So here's the blunt end of it- I live in southern Missouri and have a strict Catholic mother who refuses to accept that her little girl is a man. I came out for the first time as transgender four years ago, and I would have earlier, except I didn't know such a phrase existed before that. Before I came out as trans, I had been known as "the neighborhood dyke" even though at the time I still had long hair because I lived with my mom and was afraid to upset her when she liked my hair and using me as her little doll. I was almost never allowed to shop in the boys' section of the store because "girls are not boys and therefore do not where boy clothes" even though I always hated the girls' stuff. I often got yelled at for giving away or trading my clothes for boy clothes, and a lot of my boy clothes got thrown away. Anyway, right now my mom is convinced that I'm going through a "phase" and will eventually get over it. She thinks I'm doing it "to be cool" because most of my friends are also transgender teens and young adults that I met in various LGBT groups here in town. I'm also having trouble because she makes everyone else call me by my birth name and by female pronouns, which really upsets me and keeps me from being able to even hope of passing as a guy. I have some other problems outside of my mom, but I'd really like some help with this one first, as it's currently the most pressing, but I'm also having problems with doctors in the psych ward (where I have to go to get meds or bi-polar conditions) who try to tell me there is no way I could possibly be transgender because being transgender is a very rare occurrence and they don't think it can happen here as often as they've seen it. Because some of the doctors think this, it makes it difficult for me to feel comfortable talking to anyone in a hospital facility about my situation, making hormones an impossibility.