Being forever strung along by your balls chasing a fetish can be viewed as a neurosis. I'm probably a bit too immature to answer this question from the amount of laughter that came after wiki-ing 'neurosis' and viewing the heading "Horney's theory". Given that, I'll defend my point with a joke I like (:50 to end): https://www.youtube....h?v=w0nH0cuSOSI
But to go with the statement and question, repressing in general will lead to neurosis, from fetishes to raise requests. I don't quite understand what neurosis is, I answer with this line from the wiki in mind, "It has perhaps been most simply defined as a "poor ability to adapt to one's environment, an inability to change one's life patterns, and the inability to develop a richer, more complex, more satisfying personality.""
If I never explored BDSM, or fetishes more specifically, it would mean I'd not figured out how to communicate what I like either because I'm too dumb socially or too bashful. And being either of those things would affect my life negatively.
Open exploration has been very helpful in figuring out what I go for exactly and why. Also, I suppose it helps develops tact.
I realized it when I stumbled on a video trailer from a producer of the fetish specific material. The how is that I'd viewed it when I was around puberty age.
Getting over shame and finding a way to frame the fetish in a way that didn't make me feel overly odd led me to want to explore it.