This is a double whammy. Because we not only feel shame and anxiety over our private feelings and impulses, but guilt for lying to others about those feelings and impulses. As someone who has depression already, years of dishonesty and compartmentalization eventually spun me into an even darker well of despair. A person tries to do "the right thing" by conforming to the heteronormative script, then ends up suffering for it and, ultimately, hurting those they love most when the truth is finally revealed.