Bisexuality and Clinical Depression and Generalized Anxiety

A systematic review and meta-analysis by Ross and others[1] in 2017 examined 1,074 articles that reported bisexual-specific data on standardized measures of depression and/or anxiety. They looked at studies that reported mean scores and standard deviations for bisexual and comparison groups. They narrowed it down to 52 studies that passed stringent guidelines. Only eight of the 52 included studies that stated a bisexual-specific objective in their abstracts. Results indicated that bisexuals exhibited a consistent pattern of higher rates of depression and anxiety than heterosexuals and lesbian/gay people. They proposed that there were three interrelated contributors including sexual orientation- discrimination, bisexual invisibility, and lack of affirmative support. They argued that there was a lack of quality bisexual research despite evidence of greater mental health concerns.

Let’s first deal with the issue of invisibility of bisexual people. The answer is obvious, at least from the viewpoint of bisexuals. WE DO NOT WANT TO BE INVOLVED IN STUDIES. We prefer anonymity. Our sexual behaviors are private. We do not consider it a problem and certainly not cause for public concern. That would be true in most cases; however, we can’t ignore the number of us that are going through severe mental issues that seem to somehow be related to our bisexual nature. BISEXUALITY IS NOT A MENTAL CONDITION. Okay, that’s certainly true, but why are so many of us experiencing mental issues?

Secondly, let’s look at discrimination. Gay and Lesbian culture is now widely accepted by the general population but nonbinary, trans (especially men converting to women), and bisexuals are still facing a backlash. Transgender and conversion is a huge topic in itself so let’s leave that for another time. It is generally accepted that bisexuals face discrimination due to biphobia. It appears that the heterosexual community or the public at large seems to fear bisexuality as some kind of covert behavior that can lead to the weakening of the family and the general state of the community and country. It can be manifested as a disbelief in bisexuality as a valid identity – you are either a man or a woman and therefore should engage in sex as a heterosexual or as gay. The second issue is bi-erasure which refers to the tendency to deny or ignore our existence by both the general population and within the LGBTQ+ community. That would be good in itself; it is our own damn business. We want to be invisible so we can live our own lives and pursue sexual pleasures as our hearts so desire. But again, why the high incidence of clinical depression, generalized anxiety and suicide attempts. It is apparently an issue that cannot be ignored.

That brings us to the issue of lack of support. It would appear that the general population just want us to go away, or at least, just be quiet about our sexual tendencies. However, we may not have problems ourselves as individuals and we usually refuse to join groups of bisexuals for advocacy or just affirmation. I remember trying to start a meet-up group for bisexual people in Victoria BC. I immediately had close to fifty sign-ups. Another individual and I decided to have a meet-and-greet at our favorite breakfast venue. Nobody showed up except the two of us. However, the issue here is that as individuals we may be okay, but a very large number of us need to meet-up not for sex but just to talk about our issues and realize we are not alone. We also need to advocate for one another, not about our human rights, but about the unhealthy occurrence of mental issues among us.

                This brings us to the second major concern of this study – the lack of quality research with bisexuals as the major target population. We need to know a whole lot more about why so many of us are experiencing life-threatening mental health issues and then we have to start doing something about it.

Action Plan

  1. Many of us bisexuals need help and those of us who have gone trough our own Armageddon need to advocate for the help they need.
  2. We must work together to advocate for the meaningful inclusion of bisexual people in mental health research. We can advocate directly to our colleagues and acquaintances, and through our writing and involvement in professional associations.
  3.  There is certainly a need to address the mental health of individual bisexuals. We can advocate for affirmative support in the mental health sector. We can share information and resources about bisexual mental health. We can help people in decision making positions understand the need for intervention.
  4. We can be a voice in the LGBQR+ community to bring awareness of our specific gifts, talents and needs.
  5. There is no need for anonymity. There is nothing to be ashamed about. Like everyone else we are free to pursue sexual pleasures in our own unique way. Sex is meant to get the endorphins flowing for the establishment of meaningful relationships and creating a sense or well-being. If that is not happening, we may be in danger of becoming another statistic in mental health research.

[1] Lori E. Ross, Travis Salway, Lesley A. Tarasoff, Jenna M. MacKay, Blake W. Hawkins, and Charles P. Fehr. Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis. National Library of Medicine Published online: 03 Nov 2017. https://pubmed.ncbi.nlm.nih.gov/29099625/

Bisexual Men and Risk-Taking Behavior

  A study by Zhang (a geneticist at the University of Michigan) and Song found different genes drive bisexuality versus other same-sex sexual behavior. Zhang and Song mined a DNA database of some 450,000 people in the United Kingdom. They concluded that the genes underlying bisexual behavior are distinct from those driving exclusive same-sex behavior and may be intertwined with a propensity for taking risks.

Let’s first address the topic of risk-taking. Studies of twins have suggested that risk-taking traits may have a genetic component. The researchers found that bisexual and gay men may share some genetic variants, but the behaviors are genetically distinct from each other. They also found that bisexual behavior was genetically correlated with a propensity for taking risks in bisexual men, but not in bisexual women. Zhang and Song noted that about 23% of that behavior seemed to be related to genetics, and the environment (which seems to be missed in most studies) may play a bigger role in determining these kinds of traits. According to DSM 5, risk-taking describes a tendency to engage in reward-seeking actions despite the possibility of negative consequences. Research suggests that risk-taking in bisexual men may include unprotected sex (which we should always consider and respect) and promiscuity, which, in my opinion is a negative term for freedom for sexual exploration. It is also interesting to note that risk taking is one of the impairments or traits involved with borderline personality disorder (BPD). In previous posts we noted a positive correlation between bisexuality and BPD which may make it a confounding variable.

So what can we take from this connection between genetics and bisexual behavior? Very little. To say risk taking is a genetic trait of bisexuality is a big stretch. Some critics note that this is a study of sexual history, rather than sexual identity. Most of the people in the data base are more than 50 years old and grew up during a time when same-sex sexual experiences were illegal and frowned upon by society at large. This tends to present a negative view of bisexuality as some kind of genetic disorder. It is more likely that the environment may be a more dominant factor of BPD and may pertain to an older generation where men had to take risks because open gay sexuality was often forbidden. Take into account that many of these bisexual men were married or in relationships with women and perhaps had children, and we begin to see the possible causes of at-risk behavior. However, the reluctance to use protection may be an entirely different factor. Coming from the AIDS generation it may be related to suicidal tendencies or some form of self-punishment for engaging in what many religions referred to as sinful behavior.

