Virtually always: A growing body of research shows that being gay is almost always genetic/biological. See http://www.livescience.com/50058-being-gay-not-a-choice.html While some try psychotherapy to change sexual orientation, it rarely works. The best "help" is to accept that this is your biological nature and don't resist it, but if you find this difficult you might consider psychological counseling.
Answered 4/23/2016
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