For me, it was an extension of CBT or cognitive behavioral therapy. I get to choose what I do, I don't have to be a victim of my own internal beliefs. Understand those beliefs and how they trigger behaviors, one can intercept them before action and change habits. There's a lot of negative self-talk being trans and for me, lessening the shame and realizing I'm ok as I am was a good start. It's a fight every day at times, but once I realized I get to decide, I can choose not to self-medicate, in my case with food. Self-medication and addictions are just diversionary adaptations in order to not deal with ones ->-bleeped-<-. Those diversions can be almost anything.
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