Hi Jamie, I'm here. And you're here! I am also a misfit in my own way, great to have company.

If you are working with a good transgender psychiatrist, you have already taken a very important step - and I want to congratulate you. Some of our most difficult challenges are invisible and come from within. I have found the physical changes I've made so far definitely help but are not as important as my frame of mind and understanding who I am. I have learned to be a bit more patient with my own changes after realizing this isn't a short term goal.
One of the other things I have figured out is - I have probably met and known several transgender people and never realized it. Some people aim for the middle of the spectrum or are gender-fluid, but some manage to transform appearance and mannerisms so completely you would never guess. And most importantly, each individual has their own way of expressing gender identity. Some people take charge of this definition and get it to match who they are, and some don't.
We have some guidelines to help keep this all running smoothly, I'll paste them here for you. We always provide this to new members.
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Things that you should read
Jamie I am glad you decided to join. Welcome to Susan's!
Kendra