actively avoid them, worrying I'd do the wrong thing around a kid and people would see me and arrest me. I'd have compulsions to check for arousal. I would wake up and immediately be attacked by intrusive thoughts about hurting kids.
Around then I started to see my psychiatrist and was put on an antipsychotic. I felt a bit better over time. But then in a social group I interacted with, a guy came out as a trans woman and started presenting as female. I supported them but then worry took over me as usual. The same happened with a former dorm mate in my building from freshman year.
The whole modern gender discourse made me dizzy. I was afraid of seeing "signs" that I was trans. My brain made connections everywhere. I kept having panic attacks any time I'd see or hear about anything related to transgender topics.
I graduated and eventually got a job. But I'd still avoid mirrors and walk down the halls fixated on analyzing my thoughts, seeing if I felt like or thought like a woman. I'd have thoughts of wearing female clothes, makeup, earrings, etc. Whenever I'd have a photo taken of me I'd cringe a bit and it would make me worry.
I don't ever want to be a woman and I want to be able to manage my intrusive thoughts so that I can live a normal life as a gay male. I want to grow out my beard, keep going to the gym and enhance my masculine qualities. But I keep having these catastrophic thoughts of abandoning my life as a male and that the only way to be happy is to become female. But I keep saying "I don't want that" over and over and over.
I don't feel as if I have gender dysphoria, just anxiety due to this latest fixation. I want to feel like myself again.