From the mindfulness perspective, no thoughts are real, regardless of how they feel. They are all temporary experiences without any inherent substance or profound meaning.
Mindfulness practice helps us maintain a healthy relationship with thoughts (and emotions). It helps us remember that even beliefs we take for granted — e.g., that I’m reading an article on HOCD right now — are not reality. They may be factually based and accurate, but are still just beliefs. This is a useful perspective for someone with HOCD to have as they cope with thoughts and beliefs around their sexual orientation.
What makes a thought feel real is the attention we bring to it.
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