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life coach vs NHS counsellor on my dysphoria...

Started by jaybutterfly, July 12, 2014, 05:35:50 AM

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jaybutterfly

Earlier this week, I met up with my life coach, who helped me through some very difficult times at university with depression and anxiety, and has some awareness of my gender issues. It was actually really refreshing to see her again, and she asked me about this sort of thing, and I explained to her something that's happened with my doctors.

Before I go further, here's how my time with the NHS has been

- Asked for counsellor, who got mad at me for even looking up transgender topics while I was experiencing horrible dysphoria.
- Sent to doctors again (interestingly, the medical student told me 'you have to do whats right for you') while the doctor made a note of it in my medical documents as 'sexuality issues.'
-Another counsellor, who asks me the following things

1. Why do you want to be transgender?
2. Sure this isn't depression?

Anyway, the last counsellor said she was going to get in touch with some gender specialists, and I'd see her in a month. A month goes by and no surprise, she didn't put it down to poor identity concept and has shipped me off to high intensity cognitive behavioural therapy, saying if I'm not absolutely definite I want SRS I'm not trans.

After explaining this to my life coach, she actually asked me. So what is it you do?

-cross dress
-wear make-up
-prefer female pronouns
-want to look feminine and be addressed as female
-remove aspects of my body that are masculine (Body hair, muscle, my harder features etc)
- that while Im not certain of what I want to do about hormones since I do want children someday, Im still figuring it out.

And her question was then: 'so what's wrong with that? Older cultures had extra gender roles, why are they pushing you at the doctors so much?'

Funny isn't it that sometimes doctors lack compassion.
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Lonicera

Oh my word, I'm sorry you've had such a horrific demoralising experience with the NHS. It's ridiculous that it's been ascribed to sexuality, depression, or invalidated by absolutist notions of what trans-ness entails. I hope things improve as rapidly as possible and you get the empathetic treatment you deserve if you continue to pursue that path. Also, I hope the CBT is at least somehow useful if you attend. It seems like the default option for the NHS to save money in a drastically underfunded area and is unfairly applied to people that it isn't appropriate for.

May I ask what your next steps will be, if you know or want to deal with the system again that is? I appreciate others here will have far more useful information and experience but I have a tiny bit of familiarity with cajoling the local NHS into getting results if you ever think it'd be helpful. :)

I pre-emptively apologise if I'm useless or you've done this already but I found providing a copy of the NHS England Interim Gender Dysphoria Protocol and Royal College of Psychiatrists Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria helped quite a bit. I appreciate it's difficult and draining but I also found complaining about treatment to my GP surgery and then the Clinical Commissioning Group improved things. It took a very long time for me to build the confidence to do that but the ultimate sense of certainty about my rights that I conveyed seems to have been useful.

Wishing you the best.
"In the middle of the journey of our life, I came to myself in a dark wood, where the straight way was lost. It is a hard thing to speak of, how wild, harsh and impenetrable that wood was, so that thinking of it recreates the fear. It is scarcely less bitter than death: but, in order to tell of the good that I found there, I must tell of the other things I saw there." - Dante Alighieri
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jaybutterfly

Quote from: Lonicera on July 12, 2014, 05:00:45 PM
Oh my word, I'm sorry you've had such a horrific demoralising experience with the NHS. It's ridiculous that it's been ascribed to sexuality, depression, or invalidated by absolutist notions of what trans-ness entails. I hope things improve as rapidly as possible and you get the empathetic treatment you deserve if you continue to pursue that path. Also, I hope the CBT is at least somehow useful if you attend. It seems like the default option for the NHS to save money in a drastically underfunded area and is unfairly applied to people that it isn't appropriate for.

May I ask what your next steps will be, if you know or want to deal with the system again that is? I appreciate others here will have far more useful information and experience but I have a tiny bit of familiarity with cajoling the local NHS into getting results if you ever think it'd be helpful. :)

I pre-emptively apologise if I'm useless or you've done this already but I found providing a copy of the NHS England Interim Gender Dysphoria Protocol and Royal College of Psychiatrists Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria helped quite a bit. I appreciate it's difficult and draining but I also found complaining about treatment to my GP surgery and then the Clinical Commissioning Group improved things. It took a very long time for me to build the confidence to do that but the ultimate sense of certainty about my rights that I conveyed seems to have been useful.

Wishing you the best.

No need to apologize. Well I'm going to see how my next appointment with the counsellors go, since Im seeing a new one. If I dont get a reasonable answer I'm just going to say 'if they aren't going to take my point seriously, I'll ask to be referred to the nearest gender therapist they know of.' For me it's more working out what I'm going to do now I'm certain on my gender issues. If that doesn't work, well I can try to find trans support groups. I'm going back to university for a masters degree this september so I have some pluses

- not being at home and being able to dress and present as I please.
- friends as housemates who know.

I'm gonna make a note of printing the protocal thing you mentioned, hope it gets some help.
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