It could be OCD - homosexual OCD exists, not surrpised that gender identity OCD can also exist. You might find this blog informative -
https://letsqueerthingsup.com/2016/0...nder-identity/
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Some folks with OCD – particularly those with the pure obsessional form – find themselves obsessing about sexual orientation or gender identity. Imagine a straight person completely tormented by the idea of being gay (or a gay person obsessed with being straight), or a transgender person, like me, spending hours and hours in a panic, obsessed with the idea of being cisgender (and, yes, vice versa).
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