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Stopping therapy for now...

Started by cindy16, March 18, 2015, 03:32:21 PM

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cindy16

I hesitated a few times before posting this, then I thought which board I should post it in, but since some of the points below are somewhat general, I thought this might be the best place to share it.

So as I have shared in my earlier posts, I have been talking to a therapist for the last 2 months or so, meeting for about an hour almost every week. It is covered by my employer, and she knows a lot of other people at my workplace but is obviously discreet about whatever we discuss. She does not specialize in gender issues, but has still been helpful so far. She also referred me to a psychiatrist a few weeks back but I only met him for about 30 minutes before he said that I do not seem to have any 'problems' as such, so I didn't see any point in meeting him further. As far as I know, both of them are not directly in touch with anyone specializing in gender issues, or any trans friendly doctors/endos etc. At least with the therapist, I have been fairly open about looking for an endo so that I can be prepared to start HRT whenever I decide, but she hasn't ever said that she knows anyone who could help. In fact, as I mentioned in an earlier post, I even had to explain to her about HRT and how some people end up self-medicating.

More importantly, a couple of other issues have recently cropped up. Firstly, I decided that instead of just cribbing about how there is no support (at least openly or 'officially') for LGBTIQ folks at my workplace, I can do something to change that, so I've started talking to a few people to start some sort of group for this purpose. Since there is a growing awareness of such issues here anyway, it is possible for me to present as just an 'ally' for now. Since the therapist is also related to my workplace, she has also been involved in this, and we have a few other allies already. But now, our conversations sometimes mix up (mostly my fault) what we are doing for this group with what we are supposed to talk about in the therapy sessions. I think it might be better to therefore limit our conversations to starting the group and getting it going instead of mixing things up.

I am also a little worried about making this group thing look like my initiative or drawing too much attention to myself, since I am also experimenting a bit with my appearance and so people may start putting all of it together and asking questions about me.

Secondly, I am coming to the realization that I have mostly figured out who I am, what I can or cannot do at present, why I am this way, and how will I go about transitioning if/when I decide to do so. Some of the things which I am still trying to find out more about, I am doing it on my own anyway. I do get anxious about people finding out about me before I am ready to come out, or what may happen if I cannot transition, or what if I start down that path but decide to turn back, but again, I think I can answer those questions for myself now.

However, with the therapist, the recent conversations have been less about these anxieties and more about random stuff from my childhood or teenage etc about why I felt 'different' and what it meant to me, and the general sense that I get from her is that I am not opening up enough about my feelings.

The way I see it, I am naturally a shy person, plus I simply do not remember many things from early childhood (and I think my parents don't remember a lot of it either), plus I also do not like to discuss a lot of stuff out of respect for others involved. For example, there are certain things only between my wife and me which I will neither post here nor discuss with my therapist, and I don't think it is anybody's business. Or there are some things about being trans (or about sexuality or gender identity in general) which I did not even know, nor did my parents, and I think nor did most of the world in the 80s and 90s when I was growing up, so there is no point trying to remember things from that time or blaming myself or my parents or anyone else for it.

Despite all this, we end up discussing some of these futile points for too long and then we run out of time and I end up feeling like there was so much of other more important stuff to talk about. I don't think it's her fault or my fault or anything, but it's just not working for me anymore if I end up worrying about stuff at the end of these sessions rather than feeling good about it.

Lastly, I have also come across a psychiatrist specializing in gender issues who is from India but now based in Australia, but he is willing to do Skype chats and also give certification when required. I have heard about him from other trans people here too, so I know he's good. Whether he can directly put me in touch with an endo or not, I don't know yet, but we'll see about that.