So what is the positive spin that I can generate because I am just a blogger and can take wild stabs without empirical evidence.

  1. Bisexuality may have some genetic connections but there is no bisexual gene per say. There may be a combination of genes that may result in a genetic predisposition, but they have to be triggered by factors in the environment before they are activated.
  2. This is not a curse. Bisexuality is not a personality disorder and risk-taking behavior does not have to be an impairment or trait of a personality disorder. This genetic combination may also allow us the freedom to be who we want to be and do what we want to do.
  3. If we are bisexuals with BPD we should seek psychological help. But we do not rely only on cognitive therapy which attempts to change how we think. The combination of bisexuality and BPD goes much deeper than just thought and behavior. It involves powerful drives and when combined with environmental influences from religion and family, it can be devastating. We may need extensive empathic therapy to get to the basis of our negative feelings so we can be free to enjoy the power of our bisexual passions.
  4. If we are in a heterosexual relationship, we have to be honest with our partner. Secrecy can literally kill us leading to terrible guilt and suicidal behaviors. We now live in a much more compassionate society where relationships can be more open and honest. We can open up to our partner, let them know we love them, and want to maintain the relationship. But we let them know that we also have these desires for same sex relationships. We make sure we are prepared for the consequences.
  5. Be honest with ourselves. Bisexuality, whether it is genetic or has been forged my environmental influences or a combination of both, it is our reality. We can gain intense pleasure from same sex relationships. We can find friends with benefits that enrich our lives. We should not settle for less. And we always engage is safe sex practices out of respect for our partners and ourselves.

Bisexual behavior genetically tied to risk-taking, controversial DNA analysis find. Rodrigo Pérez Ortega. 3 Jan 2024 (https://www.science.org/content/article/bisexual-behavior-genetically-tied-risk-taking-controversial-dna-analysis-finds Epub 2024 Jan 3.

, Jianzhi Zhang and Siliang Song..Genetic variants underlying human bisexual behavior are reproductively advantageous. Sci Adv 2024 Jan 5;10(1):eadj6958.

Bisexuality, Nonbinary Nature, and the Human Heart

(The thoughts in this post are in no way meant to be critical for other people’s sexual experiences. They are simply part of my own life story.)

Bisexuality is much more complex than just the physical structures and chemistry of the brain. I also experience a variety of emotions such as joy and contentment when sex involves love, and confusion and self-doubt when I explore my sexuality through casual sex. After sex I often question things and wonder how it all fits into my life story and my love relationship with life-partners and family. I have an open relationship with my present life-partner, but I still have to deal with the feeling that my mate is the special someone who is at the core of my thoughts and feelings about sex and love relationships.

It is through our life-partners  that we may be involved in the production of offspring and the creation of a family. In my own experience, by being a father, I was able to  enter into a whole new dimension of love and sexuality. In my first marriage, when the children were younger and needed my contributions as a father, I kept my urges basically under control except for a few failures where I simply felt overpowered and ignored the possible consequences. However, once the children were grown up and were independent solid and productive human beings, all hell broke loose.  It resulted in my marriage break-up which I have regretted to this day. I was unable to let the love of my soulmate keep me from same-sex impulses. In my mind I could probably tell you why this had to happen, but I still view it as my own personal failure. My love was not strong enough to control my sexual impulses.

In spite of what I have deducted rationality, being nonbinary has had very little to so with my sexual urges. Being nonbinary simply means I do not adhere to widely accepted gender roles. I am free to form intimate relationships with both males and females, with or without sex. I am neither strictly male or female in the way I think and feel. I may be a combination of both or simply have socially evolved beyond restrictive standards established by society. I can experience freedom in gender identity switching from male to female based on my feelings or sexual expressions.  The female identity part of me may involve specific behaviors associated with being female like skills in social interaction and emotion regulation, while the male part of me might be involved in protection and providing. However, it is much more complex than that. At the root of it all is my desire for love and the need to overcome the complications placed on me by societal norms, morals, and expectations. In order to love myself I need to love being me and have the freedom to love whomever I want to love.

Sex for me has to be connected to love. After sex I need to linger in the moment to develop more love for myself and the one I am with. The male part of me uses dopamine and endorphins to pursue sex and enjoy body and brain pleasure. The female part of me uses serotonin after sex to help reinforce feelings of trust and relationship. Oxytocin is very powerful in my female side to help me sexually bond with my lover, so I have to be very careful with whom I have sex. Bonding means I have to give part of my emotional heart to my lover and receive part of my lover’s emotional heart in return. That means I have to connect at a deeper level of sex than casual hook ups. That means I have to have relationship before starting the sexual bonding process.

Yes, because of my nonbinary nature, I seek more intimacy with my partner with more touch, hugs, kisses, and perhaps sex. I explore the depths of love with my partner and share all those delicious feelings. Above all, I will never stop loving myself regardless of what I say or do. This love for myself lets me respect and appreciate the power of sex.  This love lets me respect and care for my present wife and any future potential sexual partners.

Bisexuality and the Human Mind

This next topic is very personal to me. There is no other topic that has caused me more concern and grief. I identify myself sexually as bisexual and gender as non-binary. That is not a problem – that is just my reality. But the problem then is how to keep this in balance, especially sexually. Specifically, how do I control my sexual urges that long to connect sexually with other males and females. Even more specifically I need to know if it’s okay to engage in hooking up just for the sexual experience which I have done occasionally throughout the years but not without concern and remorse. I also need to find clarity and consensus about open relationships. My life-partner and soulmate has encouraged me to exercise my gay side but I do not feel right about doing so.

From a strictly physical view,  I simply have sexual urges, the need for touch and sexual gratification. Some of this urge is part of my biological and chemical expressions connected with procreation. Beyond that I enjoy the wholesome intimacy I experience with my female partners, but I also enjoy the wild excitement I experience with my casual male partners. This is very confusing for me. On one hand I love the sensations that hit the pleasure centers of my brain when I engage in sex with someone new, but then I get all tangled up in in social and guilt issues. It can be very painful.

