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Progress, Progress!

Started by Elwood, July 23, 2008, 08:50:52 PM

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Elwood

There's a lot going on with me.

Today my counselor said that when she first looked for me she was looking for a "Sara." So she peeked out the door, looked into the waiting room, saw a boy sitting there, and left back to her office. She told me she thought about it for a moment, came back out again and called my legal name. That's when I stood up, crossed the room and shook her hand. "Nice to meet you." She wasn't sure how to handle it until I told her I was sure that I will be one of her GID patients. She spoke to one of the therapists who works closely with many GID patients and he said that if a person looks very much like the opposite sex (like I do) because of dress and presentation, it's very likely that they're transgendered.

That same therapist I will see September 17th. I'm very excited that I'll start working with him.

Tomorrow, I'll see a M.D. to discuss medication for my anxiety/panic disorder. We have to address these symptoms before I can start T, or I'll be ballistic from the stress, physical changes, and excitement. Tomorrow I will probably recieve a prescription for a stimulant, as I also have been diagnosed as ADHD.

Let's list what's going on with me, in no particular order:

ADHD (Attention Deficit Hyperactivity Disorder)
GID (Gender Identity Disorder)
BPD (Borderline Personality Disorder)
GAD (Generalized Anxiety Disorder) and other anxiety/panic symptoms
OCD (Obsessive Compulsive Disorder)

Yeah, I don't like the term "GID" either, but it's what they call being transgendered. Honestly, I'm not going to argue with them. They're going to hand me T (eventually).

Now, that list is LONG. Perhaps two of those can be combined into one. I was only officially diagnosed withe the first 4, the last I think might later be brought up. The thing is, you can't have both GAD and OCD at the same time. It's one or the other. I believe I have OCD, because my anxiety has an obsessive-compulsive flavor.

Unlike a lot of transpeople I've heard from, I have a massive plate of disorders to deal with, not just GID. Also, this cocktail of disorders causes me to be depressed (although I do not have "clinical depression," so it's undiagnosed). These symptoms and disorders explain a lot. They explain why my transition has been on hold for so long and it explains why my dysphoria is so extreme.

After I see the M.D. and start some medication, I will be undergoing therapy with other people who have anxiety/panic disorders. Medication is not the only step, the patient must also participate in therapy in order for the medication to be effective long term. I will be in a 6 week long anxiety/panic disorders class. During this period, I will see a therapist (who is qualified to be a Gender Specialist) once a month or so, which still leaves large gaps, but at least I will be working in between visits.

I also in addition visit Positive Images, a LGBTQQI group where I am able to express myself and learn about others.

My process will be longer than most. If you've known a kid with ADHD, you probably noticed it took him or her longer to learn and longer to do things. I just have to accept that this is part of my life and I have to take things like change slower than other people. Because I now understand this, I am a lot less frustrated. I thought I was "normal" and that people were just picking on me. Now I know I'm "special" and I need to take things a little slower and easier.

So that's my news.

I will be addressing my anxiety/panic disorders until they are manageable. Then transition is SAFE to begin. It's not that I'm not mentally ready. My counselor means that I am not ready as a person because if I jump into it I will probably freak out from the excitement, the change, and the risk.

ADHD can be medicated and it can also be treated therapeutically.
GID cannot be "treated" but my pain can be alleviated through transition and therapy.
BPD can be treated through self-therapy. I have to be more aware of my feelings and manage them.
GAD is completely treatable through therapy and it will also be a lot easier to handle once transition starts.
OCD is also treatable although I have never heard of it completely going away.

So there's my list... there it is. It really is longer than I thought it was going to be, but the positive thing is that they all affect each other, so if I work through one, essentially, I work through them all.

To clarify, I probably won't get a lick of testosterone until a year from now or more. That is if I progress at a fairly normal rate. It upsets me, it makes my life more difficult, but I need to get over it. Not to mention that I already pass really well... Not to say I don't want T. T will be unbelievably helpful when it comes to my self image.
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JonasCarminis

finally!  im glad youre on the right track even though it may not be the fast track.
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trapthavok

Well, based on the burden you have to bear I congratulate you on being so willing to go through the right steps. It may take some time to find medications that work for you so be patient! Just remind yourself that once you get everything else under control, T is the next step.

