This study addresses the mental health consequences of sexual self-concept discrepancies in a sample of Black women (N = 106) age 18 to 25. Participants completed a survey that contained demographic information, mental health indices, and measures assessing how women think and feel about the differences between their actual, ideal, and “ought” sexual selves. Results indicated that sexual self-concept discrepancies, as measured by the Sexual Selves Questionnaire, did not predict the mental health outcomes as expected. However, proxy measures capturing the affective dimension of the discrepancies yielded significant findings. Women who were bothered by the difference between who they actually were and who they ideally wanted to be sexually were more likely to report dejection. Also, women who believed that they were more sexual than they felt they ought to be reported less dejection, less agitation, and fewer somatic complaints. Results underscore the importance of investigating sexual self-concepts in therapeutic contexts.