Wow! This was exactly the thread I needed to see right now - thanks so much for starting it, PurpleWolf! The links were really helpful as neither my doctor nor my therapist had made a connection between my gender identity issues and my master-level dissociation skills.
A little background on me since I've not posted much here yet: I'm in my early-mid 30s, and I've had gender identity issues since I was around 7, but I didn't grow up in a very open and accepting environment for that; so I spent 20+ years trying to hide it, deny it, and avoid it. I finally managed to start getting the help I needed recently, and I've been on HRT (MtF) for about 3 months now.
Things have changed significantly since being on HRT, but here are some of my thoughts and experiences from before that:
Over the last few years, my dysphoria had kept getting worse, and I had an immense feeling of hopelessness about it, so I spent more and more time just shutting down or disconnecting from my life and the world around me. For example, I couldn't go for a walk on a trail and actually see or experience the woods; instead I immediately went into my own head and desperately focused on work, or my todo list, or my anxieties and fears, or I just zoned out completely to the point that it felt like a dream - anything to avoid experiencing reality!
I often felt like the world was somehow unreal, or that my experience of it was incomplete. I felt like a passenger in life rather than a participant - I was just along for the ride. I sometimes felt like I like was half asleep and watching life go by on a screen rather than experiencing it. I had times where I really, truly questioned reality: 'Am I in a dream? a nightmare? Am I already dead and living in hell, and I just don't know it?'
My sense of self and my identity was a total mess.
I often felt 'foggy', and like I was just going through the motions, or on auto-pilot, without any sense of my own existence as a person. On the foggy days, I was completely emotionally numb - I never felt
anything, whether good or bad, aside from hopelessness and occasional anxiety. In some ways it felt like a case of 'depression as a coping mechanism' - if the only thing I could feel 99% of the time was pain and suffering, then better to feel nothing at all!
I had intense internal conflict due to various needs being at direct odds with one another; for example, the conflict between needing to express my feminine side and needing to feel safe in the closet. The intense internal conflict also came with some wild swings in my taste in clothing and decorating especially. For example, I bought curtains and loved them for a few days, then suddenly thought they were too feminine and felt repulsed. I would have the memory of liking them, but I couldn't understand how I'd felt that way before when I hated them so much now! Eventually, I'd end up reaching a level of acceptance for most things that I kept around long enough, even if they didn't seem to totally fit me all the time.
I was often very detached from my physical body. The best way I can describe it is feeling like a floating consciousness with no physical form at all (assuming I was even aware of my consciousness at that point). I had days where I would keep bumping into things, because even though I saw them there, I had no real awareness of my own arms or legs or any of my body really, so it was surprising to bump into things! I could see my arms and legs, and I knew logically that they were mine, but they didn't
feel like mine. I also hated mirrors because my reflection often didn't feel like my own - I don't mean that it felt like someone else's reflection, but more like it was just some phantom image with no basis in reality.
Thankfully, things have been getting better for me.
When I started estradiol for the HRT, the horrible depression that I'd been struggling with off and on for over 20 years was almost completely gone within 2-3 days, and it hasn't been back since! Before that, I'd tried multiple anti-depressants, and I'd been through hundreds of hours of therapy over several years, and none of that came close to providing the level of relief that I got from the HRT! I've also started having fewer issues with dissociation, but that's been a much more gradual process. At 3 months in, I'm now at a place where the world feels 'real' more often than not, and my body feels like 'mine' more often than not, but I still have times of milder fog, and certain parts of my body still feel strange or foreign to me much of the time (mostly any distinctly male characteristics - but that's what hair removal and surgery are for
![Wink ;)](https://www.susans.org/Smileys/susans/wink.gif)
). I'm also still struggling a fair bit with my sense of identity, and whether I'm a woman or maybe female-leaning non-binary, and just generally who I am and what it means to be myself. Sorting all of that out will probably be one of the most difficult parts of the journey for me, but I am making progress on it, and that helps me feel better as well.