Congrats on finding a therapist!! You're on your way ;)
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Elwood

Thanks, boys! I'll be sure to keep a look out for weird symptoms (I'm actually really scared of that happening, haha). This isn't the most glorious path, but it's a path alright!

Quote from: trapthavok on July 23, 2008, 09:45:38 PMWell, based on the burden you have to bear I congratulate you on being so willing to go through the right steps. It may take some time to find medications that work for you so be patient! Just remind yourself that once you get everything else under control, T is the next step.

Congrats on finding a therapist!! You're on your way ;)
Thanks. Yeah... I really hate that I have to wait so long, but I must cooperate. The more I cooperate, the faster I can recover... the faster I can get closer to feeling at ease in my body.

T is the next step! After this really, really big step. But it's still only a step away!  ;D
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noxdraconis

The only difference between those meds and the stuff you buy from your friendly corner dealer is that you need a perscription for the meds.  Oh the wacky stuff that happened when I was on that junk.  No matter how strong the urge is, do not eat an entire packet of listerine strips at once (nasty blue puke will follow) or ride hand made go-carts down a hill and into your local radioactive swamp.

As for the wait, slow and steady wins the race. 


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Jamie-o

Congratulations, Elwood.  It must be a relief to finally know what steps you need to take to get where you need to be, instead of just being told, "you're not ready" without any explanation or direction.  Sounds like these new therapists are going to work out better for you.  Good luck on your journey.  :)
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Elwood

Got a prescription today. I'm on an antidepressant (which will also help with anxiety). Along with this I will be in a 6 week long session of group therapies.

I am very glad I now know the steps. I understand what they mean now when they say I'm not ready. They're not saying I'm not a guy or that I'm insecure with my gender identity. They're saying that transitioning right now could be catastrophic because of my medical conditions. I wish they had just said that earlier.
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trapthavok

Yeah I read something about some people going through depression akin to post partum after ops sometimes... I guess they didn't want to risk you being one of those. I'm glad you found people to help you dude, and I'm glad it sounds like they know what they're doing. It sounds like you're on your way for real!! And you're getting the real help you need and deserve.

Congrats on your meds :) Hope these work and you don't have to go through too many meds before they find what helps you.
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Elwood

Yeah. Took the first pill today. Made me feel a little funny at first, but now I feel normal. I won't start feeling less anxious for a few days... it doesn't work right away.

I hope we can figure all of this out soon. I want T so bad I keep talking to my dad about it. I hope he's not getting bugged. I keep telling him about how when the first time I stick it in it's really gonna hurt (it's a muscle shot so it's got to go pretty deep). He doesn't seem to mind the talk. He told me about how he had to give himself shots for migraines (he was part of a study) except that his wasn't very deep because it goes into the fat tissue.
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Jasmine

#9
Quote from: Elwood on July 23, 2008, 08:50:52 PM

Let's list what's going on with me, in no particular order:

ADHD (Attention Deficit Hyperactivity Disorder)
GID (Gender Identity Disorder)
BPD (Borderline Personality Disorder)
GAD (Generalized Anxiety Disorder) and other anxiety/panic symptoms
OCD (Obsessive Compulsive Disorder)


Hi, I'm not an f2m (i'm an m2f), but I do have GID, ADHD and OCD. I went into transition without any other treatment but the hormonal medications, and yes it's been a rough ride, though I'm glad to be on them. I've been transitioning for about 9 months and i think i'm almost full-time.

I've since tried the 3 popular "stimulant" medications for my ADHD, and although I think they all made some slight improvement, I couldn't deal with the side effects. These were muscle tension -especially in my face, shoulders and chest, and they hyped me up but then would wear off too quickly, causing severe depression, difficulty in the toilet, and difficulty sleeping. I would also be sweating under my armpits even in cool weather etc. . But, as you've probaby heard a million times, everyone reacts differently to ADHD medication, and it's a matter of trial and error.
I also tried a one that has 'atomoxetine hydrochloride' in it, but i also found the same thing.
So.. yes they worked, but i can't take them. There are others i haven't tried though, but i'm going to try without again for a while.