I still think at the end of all this that I need someone to talk to about everything that I am going through. Talking to my wife isn't enough because she's often busy with her work too, and she's so directly and emotionally involved in our decision-making. I need an objective outside viewpoint, but I think instead of trying to get it from a therapist, I may need to find some friend who I can come out to. I don't think that is possible right now, but I just thought I'll ask for people's views here about stopping therapy at this stage when I am still pre-everything.
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LordKAT

Not everyone needs therapy. Perhaps you can find an informed consent place. Have you asked for a referral letter for hormones? Even if it isn't aimed at a specific doctor, you could then use it when you find an endo and just start cold calling if you have to.
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cindy16

I had asked her long back and she had said she doesn't think she can give a letter.
She is a qualified psychologist and therapist, so I don't think that legally there is some problem. It's probably just her own hesitation since she does not specialize in gender issues. I still continued with her because the sessions seemed helpful by themselves, but that's not so now.

I tried cold calling a couple of endo places but they seemed really shady. I know of one super-expensive place in a different city in a different state, but I am hoping to find something else which is nearer / less expensive. I don't think any of it will be covered by insurance, and I am not yet ready to openly find that out either.
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Rachel

Hi Cindy,

It sounds like you are well adjusted and perhaps a general therapist really is of little help.

I went to a LGBT primary care and did an intake I requested HRT and it is an informed consent location. I got referred to a gender therapist (very experienced). I started HRT 6 months after seeing her. We meet weekly at a LGBT center for our therapy. Then I went to another therapist and I started group. Also, I started going to a LGBT gym and have a variant trainer (20 weeks now). I would probably not be around if I did not seek out help.

The reason I stated the above is that we all have different paths. The important thing is the be happy with yourself and only you can determine where you will go,

Cynthia.
HRT  5-28-2013
FT   11-13-2015
FFS   9-16-2016 -Spiegel
GCS 11-15-2016 - McGinn
Hair Grafts 3-20-2017 - Cooley
Voice therapy start 3-2017 - Reene Blaker
Labiaplasty 5-15-2017 - McGinn
BA 7-12-2017 - McGinn
Hair grafts 9-25-2017 Dr.Cooley
Sataloff Cricothyroid subluxation and trachea shave12-11-2017
Dr. McGinn labiaplasty, hood repair, scar removal, graph repair and bottom of  vagina finished. urethra repositioned. 4-4-2018
Dr. Sataloff Glottoplasty 5-14-2018
Dr. McGinn vaginal in office procedure 10-22-2018
Dr. McGinn vaginal revision 2 4-3-2019 Bottom of vagina closed off, fat injected into the labia and urethra repositioned.
Dr. Thomas in 2020 FEMLAR
  • skype:Rachel?call
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awilliams1701

I did too. The last time I was there we both felt it was a waste of time. I've been having such a wonderful week that if she were to see me today she would probably just completely cancel the session. The last time she cut both the time and the fee in half.
Ashley
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cindy16

@ Cynthia: Unfortunately, things are not so structured here. Even the law itself is a bit vague, and can be interpreted as supporting the self-identification and informed consent route on one hand or the older route which only considers a full transition after a proper 'diagnosis' as valid on the other.
There are many professionals who are still stuck in the dark ages regarding trans folk, but those who are aware are also often confused by this ambiguity.
Anyway, I'm just hoping that I can manage things by myself until I am ready to come out more.

@ Ashley: That sounds good. Mine was a more unilateral decision - I just ruminated over yesterday's session, felt upset about a few things and then just sent her a mail saying I want to stop. This was even before I posted here, so I had sort of burnt the bridges already.
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sam1234

It sounds like you know yourself fairly well and just have a few issues that you need to think about. I can understand  why there are some issues regarding intimacy that you don't want to go over with a therapist. If you are a private person, there is no reason why you should have to.

Coming from transitioning when doing so meant having to go through an evaluation both written and a marathon session with a psychologist, I know that can make you feel trapped. Having someone else decide who you are is both unfair and ethically wrong. Perhaps the therapist who would not give you the letter to go ahead was afraid of a backlash if she was wrong. We live in a litigation happy society these days and therapists as well as physicians must have that on their minds any time they do something.

