I used the image to try and bring about a family discussion, with interesting results.
My daughter (age 25, lives with us) said that she'd been told I was being selfish. (That would have come from my wife, as she's the only other person in our family circle who knows about my nature.) I explained to her that this upset me, because every time I've been out, dressed, and going to my appointments, I still come home, get back in that cell, and slam the door shut on myself. I do this for them, not myself, as I'd love to be out. I'm deliberately locking myself away to avoid causing them discomfort.
My daughter was uncomfortable with this, and brought it up with my wife. The next day, my wife and daughter sat down on the sofa across from me. My wife said that since I had encouraged them to ask me anything, she had a question for me: "If you want to be a woman, why are you still here?"
Oh, here we go. "I'm still here because I love you two, and I care for you. I don't want to leave you." She shifted the subject, commenting that my discussion with our adult daughter had made my daughter uncomfortable, and she would rather I hadn't done that. I told my daughter directly that if something makes her uncomfortable she should just say so, or change the subject. I will understand. Then my daughter asked my wife, "But what about what he said? How do you feel about him?" (Yeah, constantly misgendered. But, I was cross-dressed as male as required by them.) My wife responded that she still loved me.
That's about where we left it. The subject hasn't resurfaced in the past few days. Still, it's a start. This was the first time either of them had initiated a conversation on the subject.
Small steps...