There is some evidence that my gender identity and sexual orientation are predetermined by prenatal exposure to testosterone and estrogen as well as to pheromonal input from the mother during the fetus stage. Of course, pheromones are obviously a major driver in all animals but not truly understood when it comes to humans. I can tell you it is real; I experience it at the subconscious level. As you know, the olfactory nerve connects directly to the frontal cortex of the brain, and it is through my sense of smell that I experience the pheromones of both females and males and am physically drawn to them. The heterosexual part of me includes my biological desire for procreation and bonding. The same-sex part is strictly a powerful urge for body-to-body connection coupled with sexual gratification. It can be a powerful physical high.

            Family and twin studies indicate that genes play a role, although no specific genes have been identified. It is through the activation of groups of genes from stimuli in the environment that has determined my bisexuality and nonbinary gender and my responses to sexual attraction that I have experienced during various stages of our life. My impulses have a lot to do with sexual regional connectivity and the differences in brain connectivity patterns between the presence of both male and female identification clusters within my brain. Having characteristics from both sexes impacts my sexual predisposition. A lot of my responses are governed by my body’s reaction to sexual attraction. Once my body is charged up for sex, it is very difficult for me to respond rationally.

My bisexuality and nonbinary gender identification has had a profound impact on my brain structures, rational functions, and neurochemistry. The mental component of sexual attraction for us bisexuals includes a range of factors such as sexual curiosity, sexual sensation seeking, and sexual excitability. When it comes to my nonbinary pursuits I have the qualities of both male and female brain functions. As a male I have a higher density of connections in the amygdala, which involves behaviors like aggressive pursuit for mating. The male side of my brain tends to be more efficient to lateralize and compartmentalize which has the advantage of making me more task-focused with less concern for consequences. The female part of my brain has a larger hippocampus for human memory and the maintaining of a life story. My female brain has more nerve connections with constant cross-signals. It takes in more so it tends to see how the sexual experience fits in with the bigger picture of life and family.

            The amygdala is often associated with fear and anger; however, it is also required when I work for rewards such as sexual pleasure and orgasm. For my male and female combined brain, the amygdala activates the neurochemicals; however, dopamine is initially much stronger in my male functions. When dopamine is released in my male brain, I immediately feel a sense of temporary pleasure, sexual arousal, and motivation to pursue resulting in a genital response. My female part of me, however, is slow in getting started but wants to prolong the experience. After orgasm dopamine levels decrease and serotonin levels increase. Serotonin usually decreases sexual behavior but creates a long-lasting feeling of happiness or well-being. Oxytocin is a hormone and a neurotransmitter that is sometimes referred to as the love hormone. It is more dominant in my female side then the male. The male part of me has had its rush and is ready to move on. In the female side Oxytocin levels increase during hugging, orgasm, and post orgasm and are associated with feelings of empathy, trust, and relationship-building.

As you can see, being bisexual and nonbinary have a strong clashing chemical iresponse making me sexually aggressive but much more sensitive. When it comes to casual sex and hooking up, the male part of me is satisfied and is ready to move on, but the female side of me wants to prolong the post orgasm experience and may feel that something is missing after casual sex. My mind also has to weigh social norms and expectations with my desire for sexual pleasure. This often leads to feeling of regret, shame, and guilt.

Alas, poor me, however, I am not a slave to my mind and body. There is part of me that can rationalize and control my impulses. I have to rely more on my heart for the pursuit of love for self and for the people with whom I have sex. Casual sex may meet my body and mind needs but it can be so much more. I need to follow my heart and seek more intimacy and deeper relationships.

Bisexuality, Borderline Personality Disorder, and Impulsivity

Pathological personality traits in Disinhibition – Impulsivity: acting on the spur of the moment in response to immediate stimuli. (DSM5)

                Joel Nigg [1] in a comprehensive study on impulsivity defined it as “a rash response in situations where considerate response is more appropriate”. Nigg identified three factors contributing to impulsivity: not planning and thinking carefully (non-planning), not focusing on the task at hand (inattentiveness), and acting on the spur of moment (motor activation). In another review of the literature by Turner and others[2], they discovered that BPD patients demonstrated delays in discounting the dangers, an inability to make proactive adjustments, and evidence of altered brain activation patterns. However, according to Turner and others, there was less difficulty with motor activation, unless influenced by high levels of stress.

                So what do these studies tell us in plain English for us bisexuals with BPD? As Nigg suggests, there appears to be little preplanning to avoid high risk behavior, and there seems to be an inability to attend to the potential danger factors. As a result, we go ahead and engage regardless of the dangers involved. This is typical in our tendencies to engage in unsafe sex with strangers. Turner and others provided a direct link between BPD and impulsivity which included the tendency to not just ignore, but to actually discount dangers. Again, for us bisexuals, we focus on our same sex behavior to alleviate the stresses of   living a so-called normal life with our opposite sex partners. These studies suggest that if there is any thought involved it is used to rationalize and discount the risks. We give ourselves all the old excuses including that these are natural tendencies and that our behaviors will not affect our partners, that what they do not know cannot hurt them, and we ignore the mental and emotional damage it is doing to ourselves. These studies also indicate that there seems to be a mental buffer to actually engaging in the high risk activity itself. As a result, we may tend to live our normal lives and try to control our other life behaviors, usually attempting to control or eliminate our same sex encounters.

                Apparently under stress we may have an actual alteration in brain patterns, almost like something inside our BPD mind snaps and bypasses the control mechanisms of the frontal cortex and responds directly through the amygdala and the pleasure centers of our brain. It’s as if we actually gain a heightened sense of pleasure by shutting down our rational mind and setting fire to our nervous system through the engagement of our sympathetic system. This usually involves leaving behind our normal life to engage in the other life resulting in a heightened sense of sensory awareness and heightened sexual pleasure with same sex partners. In addition, we may actually seek out and create our own stresses so we can release our built up tensions. In other words, we use our same sex encounters as a way to relieve all the stresses in our lives that come from our BPD traits. We will trigger our heightened sense of pleasure perhaps to demonstrate to ourselves that we are in control of ourselves in spite of all the emotional downers we face that lead to feelings of hopelessness and helplessness.