If you need more time to make a decision, take it. In the end, you will be happier and more comfortable with what ever you decide if you have thought it through completely. If you feel that talking to friends and posting threads on the forum than going to a psychologist, no big deal. Do what you feel is right.

sam1234
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Eveline

Quote from: cindy16 on March 18, 2015, 03:32:21 PM
However, with the therapist, the recent conversations have been less about these anxieties and more about random stuff from my childhood or teenage etc about why I felt 'different' and what it meant to me, and the general sense that I get from her is that I am not opening up enough about my feelings.

Cindy, I've had the same experience with several well-meaning non-gender therapists over the years, as have many others I've known.

With certain approaches to therapy, you are never "done" - there are always more old problems and emotions to dig through. This can be an expensive and time-consuming process, with no clear end point.

If that's not what you need right now, you can always come back to it later...
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cindy16

Thanks Sam and Eveline.

Well I am not sure whether that therapist was afraid of some backlash or something, but if she had never even met a trans person before, or at least dealt with them as a 'client'/'patient', she would obviously not be willing to write a letter, and may not even know if she is 'allowed' to write one. What bugged me though was that even with me sharing a lot of resources with her which I had come across here and elsewhere on the internet, I was not too sure how much of it she had really gone through. Because of that, it seemed like our conversations were going into totally unrelated directions and I was not getting what I am looking for, and not even knowing if it was worth the effort and time taken for all of these sessions.
Eveline, if I really had more problems or emotions to dig through or some regret or blame I was laying on myself or others around me or whatever, this kind of therapy would have probably been useful. But I think I am now at peace with whatever has led me here, and the only thing I am looking for now is how to move forward, for which I need someone more informed and/or experienced about trans issues.

We exchanged a few emails yesterday and for now it seems we are done. I will be meeting her anyway because of that group thing we are planning, and for now, I would rather focus on that and get to know people's mindsets around me and maybe try to change them through some such positive activities.

Sometimes I think I would rather go through that evaluation and marathon session but just get done with it in a few hours/days instead of dragging on for months like this. But now I think there are even better options with better informed / friendlier / more supportive therapists, or simply the informed consent route. I'll probably go for one of those when I have to, but in any case, I'll just look for someone better informed rather than wasting time with others.
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JoanneB

As an engineer and a great problem solver I have a natural ability to see patterns. And YES, your feelings are real, therapist have a "Fall Back" approach to things. Just like ALL people do. In other words, "When all you have is a Hammer, everything looks like a Nail". Just the way people are. Stay in your comfort zone.

I have sometimes mentioned to my therapist how I wished she would "Challenge me more". As well as the therapist before her. My only ones to date. As I replay the tapes, she does. Talks to me and tells me things I don't want to hear or dismissed. In my case lots of "Ra Ra You're doing GREAT" as my life is slowly dissolving around me. I don't want to hear this crap. I want to hear I am insane! This "Trans" stuff is just... a distraction maybe. Forget what is "Really" bothering you.

She also knows me all too well. Knows Trans folks and their thought patterns PFG I think. Nails me most times and I am a pro at hiding my feelings. So she in essence "Challenges" me.

She is also a BIG difference between how my "Generalist" who was T-Friendly was. As a  for real Gender Therapist she knows about our "coping mechanisms" and approaches to life and its problems we take.

I guess my point is, there is BIG Difference IMHO between a generalist vs a for real GT. I needed any therapist for a few years because of all the baggage I carried being trans. For that help I am grateful.  The opportunity  came along when I needed it to see a GT. Eventually, as in months later, I took it up. There is a difference. I am glad I sought out this help.

WE all need to do what we have to to Survive. To survive till next month, next year, even tomorrow. THAT is something we never should feel guilty or ashamed over. Funny how sometimes we do
.          (Pile Driver)  
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                    ^
(ROCK) ---> ME <--- (HARD PLACE)
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cindy16

Thanks Joanne.

Well, I am thankful too for whatever help I have got from my therapist so far, but I now need to move on.
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