Thank you everyone, I'm 44 married with kids all less than 12 and went to see my GP at end of last year as my dysphoria is really getting to me, I keep trying to go on one day at a time and it used to be that work and family were a great distraction but it no longer seems to be working and so I need to see the GIC , it seems the dysphoria is 24/7 now and I'm not sure how long I can keep going and keep everything together but will keep trying.