                This appears to result in some kind of fatalistic desire to engage in the activity knowing full well the dangers involved. It may be a means of escape from our relationship knowing that our partner will eventually find out and release us from the life we find so stressful. It would appear that there may also be a latent death wish. We seem to act upon a desire to experience the added rush from knowing that this activity may lead to STDs and possible HIV. It seems as though we may be nurturing a desire for suicide by risk.

My Five Suggests For Borderliners

1. Be proactive. Realize that you have these tendencies and make a commitment to change them.

2. Practice sound mental and spiritual wellness. Meditate every day. During these times focus of love for yourself. Let the feeling of love, well-being, and gratitude, flood your mind and soul. Keep telling yourself that you love yourself and you love the life you have been given. You can use these statements as a mantra during the day. When you feel one of your downers you can simply say “I love myself. I love my life”.

3. Do an assessment and make a list of the risk factors in your life. Then make plans on how to deal with each stress. When you find yourself involved with these stress circumstances and the feelings that go with them, activate your plan until you sense a change in your feelings.

4. Change your life patterns. Instead of being dishonest with yourself and your partner, make a commitment to being honest and working out the issues if and when they arise. Be sure you understand all the consequences and that you are prepared to live with them no matter what that may mean.

5. Instead of trying to fix your old life, plan to build a new one. This includes creating a low stress life style and finding new friends who will support you in your positive choices.

En”joy” the day


[1] Nigg, Joel T.. Annual Research Review: On the relations among self‐regulation, self‐control, executive functioning, effortful control, cognitive control, impulsivity, risk‐taking, and inhibition for developmental psychopathology. The Journal of Psychology and Psychiatry. 2016. https://doi.org/10.1111/jcpp.12675.

[2] Turner, Daniel; Sebastian, Alexander; and Tuscher, Oliver. Impulsivity and Cluster B Personality Disorders. Springer Link; Current Psychiatry Reports volume 19, Article number: 15.  2017.

Two Sides of Heaven – Two Sides of Hell

Lets Leave the science of bisexuality behind for awhile and share the true life story behind my struggles with sexuality. For the next few months, I want to tell my story. This is the first chapter in the biographical novel that I am presently putting together. Comments welcome.

Chapter  1 – Setting the Stage

Growing up on the Canadian Prairies in the 50’s and 60’s, I was aware that society expected people to conform to the rules of normalcy and religion. There was religion in my life but not much normalcy. I was the ninth child but had no father as a role model. My mother was too worn out to take an interest in my life; my eight siblings were all much older than me, so I basically brought myself up.

Counting mon, we were a family of ten living in a two-bedroom six-hundred-square-foot shack. It was a small house with ten cold bodies and ten cold minds, feeding off the heat of the friction of ten fragile egos and ten angry souls. My oldest brother left to work as a teacher in a small Saskatchewan village. That left eight of us still at home. The twins, who worked and helped support the family, had one of the bedrooms. My three brothers who were now teenagers had to share the hide-a-bed in the living room. I shared a bedroom with only one bed with my mother and my two sisters. It was a small bed sleeping between a cold mother and two hot teenaged girls who snuggled for warmth in a cold barren room in a cold barren house. It was a small space for a young child caught between the sheets with those who care and nurture, a lost, cold child who will forever seek to share the same comforting warmth of four like souls in a bed.

Around the age of five my two twin brothers shamed me into moving into the other bedroom with them. I still remember the feeling; it felt so unnatural.  Some of my earliest memories were about being aroused by the sight of my twin brothers’ adult male penises as they dressed for work. It was like I was all alone watching by older brothers live. My young life was like living in a desert. The struggles of desert life lay hidden to those who only view it from a distance. It was dry and lifeless, with all its passion stored under rocks and sand, emotion hidden like serpents in pockets along the trails into the wilderness ready to slither out and strike. My life suffocated under the motion of the wind that dried out the last drops of courage in a blast of hot air aimed to destroy and kill. Naked, burning, isolated, insulated, my life waited for the right moment, to dare to spread my limbs in the hot sun, to make the sap flow up to the surface, so that my own life could begin. There was no self-love. No self-identity of being a boy. No self-identity period.

Living with so many hot-blooded teenagers, I had a sense of sexuality from a very early age. I had an absolute fear of taking my clothes off in the presence of other boys in the change rooms at gym or the swimming pool. I felt like I was a girl trapped in a boys change room trying to hide my sexuality.  I also had an unnatural response to being hugged or touched by older males. It was like I was experiencing a latent sexual response that made be recoil in fear and disgust.

When I look back at my life, I cannot separate the past from the present. All that I am in this moment is seen through the pain of the past. I was young when I took responsibility for raising myself.  I was finger printed when I was five. My next oldest brother, Ivan, six years older than me, that would make him eleven at the time, got together with another guy (I forget his name) the same age who lived down the block from us and they stole a bunch of batteries from a salvage yard. My brother’s friend also had a brother my age, Robert Sinclair, who had become my closest friend. The two mastermind criminals got Robert and me to load up the batteries in our wagons and go sell them back to the same salvage yard. The haul would be seventy-five cents a battery, for a total of three dollars, a fortune at that time. That would provide the funds for thirty movies at ten cents a shot or sixty ice-cream cones from the corner store at five cents a pop.  Needless to say, that plan could only end in disaster. The salvage yard called the police and I wound up in the police station. They carried out a very skilled interrogation by which I spilled the beans and confessed in tears to what had transpired. In order to scare the hell out of me, they took my fingerprints and then called Victor, one of my twin brothers, to come and pick me up. Ivan disappeared for three days before daring to come home.

I was drunk when I was seven. I remember that night as though it was yesterday. There was a party at my house with the young guys and couples letting off some steam. Mom had vacated the premises, and unable to sleep, I was left to navigate the party as best I could. Beer was flowing liberally and I saw my chance. I got a glass from the cupboard and went from brother to brother for a sample. I was soon feeling like I owned the night. I remember jumping on the bed and feeling the bounce like I was floating in air and then coming down again only to rise one more time. My oldest brother, Rene, noticed what was happening and realized I needed some fresh air. He got me on my trusty steed and I pedaled around the community in the night pushing my bike as fast as it would go up and down the streets feeling the rush of the air slipping past my face.