Hmm.. i think also because I have OCD i tend to worry about whether i'm a legitimate transsexual (you may have seen some posts on here by me indicating some self-doubt).
I've worried about all kinds of horrible things over my whole life and so this isn't unexpected. I'm seeing a clinical psycholigist more regularly now too, i think that's very important to staying sane.

Also, if you feel it's right for you, you might be able to talk to your therapists about whether starting a mild dose of "T" ,now, would help at all.. I'm not sure exactly how it works for f2m guys, for me it was a releif to know that i'm not becoming any more masculine. I hope that me mentioning this isn't too much of a tease.

Good on you for planning things properly.

:)



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Janet_Girl

I know that this thread is suppose to be for FtM, but I always look in when I see something that Elwood has written.

I am glad that you are finally getting help.  And now you are official with GID.  ???  Is official OK?
You will get the T eventually, in the meantime, you can begin living as a man and get your self image finally coming into line.

I am happy for you, my dear son.

Love,
Janet

Posted on: August 01, 2008, 08:14:46 AM
I know that this thread is suppose to be for FtM, but I always look in when I see something that Elwood has written.

I am glad that you are finally getting help.  And now you are official with GID.  ???  Is official OK?
You will get the T eventually, in the meantime, you can begin living as a man and get your self image finally coming into line.

I am happy for you, my dear son.

Love,
Janet
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Kate

Quote from: Elwood on July 23, 2008, 08:50:52 PM
OCD is also treatable although I have never heard of it completely going away.

I know someone with OCD. It was debilitating for them as a teenager and into their early 20s (washing hands until they bled, etc.), but over time it lessened to become more manageable. They actually took advantage of it in some ways, as they used to obsess on counting *everything*... and now they're a numbers/math/money genius. They obsessed on planning every step for doing things, and now they're wonderful at planning parties, weddings, etc.

Hang in there ;)

~Kate~
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Elwood

I've actually got a point to raise to my new therapist.

I've been doing everything the right way. I've been cooperating. I've been attending classes and peer groups. I've started taking medication. It should be clear to my doctors that I'm actively engaged in helping myself. So why do I feel so much like I'm being punished? My transition is being put "on hold" because of my other conditions. I have never heard of this happening to anyone else during their transition, and I've known about some very disturbed people transitioning. Guess what transition did for them? A whole lot of good. I think that transition could make curing my other disorders easier because the dysphoria won't be bringing me down.
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Aiden

Yeh I pretty much figure it will take a while for me.  I was diagnosed as bipolar when was 10, took years with them switching meds trying get it right, and I'm still on meds.  Although since coming to PA and after telling him about my gender issues, my phycologist seems to be considering wether I really have bipolar, and not something else.

Most of my issues have been ranges of depression and anger.  I never really felt that bipolar was the correct diagnoses, that there was something else.   I do have problems yes, I do think probably something more than GID wrong, but not bipolar.

Anyways, basically until I can learn to handle my anger better I will be on hold.  Just have to do the RLE stuff which have been given go ahead from councilor.
Every day we pass people, do we see them or the mask they wear?
If you live under a mask long enough, does it eventually break or wear down?  Does it become part you?  Maybe alone, they are truly themselves?  Or maybe they have forgotten or buried themselves so long, they forget they are not a mask?
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Jasmine

Quote from: Elwood on August 01, 2008, 12:25:26 PM
So why do I feel so much like I'm being punished? My transition is being put "on hold" because of my other conditions. I have never heard of this happening to anyone else during their transition, and I've known about some very disturbed people transitioning. Guess what transition did for them? A whole lot of good. I think that transition could make curing my other disorders easier because the dysphoria won't be bringing me down.

I agree with you on that. I think they should let you move onto your next steps with transition as soon as you feel you are ready for it. I really can't see why these other issues should be such a big problem, except they might make you confused at times (OCD) but then that happens anyway doesn't it? besides, I think T might even reduce depression in non- GID people.. you'd have to check that though.

Ok i better finish it there before I turn into a misleading doctor person..

:)
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