I set my own hours of coming and going when I was eight. I grew into a powerful young man that no one fought with, fearing the cold, latent anger percolating just below the surface. I lived in an impoverished community with single or incapable parents trying to raise large families. One family, the Roblins, had seven boys being raised by an alcoholic father. Two others boys were being raised by tired grandparents because their daughters could not raise them by themselves.  We terrorized the community. But somewhere around the age of eleven I found competitive sport, hockey and baseball, largely because of the guidance of my brother, Vic, who was trying to be the father I never had. He worked in a Sporting Goods store and kept me supplied with sporting equipment. He attended all my games and I set out to make him proud of his baby brother. I made new friends. We golfed together and kept score on how life was progressing. As we moved into our teen years, my old friends got arrested one after another for crimes, ranging from car theft to rape, and eventually armed robbery and murder. It could have been me if I had ever let the smoldering emotions out of the bag.

At the same time I found pleasure in academics and read extensively and wrote my first novel at the age of twelve. I was academically gifted scoring perfect 100% scores in both English and Mathematics on the provincial exams in Saskatchewan during my grade eight year, in preparation for moving on to high school for grade nine. I had an unquenchable desire for perfection. I was a talented athlete in every sport I attempted. I was pretty, sought after as a trophy by the girls. I was the most popular boy in my school not only with the girls but also with those who lived on the outside. I would not allow bullying in my school yard. If I saw someone being picked on I would jump in and defend the one who needed a helping hand. But I did not stop there. I made sure they were included in the workings of the group. When I think about my motivation now, I am sure that it was based on my own feelings of being isolated and alone. By saving them I was saving myself.

As I entered my teen years, I rebelled against the sculpturing of my older siblings. I rejected the masculine brutality, the drive to push myself, my thoughts, and my desires into the fight fought by alpha males. I rejected the anger and coldness aimed at my sisters and mother. I rejected the feminism that manipulated in the guise of weakness. I became a reconciler, a mediator, a seeker of peace, a lover of justice, a poet who watched from the outside, and in the process rejected and ignored the poet on the inside.

As I reached puberty, I realized I was different but didn’t quite know how. I know the day it started. At the age of fifteen, I had the impulse to try on women’s clothes and experienced an erotic arousal. It just happened one day. I was visiting my brother, Ivan, and his wife in Edmonton during the summer holidays after my Grade 9 year. While they were away at work, I decided to try on his wife’s panties and panty hose. It was like another side of me had said to my masculine self to “butt out for a while and let the other me take over”. It was like a dissociative experience but I was totally aware of who I was and what I was doing. As I felt the silk panties slip sensuously over my penis, I had an immediate erection. As I buried my throbbing body into my pillow. I had my first conscious ejaculation. Oh I had ejaculations before, but they had occurred during wet dreams. This was different. It was a masculine moment clad in a feminine identity. That was my first experience in bisexuality. 

I had no one to talk to who could help me understand what was happening to me. As I struggled to figure myself out, the stage was set for a life based on guilt, anger, and shame. It was all so confusing. It was like Loki had played a cruel joke on me and put my female mind into my male body. But that was not the funny part, the real joke was that I was completely comfortable as a male and at the same time completely comfortable as a female. I was bi-gender. It was just a matter of time before my bi-gender would turn to bisexuality.            

                Back in North Battleford in the fall, I went to the all boy’s Catholic college and again excelled in all subjects. Catholic boys went to the college and Catholic girls went to the convent. The wisdom of the priests and nuns determined that it was safer this way. It did not do much for my social life but it sure made a difference academically. I made no attempts to have any relationships with girls in the other high schools but I did not have any desire for sexual contact with boys either. I was able to disguise the feminine side of my identity and not worry about dealing with dating.

                Around this time, I discovered an erotic novel, Last Exit to Brooklyn, that stoked my fantasy life with frequent journeys into masturbation and release. It was like my gay sexual desires were now a part of a fantasy world that was just that, a fantasy world. I looked at the gay world through my limited knowledge of what I thought it meant to be gay. It was just these weird people in the big cities that dressed up as women and went to special bars to solicit sex from men. I did not see my own experience as being any part of that. I was content to live sexually in my fantasy world and devote all my conscious energies to sports and academic excellence.

                It was during that year that I decided to join the priesthood which delighted my mother. She told me I was the seventh son and the seventh son was special; that’s why God had selected me for the priesthood. I informed the priests at the college of my decision and they begin to monitor my school progress. Father Gokarts, the regional recruitment priest, visited me often during those years. Because of my academic excellence, he informed me that I would spend one year at the novitiate in Ottawa and then it would be on to Rome to finish my education. My future was laid out for me. I could relax, forget about my sexuality, and just go with the flow. When I play the game of imagining what life might have been like, I wonder if I would have perhaps lived a life of peace, contentment, and purpose instead of the one that resulted in so much pain. However, looking back, I now realize that this was my attempt to escape the turmoil of my suppressed sexuality. Here I would be close to god and god would protect me from myself and forgive me for my perceived perversion and sin. But it didn’t work out that way. My teenaged sexuality was suppressed and bound to force its way out regardless of what I did to stop it. In desperation I took the six inch metal crucifix that hung above my bed, attached a chain, and wore it around my neck to fend off the evil spirits of my bisexual fantasy life that I seemed powerless to control. Meanwhile I kept the confessional busy.

                One day during one of his visits, I got up the nerve to tell Father Gokarts about my sexual problems. He immediately assumed that I was experimenting with masturbation and assured me that this was not a game-changing problem and that all boys eventually will struggle to come to grips with their sexuality. I accepted what he said lock, stock and barrel but did not tell him about the nature of my sexual fantasies. During these years I experienced deep levels of guilt and shame and suppressed any confusion and pain related to my same-sex fantasies. It never occurred to me that I could be gay. I simply was male. A popular male. I was asexual in all outward aspects of my high school life. I was a man’s man in a boy’s world.

                Between academics and sports I blissfully made my way through high school. We had a terrific sports program at the college, but sports were a weird thing for me. I was highly skilled but I lacked the aggression needed to take it to the next level. I dropped out of junior hockey in my grade twelve year and concentrated on other less aggressive sports.  I represented the district, skipping my high school boys curling team to the provincial finals, and won the Northwest Saskatchewan Junior Golf Championship.     

                As I moved into my grade 12 year, I focused on my studies, sports, and my hopes of becoming a priest and withdrew from genuine relationships. I created a fantasy world with imaginary lovers. Sexual impulses became fantasies of women without souls. This led to fantasies of men without faces. As time went by, all feminine images disappeared, and I was left with the loveless eroticism of faceless men. My self-concept was based on the faceless person I had created. I had no self-esteem, just the unattainable drive to be perfect so that I could feel worthy enough to be loved. I detached myself from the confusion and pain. I had no self-identity; so I continued to stand by and watch myself live. As I grew into a man I lost my way. I wanted to please them all. I wanted to submit, to just let go of my responsibilities and struggles and be taken care of by a man, by the father I never had, or by a woman, the mother who was never there.  My sexuality became just a tool to be used to please, a means to make others love me. My life became a life of pain without tears.

                 Looking back at my childhood now as a mature adult, I think I now understand what was happening to the confused child in me that was becoming a confused young man. I was conceived by a single mother with nine children. After her husband had left her to raise the family by herself, she was lonely and needed comfort and someone to want her so she had an affair. She got pregnant and went through the anxieties of having to nurture another child, her eleventh birth having lost two girls in childhood.  I was born unwanted. I was the evidence of her sorrow and sin.  Following the fearful death of my infant sister, who had been born a few years before me and died a few months before I was born, with no resources, skills, or energy left to give me the essentials of life, my mother raised me loving, but never daring to feel or show love. So I grew up feeling unloved.

                 I was guided by two half-sisters and six half-brothers determined to make me into the man I could not be. Rejecting their scorn, betraying my mentors, I took responsibility for raising myself, growing into a man with no identity, neither male nor female.  I fluctuated in the void. Caring and loving, thinking and absorbing, longing for completion into something, someone, that I could respect and accept, I found only my own failures, and broken relationships, and inadequacies, and unachievable goals. In my fantasies I found masculinity in the arms of soft young women; I found femininity in the strong arms of faceless men, but they could complete me only in the ecstasy of the climax. When the details were consummated, and the lights turned on, I was alone again in my own darkness, incomplete and broken. I had no identity, except the one I had created for himself, forged fearfully in the fires of hell. I had nothing real to face the world in the moment of truth.

Borderline Personality Disorder and Mood Swings

Because of the high positive correlation between borderline personality disorder and bisexuality, we are continuing to explore the pathological personality traits as listed in the DSM 5.

Pathological personality traits in negative affectivity  –  Depressivity: Difficulty recovering from such moods (miserable and hopeless).(DSM5)

            Just to be clear, bisexuality is not a pathological trait; it is merely a sexual orientation. We are drawn to male and female sexual partners. However, we often have difficulty dealing with our sexuality, and we often have to deal with also having a borderline personality disorder. Unfortunately the two often go together.

            Law and others[1] measured negative emotions and borderline symptoms in 281 BPD participants over a wide spectrum of experiences. They found that BDP diagnosis was associated with experiencing more negative emotions and  that these moods often continued for three hours or more with some lasting for days. They concluded that negative emotions and several BPD symptoms continued to influence each other.

            An Article by Salters-Pedneault and Gans[2] adds some interesting insights which I will summarize here and add some of my own. While it’s normal to have our moods shifting from feeling good to feeling down, some of us with BPD may experience very extreme mood-shifting for minor reasons. We can go from feeling okay to feeling devastated, desperate, or completely hopeless within a matter of moments. While in our down moods, we may engage in impulsive behaviors such as substance abuse, binge eating, self-harm, or suicidal thoughts or behaviors. In the case of us bisexuals, this is usually when we venture out for another sexual encounter. Unfortunately, if we are married or in a partnership, instead of enjoying the experience, we often let it evolve into guilt and another deeper down-mood.

Those of us with BPD can have many mood swings in the course of a single day, whereas most people may experience one or two major emotional shifts in an entire week. Again in the case of us bisexuals with BPD, we tend to manage or delay the mood by letting anxiety build to the point where a sexual encounter with a new sexual partner will allow us to purge these feelings. We then go back to our other life and can manage to stay within our self-imposed boundaries until the anxieties build again resulting in another down mood. We establish a pattern of in again off again that works for us until we crash.

We can go on experiencing emotional ups and downs for years while seeming helpless to stop them. This usually results in an unhealthy relationship with our life-partner. We feel we must depend on them for our survival. This again adds to the feeling of hopelessness when we bow to our urges for sexual encounters. It can become an addictive behavior. The sexual experience then often does not meet our need to have the release and peace of a healthy sexual experience. Instead of experiencing the joys of our sexuality, it can become an avenue for hopelessness and another down mood.

            Very often our mood swing occurs as a reaction to an external trigger involving someone we love. The perceived rejection or abandonment may result in a fight-or-flight response. We may respond with a feeling of hopelessness and helplessness or we respond with anger which is usually out-of-proportion to the situation. For those of us with BPD, these mood swings usually result in unstable interpersonal relationships with loved ones and colleagues which just adds to our fears of abandonment and the deepening of the negative moods. For those of us who are also bisexual, we tend to try to preserve our relationship with our life-partner at all costs and direct our anger at ourselves resulting in self-loathing, high-risk behavior, and suicidal thoughts.

            So what can we do about it? As stated over and over again in these blogs, we often focus on our sexuality as the cause of our problems instead on focusing on our borderline personality traits. If we can deal with our BPD symptoms in a constructive manner, we should have no difficulty accepting our orientation and learning to enjoy our sexuality without regrets. Our problem usually stems from a feeling that we have to control our impulses instead of just enjoying them. They cannot be controlled as in suppressing them; however, we can learn to enjoy our sexuality as part of our whole expression of who we are.

Here are my five suggestions for borderliners

1. Do a self-inventory. Is this BPD symptom an impairment or is it merely a trait? If it has already advanced to an impairment, you should seek professional help probably involving medication. If it is still just a trait, you can take some steps to manage it.

2. If you are experiencing these deep mood swings frequently, it is time to get help. At the core of your reaction is that you are probably in a state of generalized anxiety. A serotonin enhancing medication can do wonders. It can allow you to stay calm long enough to resolve a potential misunderstanding.

3. If you are responding with anger, you may benefit from some cognitive based counselling that will help you manage your anger.

4. If you are constantly slipping into feelings of hopelessness and self-loathing, you may need to learn to manage these thoughts and feelings through some form of constructive cognitive counselling that will give you strategies to work your way through the hopeless feelings before they lead to clinical depression.

5. When these moods are still manageable traits, you may need to develop some cognitive strategies to rationalize your feelings before they become behaviors. In the case of conflicts with loved-ones, let the person know you need some time to work things out and then make a promise to come back and resolve the situation rationally. A quiet walk or some time alone working on a project may be all you need. When you are ready, you can approach the loved one and work it out calmly and lovingly.


[1]  Law, Mary Kate;  Fleeson, William; Arnold, Elizabeth Mayfield ;  and Furr, R. Michael r. Using negative emotions to trace the experience of borderline personality pathology: Interconnected relationships revealed in an experience sampling study. HHS Public Access. 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547903

[2]  Salters-Pedneault, Kristalyn Medically; and  Gans, Steven. Mood Swings in Borderline Personality Disorder. Verywell Mind. 2020.

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Bisexuality and Separation Insecurity

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals.

DSM5 – Pathological personality traits in negative affectivity – separation insecurity: fears of rejection by – and/or separation from – significant others

We have already looked at fear of abandonment as a pathological impairment. In other words, the fear of being abandoned impairs our ability to function normally in society or may lead to mental disorders. When we look at this as a trait, we are still functioning but we have a tendency to consider abandonment or rejection in our decision making; that is, we have a neurological pathway or mind state or belief that we automatically pass through as part of our decision making. So let’s take a closer look at this as a trait.

Zanarini (2009)[1] obtained data from 77 female subjects with acute BPD, 15 with remitted BPD, and 75 healthy controls. They were assessed using the Rejection Sensitivity Questionnaire, the short version of the Borderline Symptom List, the Childhood Trauma Questionnaire, and the Rosenberg Self-Esteem Scale. Zanarina discovered that all the BPD patients, including those in recession, had higher scores on rejection sensitivity, which correlated with lower self-esteem. Childhood maltreatment did not appear to be a factor. She concluded that rejection sensitivity is an important component in BPD, even for remitted BPD patients, and that the level of self-esteem appears to be a relevant factor in the relationship between rejection sensitivity and BPD symptom severity.

So what does this mean in plain English? First, we must realize that this study equates “real or imagined abandonment” with “rejection sensitivity”.  In other words, we are hypersensitive to any indication of possible rejection from significant others. Secondly, we can conclude that these fears are related to our low self-esteem. Thirdly, stepping outside the boundaries of this study, we can conjecture that these negative thinking patterns are possibly connected to some genetic predisposition coupled with early childhood social-emotional experiences, rather than physical maltreatment. We can further conjecture, based on past studies of the human brain (Michl and others, 2014)[2], that these feelings are possibly related to mechanisms of shame located in the anterior cingulate cortex and the parahippocampal gyrus both found in the temporal lobes. Again, with further conjecture, we see that the temporal lobes are responsible for the processing of language and the emotions attached to the delivery of words.

Sorry, that was not plain English, was it? Let’s try again. In other words we are wired to be sensitive to signs of rejection. We particularly look for body language and verbal tones to see how things are going. If our partners show any sign of disapproval we immediately experience levels of anxiety. It is important to us that significant others continuously demonstrate approval. We aim to please. This is not necessarily a bad thing. It all depends on the levels of latent shame and anxiety. At this point, it is still a trait but if we do not deal with this trait it can become an impairment and lead to a warped relationship. It becomes a self-fulfilling prophesy. We create a situation where our worst fears become a reality. We may behave is a way that will result in being  abandoned so that we can bring closure and an end our anxieties.

Now let’s apply this to our bisexuality. As bisexuals, especially us male bisexuals, there is an obvious problem here. We hide our gay and lesbian tendencies because we fear rejection and separation from those who are important in our lives. This begins with a low self-esteem; we are basically insecure. We need the affirmation of others to provide us with a sense of security. This begins with our parents. If they show any sign of disapproval for gay or lesbian activities, we then have to hide our same-sex impulses. That means we seek what appears to be “normal” friendships with same-sex friends, and pursue heterosexual relationships to hide our gay and lesbian tendencies. We usually end up married in what appears to be a ‘normal” heterosexual relationship. Because we are bisexual, there are no problems having sexual relationships with our spouses and we end up as mothers or fathers and a complicated life style. We cannot risk being rejected by those we love so we continue to hide our tendencies. If we cannot control our same-sex desires, we are a tragedy just waiting to happen.

The obvious solution is to get rid of the anxieties related to our sexual desires and our need for security.

My Suggestion for Bisexuals

  1. Be honest with yourself and your loved ones. Dishonesty is a major source of anxiety. Living with constant anxiety and negative energy from your emotions will literally kill you.
  2. Do an inventory of your impulses. Do your same sex desires come from an unhealthy need or are they based on honest and healthy expression of your heart and body?
  3. Above all stop living with constant fear and anxiety. Get rid of the need to please others. In order to live a healthy life, you have to learn that you are the most important person in your life. You are the only one you really have to please. You may have to make some difficult decisions about your sexuality. Whatever you decide, make sure it is for you and not to please others.
  4. Remember you are bisexual. You can go either way. If your joy truly comes from your family situation, make a deal with yourself. Recognize that you have both desires. Give yourself permission to have both desires and make a conscious decision to choose your heterosexual situation.
  5. If your same sex desires are so powerful that you do not want to live without them you will have to make a deal with your life-partner. If they cannot live with your bisexuality you have to be prepared to separate.

[1] Zanarini, Mary C. Reasons for Change in Borderline Personality Disorder (and Other Axis II Disorders). HHS Author Manuscripts. Psychiatry Clinic North Am. 2008

[2] Michl, Petra; Meindl, Thomas; Meister, Franziska; Born, Christine; Engel, Rolf, R; Reiser, Maximilian; and Henning-Fast, Kristine. Neurobiological underpinnings of shame and guilt: a pilot fMRI study. Social Cognitive and Affective Neuroscience, 2014,

 

Why Do Things Always Go Wrong – Part 2

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals. 

Last week we looked at the pathological personality traits in negative affectivity related to  anxiousness, specifically  worry about the negative effects of past unpleasant experiences and future negative possibilities. it was a pretty bleak picture but it does not have to end there. Today we will look how to beat this thing.

  1. First, we have to deal with the anxiousness.  We seem to be doomed to have a never ending procession of anxiety disorders because we cannot stop thinking about all the negative things that have happened to us in the past, and worrying about what might happen in the future. . So how do we fix that? Quite simple, we stop focusing on all the negative thoughts from the past. When they occur we stop the cycle in our mind and say, “No, I am better than that. That is in the past. There is no past. There is only my thoughts about the past and I will control my thoughts. I will refocus on the present and find something positive to view today.”
  2. We often view our bisexual experiences as failure to control our impulses.  We have to come to the point where we accept our bisexuality. This was not a failure and let’s not even consider it as an impulse. It is a decision we made to seek and enjoy sex. Period. No judgement necessary. We simply give our bodies permission to enjoy something beautiful and let it enrich our minds and souls. This is who we are. This is a gift from the universe to be enjoyed. It is a precious opportunity to have physical and emotional contact with another human being.
  3. However, even though casual same-sex sex has its place, let’s not stop there. Let’s find gay or bisexual people that we can relate to on a human level, as fellow human beings. Let’s enjoy the whole person and take our focus off their sexual organs.
  4. We tend to try to suppress our desires because we either do not want to face them or the consequences, or we are afraid we will be exposed leaving us to deal with shame and guilt. If that’s the case, it’s time to face the reality of our situation. We can not keep suppressing our natural wants and desires. That may mean seeking an agreement with our life-partner about our needs for same-sex relationships within the partnership or we may have to face the fact that we have perhaps changed and our needs are now different. We may have to consider leaving the partnership.
  5. The third alternative is to go on expressing and enjoying our sexual needs but keeping them separate form out partners. The truth is not always the best solution; often it just leads to really hurting someone else. However, we can’t let “the  secret” destroy us. We have to come to terms with when and how we enjoy this part of our lives, give ourselves a conscious permission to have these experiences,  and still meet the wants and needs of our partners for love and companionship. Again, the guilt and the shame are all in our minds. We can control our minds. We simply tell our mind that we will not feel shame or guilt. We reject it.

Why Do Things Always Go Wrong

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals. 

DSM5 – Pathological personality traits in negative affectivity – b. Anxiousness: Worry about the negative effects of past unpleasant experiences and future negative possibilities;

Jacob and others[1] investigated the emotional responses of 26 female BPD patients, 15 patients with major depressive disorder, and 28 controls, immediately  after listening to stories involving various moods and then again after a delay of three to six minutes. Sadness was stronger with both BPD and depression patients; however, BPD patients showed stronger reaction to anger, joy, anxiety and shame. They concluded that extreme negative affectivity may be a defining property of BPD.

Baer and others[2] , in a review of the literature, looked at maladaptive cognitive processes in BPD patients. They concluded that BPD patients tend to focus on negative stimuli, have disproportionate negative memories, and tend to focus on negative beliefs about themselves, other people, and the world in general. They suppress negative thoughts and tend to run them over and over again in their minds.

The idea of thought suppression bears further investigation. Rosenthal and others[3] examined the histories of 127 patients and determined that  emotional negativity was a stronger prediction of BPD than Childhood sexual abuse and that thought suppression was a major factor in emotional liability.

So what does this mean in plain English? Well, simply put, we seem to be doomed to have a never ending procession of anxiety disorders because we cannot stop thinking about all the negative things that have happened to us in the past. We often view our bisexual experiences as failure to control our impulses.  We tend to try to suppress them because we either do not want to face them or the consequences, or we are afraid we will be exposed leaving us to deal with shame and guilt. So we hold these so call “failures”  in our minds longer thus giving our brain an opportunity to lock them into our long term memory. Therefore, our brain gets overloaded with all these negative memories and feelings that it hooks up to other memories thus creating  these huge negative mind states or beliefs. These beliefs  in turn create and control our thinking patterns and behavior patterns. This creates a locked-in negative predisposition. Our prefrontal cortex expects bad things to happen because of our same sex impulses.  We somehow create or attract these fears into the present situation. We enjoy the sex for the moment knowing it will be followed by feelings of shame and guilt. This forms a kind of compulsion where we seek the pleasure and then experiencing the pain.

Hey- it’s not hopeless. I will have some suggestions for you next week. So hang in there.

(For more information on this topic go to – In Search of the Lost Self- How to Survive and Thrive with Borderline Personality Disorder, by Lawrence J. W. Cooper, now available on Amazon)

 

[1] Jacob, Gretta A.; Hellstern, Kathrin; Ower, Nicole; Pillmann, Mona; Scheel, Corinna N.; Rüsch, Nicolas*; Lieb, Klaus. Emotional Reactions to Standardized Stimuli in Women With Borderline Personality Disorder: Stronger Negative Affect, But No Differences in Reactivity. The Journal of Nervous and Mental Disease: 2009.

[2] ,Ruth A.; Peters, Jessica R.; Eisenlohr, Tory A.;Geiger, Paul J.; and Sauer, Shannon E.. Emotion-related cognitive processes in borderline personality disorder: A review of the empirical literature. Clinical Psychology Review: 2012.

[3] Rosenthal, Zachary M.; Cheavens, Jennifer S.; Lejuez, Carl J.; and Lynch, Thomas B..    Thought suppression mediates the relationship between negative affect and borderline personality disorder symptoms. : 2005, Pages 1173-1185